Pratt, Thomas
Pratt, Thomas was paid $111K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 43% of everything it billed.
33Billing provider infoPRATT, THOMAS
DAKOTA DUNES, SD 57049
DAKOTA DUNES, SD 57049
33aNPI1073661187assigned 01/08/2007
33bProvider typeOptometrist
28Total paid$111K
24GClaims2,920
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in South Dakota
Rank by total paid#52 of 100
Median peer was paid$113K
This provider vs. median1.0×
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 | 396 | $4K | |
| 2019 | 526 | $10K | |
| 2020 | 741 | $36K | |
| 2021 | 356 | $22K | |
| 2022 | 462 | $25K | |
| 2023 | 324 | $13K | |
| 2024incomplete | 115 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 43% | 585 | 562 | $48K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 28% | 507 | 477 | $31K |
| V2020 | Frames, purchases | 19% | 860 | 795 | $22K |
| 92002 | 5.3% | 117 | 115 | $6K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.6% | 112 | 79 | $2K |
| 92015 | Determination of refractive state | <1% | 599 | 526 | $1K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 13 | 13 | $566.90 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 21 | 20 | $394.80 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 16 | 14 | $354.88 |
| V2756 | Eye glass case | <1% | 90 | 84 | $86.40 |
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.