Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › SIOUX FALLS › VANCE THOMPSON VISION SURGERY CENTER PROF LLC

VANCE THOMPSON VISION SURGERY CENTER PROF LLC

NPI: 1205171295 · SIOUX FALLS, SD 57108 · Ambulatory Surgical Clinic/Center · NPI assigned 12/03/2012

$23K
Total Medicaid Paid
130
Total Claims
52
Beneficiaries
2
Codes Billed
2023-12
First Month
2024-09
Last Month

Provider Details

Authorized OfficialBERDAHL, JOHN (OWNER)
NPI Enumeration Date12/03/2012

Related Entities

Other providers sharing the same authorized official: BERDAHL, JOHN

ProviderCityStateTotal Paid
VANCE THOMPSON VISION SURGERY CENTER BILLINGS, LLC BILLINGS MT $47K
VANCE THOMPSON VISION CLINIC PROF LLC SIOUX FALLS SD $41K
TTB SERVICES PROF LLC SIOUX FALLS SD $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 75 $8K
2024 55 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 98 40 $21K
J1097 Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml 32 12 $2K