VISION SOURCE SPECIALISTS, PROF. L.L.C.
NPI: 1568863496
· RAPID CITY, SD 57701
· 152W00000X
$289K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
730 |
$28K |
| 2019 |
528 |
$21K |
| 2020 |
346 |
$14K |
| 2021 |
873 |
$38K |
| 2022 |
650 |
$23K |
| 2023 |
1,273 |
$58K |
| 2024 |
2,063 |
$106K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,273 |
1,031 |
$59K |
| 92014 |
|
603 |
572 |
$58K |
| V2199 |
Lens single vision not oth c |
1,031 |
838 |
$52K |
| 92004 |
|
408 |
375 |
$47K |
| V2784 |
Lens polycarb or equal |
1,167 |
949 |
$32K |
| 97530 |
|
251 |
101 |
$23K |
| 92015 |
|
1,730 |
1,622 |
$19K |