Patel, Payal
Patel, Payal was paid $164K by Medicaid between Jan 2018 and Apr 2024, across 11 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 33% of everything it billed.
33Billing provider infoPATEL, PAYAL
CRYSTAL LAKE, IL 60014
CRYSTAL LAKE, IL 60014
33aNPI1013158674assigned 03/11/2009
33bProvider typeOptometrist
28Total paid$164K
24GClaims4,421
24DCodes billed11
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#322 of 1,069
Median peer was paid$56K
This provider vs. median2.9×
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 | 799 | $28K | |
| 2019 | 407 | $17K | |
| 2020 | 1,472 | $57K | |
| 2021 | 853 | $34K | |
| 2022 | 515 | $13K | |
| 2023 | 237 | $8K | |
| 2024incomplete | 138 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 33% | 1,188 | 911 | $53K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 29% | 903 | 758 | $47K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 582 | 580 | $25K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.6% | 216 | 213 | $9K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 5.5% | 211 | 205 | $9K |
| 92015 | Determination of refractive state | 4.1% | 461 | 458 | $7K |
| V2025 | Deluxe frame | 3.7% | 560 | 446 | $6K |
| V2020 | Frames, purchases | 2.2% | 138 | 138 | $4K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 20 | 14 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 113 | 113 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 29 | 29 | $319.00 |
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.