ANGELA R. GULBRANSON OD, PC
NPI: 1154754489
· SIOUX FALLS, SD 57108
· Vision Therapy Optometrist
· NPI assigned 08/09/2013
$117K
Total Medicaid Paid
Provider Details
| Authorized Official | PULFORD, ALISON (OFFICE MANAGER) |
| Parent Organization | ANGELA R. GULBRANSON, OD P.C. |
| NPI Enumeration Date | 08/09/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,164 |
$34K |
| 2019 |
182 |
$6K |
| 2020 |
548 |
$15K |
| 2021 |
581 |
$16K |
| 2022 |
790 |
$22K |
| 2023 |
734 |
$18K |
| 2024 |
247 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92065 |
|
1,843 |
589 |
$63K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,688 |
607 |
$27K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
366 |
335 |
$22K |
| 92066 |
|
118 |
37 |
$3K |
| 92015 |
Determination of refractive state |
205 |
186 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
26 |
12 |
$938.40 |