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    OpenPayerNPI Medicare & MedicaidAvera Queen Of Peace
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    Avera Queen Of Peace — Billing Profile & Reimbursement Data

    NPI 1982956553 · Mitchell, SD · Optometrist

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    Avera Queen Of Peace is a optometrist provider located in Mitchell, South Dakota. This profile covers 0 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAvera Queen Of Peace
    Address1900 Grassland Dr Fl 1
    CityMitchell
    StateSD
    ZIP57301
    TaxonomyOptometrist
    NPI EnumeratedOctober 8, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$120.9K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…750$80$62.1K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.1,620$10$16.2K
    V2020Frames, purchases330$50$15.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.120$120$13.6K
    V2199Not otherwise classified, single vision lens250$50$13.4K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other South Dakota providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. South Dakota median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…40130390$90$86.6K
    V2020Frames, purchases69110550$50$82K
    V2199Not otherwise classified, single vision lens58100410$60$75.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.62110180$110$72.7K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.441201,090$10$19.3K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Avera Queen Of Peace, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Avera MckennanSDDiagnostic Radiology Physician$0$3.3M
    Avera MckennanSDMaternal & Fetal Medicine Physician$0$2.3M
    Ayham DeebVAHematology & Oncology Physician$1.9M$0
    Avera MckennanSDPediatrics Physician$0$1.4M
    Avera Queen Of PeaceSDCritical Access Hospital$0$1.3M
    Kathleen NaegeleILHematology & Oncology Physician$805.1K$57.9K
    Avera Queen Of PeaceSDRural Acute Care Hospital$0$803.8K
    Abbas ChamsuddinILDiagnostic Radiology Physician$368.8K$114.2K
    Neil BansalNJNeuroradiology Physician$351.9K$0
    Avera Queen Of PeaceSDClinical Medical Laboratory$0$286.7K

    Nearby Providers

    Other providers in the same ZIP code as Avera Queen Of Peace, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    LifequestSDDevelopmentally Disabled Services Day Training Agency$0$53.1M
    Abbott House, Inc.SDPsychiatric Residential Treatment Facility$0$28.1M
    LifequestSDCase Manager/Care Coordinator$0$13.2M
    Dakota Counseling Institute, Inc.SDMental Health Counselor$0$9.7M
    Dakota Solace Home CareSDIn Home Supportive Care Agency$0$4.9M
    Rural Health Care, IncSDFederally Qualified Health Center (FQHC)$0$4.4M
    Rosewood CourtSDAssisted Living Facility$0$2.7M
    Sanford ClinicSDObstetrics & Gynecology Physician$0$1.2M
    Dpt IncSDHome Health Agency$0$835.1K
    Mitchell Clinic LtdSDFamily Medicine Physician$0$619.4K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. South Dakota Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Dakota Distribution
    Avera Queen Of Peace — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota