Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Petersburg › NPI 1053319293

Tiwari, Ajit

Tiwari, Ajit was paid $4K by Medicaid between Feb 2018 and May 2023, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 34% of everything it billed.

33Billing provider infoTIWARI, AJIT
PETERSBURG, VA 23803
33aNPI1053319293assigned 07/12/2005
33bProvider typeOptometrist
28Total paid$4K
24GClaims70
24DCodes billed5
24AFirst – last monthFeb 2018 – May 2023
Compared with peers

Next to other Optometrist providers in Virginia

Rank by total paid#362 of 491
Median peer was paid$23K
This provider vs. median0.2×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
201843$1K
202214$1K
202313$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 34% 14 13 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 33% 13 13 $1K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 22% 12 12 $817.30
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.6% 16 12 $250.35
V2020 Frames, purchases 4.4% 15 12 $166.32

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.