Grimsrud, Royce
Grimsrud, Royce was paid $522K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.
33Billing provider infoGRIMSRUD, ROYCE
SISSETON, SD 57262
SISSETON, SD 57262
33aNPI1033182936assigned 02/10/2006
33bProvider typeOptometrist
28Total paid$522K
24GClaims9,309
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in South Dakota
Rank by total paid#15 of 100
Median peer was paid$113K
This provider vs. median4.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,513 | $83K | |
| 2019 | 1,466 | $79K | |
| 2020 | 1,008 | $51K | |
| 2021 | 1,291 | $76K | |
| 2022 | 1,443 | $81K | |
| 2023 | 1,427 | $77K | |
| 2024incomplete | 1,161 | $75K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 28% | 1,495 | 1,387 | $145K |
| V2199 | Not otherwise classified, single vision lens | 25% | 2,204 | 1,917 | $133K |
| V2020 | Frames, purchases | 24% | 2,302 | 2,008 | $128K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 744 | 695 | $88K |
| 92015 | Determination of refractive state | 5.5% | 2,564 | 2,395 | $29K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.