Medicaid Provider Spending

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

PREMIER FAMILY EYE CARE, PC

NPI: 1699919852 · CUSTER, SD 57730 · Optometrist · NPI assigned 04/30/2009

$73K
Total Medicaid Paid
2,101
Total Claims
1,771
Beneficiary Records
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWIEDERHOLT, NATHAN (OWNER)
NPI Enumeration Date04/30/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 433 $15K
2019 390 $15K
2020 119 $4K
2021 349 $11K
2022 391 $10K
2023 227 $8K
2024 192 $9K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 527 469 $44K
92015 Determination of refractive state 1,301 1,083 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 89 80 $9K
V2020 Frames, purchases 149 115 $7K
V2199 Not otherwise classified, single vision lens 35 24 $1K