Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SIOUX FALLS
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SHOPTIKAL LLC
NPI: 1457989006 · SIOUX FALLS, SD 57103 ·
152W00000X
$117K
Total Medicaid Paid
1,897
Total Claims
1,827
Beneficiaries
6
Codes Billed
2020-06
First Month
2024-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
153
$7K
2021
483
$24K
2022
482
$28K
2023
475
$34K
2024
304
$23K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
788
756
$44K
V2199
Lens single vision not oth c
447
433
$27K
92004
291
280
$24K
92014
183
180
$16K
V2784
Lens polycarb or equal
66
65
$3K
92250
122
113
$3K