Ophthalmology LTD

Ophthalmology LTD was paid $528K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 24% of everything it billed.

33Billing provider infoOPHTHALMOLOGY LTD
SIOUX FALLS, SD 57108

33aNPI1871589531assigned 09/27/2005

33bProvider typeOphthalmology Physician

28Total paid$528K

24GClaims13,404

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in South Dakota

Rank by total paid#1 of 6

Median peer was paid$2K

This provider vs. median241×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	2,060	$74K
2019	1,775	$60K
2020	936	$36K
2021	1,586	$66K
2022	1,885	$70K
2023	2,327	$85K
2024incomplete	2,835	$136K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	24%	2,197	2,010	$128K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	20%	2,050	1,893	$107K
92134		13%	3,561	3,251	$66K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	1,708	1,513	$55K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	8.8%	565	508	$46K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	6.3%	192	147	$33K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.0%	387	348	$26K
J3590	Unclassified biologics	2.9%	436	380	$15K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2.6%	288	259	$14K
J0178	Injection, aflibercept, 1 mg	1.5%	18	12	$8K
J7999	Compounded drug, not otherwise classified	1.5%	338	334	$8K
92015	Determination of refractive state	1.3%	1,074	734	$7K

4 more codes

92136		1.3%	333	$7K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	155	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	90	$2K
92133		<1%	12	$246.33

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHAMMER, BRYAN (PRESIDENT)