ANGELA R. GULBRANSON, OD, PC
NPI: 1235309162
· SIOUX FALLS, SD 57108
· Optometrist
· NPI assigned 03/06/2008
$316K
Total Medicaid Paid
Provider Details
| Authorized Official | PULFORD, ALLISON (OFFICE MANAGER) |
| NPI Enumeration Date | 03/06/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
584 |
$26K |
| 2019 |
828 |
$42K |
| 2020 |
601 |
$30K |
| 2021 |
945 |
$50K |
| 2022 |
862 |
$50K |
| 2023 |
912 |
$45K |
| 2024 |
1,078 |
$73K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,117 |
1,079 |
$112K |
| V2020 |
Frames, purchases |
988 |
936 |
$59K |
| V2199 |
Not otherwise classified, single vision lens |
872 |
829 |
$57K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
883 |
841 |
$54K |
| 92015 |
Determination of refractive state |
1,842 |
1,768 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
96 |
94 |
$13K |
| V2715 |
Prism, per lens |
12 |
12 |
$294.48 |