Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Patel, Ridhi

Patel, Ridhi was paid $88K by Medicaid between Apr 2019 and Jun 2022, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 38% of everything it billed.

33Billing provider infoPATEL, RIDHI
ATLANTA, GA 30308
33aNPI1053780080assigned 09/21/2015
33bProvider typeOptometrist
28Total paid$88K
24GClaims3,167
24DCodes billed8
24AFirst – last monthApr 2019 – Jun 2022
Compared with peers

Next to other Optometrist providers in Georgia

Rank by total paid#21 of 71
Median peer was paid$10K
This provider vs. median8.5×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2019146$3K
2020759$22K
20211,318$38K
2022944$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 38% 741 712 $33K
92015 Determination of refractive state 19% 1,001 969 $17K
92340 Fitting of spectacles, except for aphakia; monofocal 16% 491 473 $14K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12% 235 228 $10K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 9.5% 314 300 $8K
V2020 Frames, purchases 4.8% 328 321 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 16 13 $720.00
V2784 Lens, polycarbonate or equal, any index, per lens <1% 41 41 $408.46

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.