NPI: 1174077275 · WORTHINGTON, MN 56187 · Optometrist · NPI assigned 08/08/2016
Authorized official FLICEK, DAVID controls 20+ related entities in our dataset. Read more
| Authorized Official | FLICEK, DAVID (CEO/PRESIDENT) |
| NPI Enumeration Date | 08/08/2016 |
Other providers sharing the same authorized official: FLICEK, DAVID
| Provider | City | State | Total Paid |
|---|---|---|---|
| AVERA MCKENNAN | SIOUX FALLS | SD | $9.09M |
| AVERA MCKENNAN | SIOUX FALLS | SD | $2.56M |
| AVERA MCKENNAN | SIOUX FALLS | SD | $2.34M |
| AVERA MCKENNAN | SIOUX FALLS | SD | $2.04M |
| AVERA MCKENNAN | SIOUX FALLS | SD | $1.86M |
| AVERA MCKENNAN | SIOUX FALLS | SD | $1.80M |
| AVERA MCKENNAN | SIOUX FALLS | SD | $1.44M |
| AVERA MCKENNAN | SIOUX FALLS | SD | $1.38M |
| AVERA MCKENNAN | SIOUX FALLS | SD | $857K |
| AVERA MCKENNAN | SIOUX FALLS | SD | $507K |
| AVERA MCKENNAN | SIOUX FALLS | SD | $445K |
| AVERA MCKENNAN | GREGORY | SD | $397K |
| AVERA MCKENNAN | SIOUX FALLS | SD | $307K |
| AVERA MCKENNAN | SIOUX FALLS | SD | $280K |
| AVERA MCKENNAN | SIOUX FALLS | SD | $246K |
| AVERA MCKENNAN | WINDOM | MN | $176K |
| AVERA MCKENNAN | SIOUX FALLS | SD | $104K |
| AVERA MCKENNAN | SIOUX FALLS | SD | $95K |
| AVERA MCKENNAN | SIOUX FALLS | SD | $93K |
| AVERA MCKENNAN | SIOUX FALLS | SD | $62K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,698 | $20K |
| 2019 | 3,360 | $131K |
| 2020 | 2,389 | $89K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1,030 | 987 | $64K |
| V2020 | Frames, purchases | 1,571 | 1,500 | $41K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 513 | 487 | $38K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 890 | 803 | $29K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1,267 | 1,212 | $23K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 964 | 892 | $18K |
| 92015 | Determination of refractive state | 1,891 | 1,801 | $18K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 198 | 177 | $7K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 55 | 46 | $2K |
| 92341 | 27 | 25 | $668.03 | |
| 92250 | 12 | 12 | $318.17 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 17 | 15 | $0.00 |
| 1036F | 12 | 12 | $0.00 |