HOLLOWAY VISION CARE, LLC
NPI: 1356771125
· RAPID CITY, SD 57701
· Optometrist
· NPI assigned 11/15/2013
$542K
Total Medicaid Paid
Provider Details
| Authorized Official | HOLLOWAY, DANIEL (DOCTOR OF OPTOMETRY) |
| NPI Enumeration Date | 11/15/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,679 |
$95K |
| 2019 |
4,964 |
$303K |
| 2020 |
2,165 |
$136K |
| 2021 |
112 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,327 |
2,234 |
$274K |
| V2199 |
Not otherwise classified, single vision lens |
1,605 |
1,460 |
$97K |
| V2020 |
Frames, purchases |
1,615 |
1,463 |
$89K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
529 |
509 |
$51K |
| 92015 |
Determination of refractive state |
2,844 |
2,736 |
$31K |