Medicaid Provider Spending

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

MOUNTAIN VALLEY VISION CENTER

NPI: 1932479474 · SPEARFISH, SD 57783 · Optometrist · NPI assigned 12/30/2011

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

Provider Details

Authorized OfficialCZERNY, DAVID (OWNER)
NPI Enumeration Date12/30/2011

Related Entities

Other providers sharing the same authorized official: CZERNY, DAVID

ProviderCityStateTotal Paid
DEADWOOD EYE CARE LLC DEADWOOD SD $191K

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 Frames, purchases 408 382 $24K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 256 246 $23K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 163 157 $19K
V2199 Not otherwise classified, single vision lens 218 188 $13K
92015 Determination of refractive state 1,141 1,080 $12K
V2784 Lens, polycarbonate or equal, any index, per lens 32 31 $1K