Patel, Shivam
Patel, Shivam was paid $27K by Medicaid between Oct 2021 and Oct 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 56% of everything it billed.
33Billing provider infoPATEL, SHIVAM
DAYTONA BEACH, FL 32117
DAYTONA BEACH, FL 32117
33aNPI1053829424assigned 01/18/2018
33bProvider typeOptometrist
28Total paid$27K
24GClaims1,509
24DCodes billed6
24AFirst – last monthOct 2021 – Oct 2024
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#449 of 941
Median peer was paid$21K
This provider vs. median1.2×
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
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 | |
|---|---|---|---|
| 2021 | 286 | $8K | |
| 2022 | 508 | $8K | |
| 2023 | 461 | $6K | |
| 2024incomplete | 254 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 56% | 180 | 172 | $15K |
| V2020 | Frames, purchases | 25% | 415 | 401 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 40 | 38 | $4K |
| 92015 | Determination of refractive state | 4.9% | 481 | 466 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.7% | 342 | 329 | $450.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 51 | 50 | $24.36 |
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.