Edwards, Randall
Edwards, Randall was paid $302K by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 48% of everything it billed.
33Billing provider infoEDWARDS, RANDALL
RAPID CITY, SD 57701
RAPID CITY, SD 57701
33aNPI1467502518assigned 01/11/2007
33bProvider typeOptometrist
28Total paid$302K
24GClaims5,246
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in South Dakota
Rank by total paid#29 of 100
Median peer was paid$113K
This provider vs. median2.7×
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 | 699 | $39K | |
| 2019 | 737 | $40K | |
| 2020 | 512 | $28K | |
| 2021 | 778 | $44K | |
| 2022 | 962 | $59K | |
| 2023 | 885 | $49K | |
| 2024incomplete | 673 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 48% | 1,224 | 1,167 | $145K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 42% | 1,259 | 1,225 | $126K |
| 92015 | Determination of refractive state | 10% | 2,763 | 2,672 | $31K |
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.