HALEY OPTICAL LLC
NPI: 1992489355
· WINNER, SD 57580
· Optometrist
· NPI assigned 06/14/2023
$134K
Total Medicaid Paid
Provider Details
| Authorized Official | HALEY, TAYLOR (OPTOMETRIST) |
| NPI Enumeration Date | 06/14/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
795 |
$52K |
| 2024 |
1,238 |
$82K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
606 |
592 |
$44K |
| V2199 |
Not otherwise classified, single vision lens |
427 |
422 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
305 |
297 |
$32K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
137 |
135 |
$19K |
| 92015 |
Determination of refractive state |
558 |
545 |
$7K |