Medicaid Provider Spending

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

SOUTHERN HILLS EYE CARE PC

NPI: 1811084353 · SIOUX CITY, IA 51106 · Optometrist · NPI assigned 10/06/2006

$45K
Total Medicaid Paid
1,493
Total Claims
1,415
Beneficiaries
6
Codes Billed
2019-07
First Month
2024-02
Last Month

Provider Details

Authorized OfficialVANNATTA, DENNIS (PRESIDENT)
NPI Enumeration Date10/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 711 $23K
2020 274 $7K
2021 163 $5K
2022 135 $4K
2023 181 $5K
2024 29 $902.15

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 223 218 $19K
92014 256 237 $13K
92015 721 672 $8K
V2020 Frames, purchases 130 128 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 42 41 $978.29
V2756 Eye glass case 121 119 $126.37