Medicaid Provider Spending

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

MOUNTAIN VALLEY VISION CENTER

NPI: 1932479474 · SPEARFISH, SD 57783 · 152W00000X

$92K
Total Medicaid Paid
2,218
Total Claims
2,084
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 434 $21K
2019 271 $10K
2020 62 $664.51
2021 341 $13K
2022 354 $17K
2023 377 $13K
2024 379 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Vision svcs frames purchases 408 382 $24K
92014 256 246 $23K
92004 163 157 $19K
V2199 Lens single vision not oth c 218 188 $13K
92015 1,141 1,080 $12K
V2784 Lens polycarb or equal 32 31 $1K