Vision Care Associates, LLP
Vision Care Associates, LLP was paid $6.01M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.
33Billing provider infoVISION CARE ASSOCIATES, LLP
ABERDEEN, SD 57401
ABERDEEN, SD 57401
33aNPI1265502264assigned 11/08/2006
33bProvider typeOptometrist
28Total paid$6.01M
24GClaims122,361
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in South Dakota
Rank by total paid#1 of 100
Median peer was paid$113K
This provider vs. median53×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 18,781 | $857K | |
| 2019 | 19,541 | $875K | |
| 2020 | 10,607 | $509K | |
| 2021 | 18,392 | $917K | |
| 2022 | 18,094 | $917K | |
| 2023 | 17,666 | $835K | |
| 2024incomplete | 19,280 | $1.10M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 28% | 20,445 | 17,888 | $1.68M |
| V2020 | Frames, purchases | 24% | 25,112 | 22,250 | $1.43M |
| V2199 | Not otherwise classified, single vision lens | 20% | 19,829 | 17,807 | $1.17M |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 8,613 | 7,901 | $964K |
| 92015 | Determination of refractive state | 5.0% | 28,721 | 26,589 | $300K |
| V2299 | Specialty bifocal (by report) | 4.3% | 2,776 | 2,591 | $260K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 2,486 | 1,668 | $70K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,395 | 1,307 | $50K |
| V2781 | Progressive lens, per lens | <1% | 175 | 159 | $24K |
| 92250 | <1% | 409 | 325 | $13K | |
| 92134 | <1% | 558 | 400 | $9K | |
| 92133 | <1% | 451 | 322 | $8K |
32 more codes
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 177 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 215 | $5K |
| 92083 | <1% | 86 | $3K | |
| 92370 | <1% | 81 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 43 | $2K |
| V2715 | Prism, per lens | <1% | 188 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 16 | $960.00 |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | <1% | 13 | $854.40 |
| 4177F | 0% | 55 | $0.00 | |
| 3284F | 0% | 51 | $0.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 142 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 391 | $0.00 |
| G9366 | One high-risk medication not ordered | 0% | 161 | $0.00 |
| 1036F | 0% | 425 | $0.00 | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 54 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 168 | $0.00 |
| M1208 | Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 236 | $0.00 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 47 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 16 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 15 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,165 | $0.00 |
| G9368 | At least two orders for high-risk medications from the same drug class not ordered | 0% | 1,209 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 627 | $0.00 |
| 2022F | 0% | 457 | $0.00 | |
| G8421 | Bmi not documented and no reason is given | 0% | 193 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 1,570 | $0.00 |
| 2027F | 0% | 97 | $0.00 | |
| M1210 | At least two orders for high-risk medications from the same drug class, (table 4), not ordered | 0% | 373 | $0.00 |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | 0% | 73 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 23 | $0.00 |
| G2102 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed | 0% | 12 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRUCH, JAMES (PARTNER)