SIOUX FALLS FAMILY VISION PC
NPI: 1831259191
· SIOUX FALLS, SD 57108
· 152W00000X
$540K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,927 |
$82K |
| 2019 |
1,661 |
$72K |
| 2020 |
883 |
$41K |
| 2021 |
1,577 |
$72K |
| 2022 |
1,728 |
$80K |
| 2023 |
2,175 |
$103K |
| 2024 |
1,636 |
$89K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,382 |
2,143 |
$138K |
| V2199 |
Lens single vision not oth c |
2,055 |
1,844 |
$129K |
| 92012 |
|
1,641 |
1,517 |
$106K |
| 92014 |
|
574 |
517 |
$51K |
| 92015 |
|
3,729 |
3,426 |
$38K |
| 92004 |
|
335 |
304 |
$35K |
| V2784 |
Lens polycarb or equal |
731 |
685 |
$34K |
| 92002 |
|
140 |
132 |
$9K |