ATLAS PLLC
NPI: 1760951107
· RAPID CITY, SD 57701
· Vision Therapy Optometrist
· NPI assigned 11/14/2018
$120K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
699 |
$46K |
| 2022 |
531 |
$35K |
| 2023 |
483 |
$24K |
| 2024 |
287 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
848 |
846 |
$105K |
| 92015 |
Determination of refractive state |
1,093 |
1,075 |
$12K |
| V2020 |
Frames, purchases |
14 |
13 |
$1K |
| V2199 |
Not otherwise classified, single vision lens |
14 |
12 |
$792.00 |
| 92250 |
|
17 |
15 |
$475.02 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
14 |
$109.66 |