ANGELA R. GULBRANSON, OD, PC
NPI: 1235309162
· SIOUX FALLS, SD 57108
· 152W00000X
$316K
Total Medicaid Paid
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 |
|
1,117 |
1,079 |
$112K |
| V2020 |
Vision svcs frames purchases |
988 |
936 |
$59K |
| V2199 |
Lens single vision not oth c |
872 |
829 |
$57K |
| V2784 |
Lens polycarb or equal |
883 |
841 |
$54K |
| 92015 |
|
1,842 |
1,768 |
$20K |
| 92004 |
|
96 |
94 |
$13K |
| V2715 |
Prism lens/es |
12 |
12 |
$294.48 |