Medicaid Provider Spending

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

VANCE THOMPSON VISION CLINIC PROF LLC

NPI: 1205193554 · SIOUX FALLS, SD 57108 · Optometrist · NPI assigned 04/11/2012

$41K
Total Medicaid Paid
740
Total Claims
490
Beneficiary Records
5
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBERDAHL, JOHN (OWNER)
NPI Enumeration Date04/11/2012

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 SURGERY CENTER PROF LLC SIOUX FALLS SD $23K
TTB SERVICES PROF LLC SIOUX FALLS SD $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23 $446.97
2022 50 $2K
2023 175 $13K
2024 492 $26K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 337 260 $21K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 74 37 $13K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 71 46 $3K
92134 146 84 $2K
92136 112 63 $2K