Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KATHRYN O HAIVALA, OD PLLC

NPI: 1548874084 · SPEARFISH, SD 57783 · Health Service Clinic/Center · NPI assigned 09/02/2020

$83K
Total Medicaid Paid
1,958
Total Claims
1,718
Beneficiaries
5
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAIVALA, KATHRYN (OWNER)
Parent OrganizationKATHRYN O HAIVALA, OD PLLC
NPI Enumeration Date09/02/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 484 $18K
2022 496 $21K
2023 458 $18K
2024 520 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 579 502 $45K
V2020 Frames, purchases 271 241 $16K
V2199 Not otherwise classified, single vision lens 189 140 $10K
92015 Determination of refractive state 904 820 $9K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15 15 $2K