Patel, Grishma
Patel, Grishma was paid $551K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 26% of everything it billed.
33Billing provider infoPATEL, GRISHMA
WHEATON, IL 60187
WHEATON, IL 60187
33aNPI1164622874assigned 07/20/2007
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$551K
24GClaims18,170
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in Illinois
Rank by total paid#2 of 18
Median peer was paid$102K
This provider vs. median5.4×
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 | 1,533 | $51K | |
| 2019 | 1,606 | $53K | |
| 2020 | 2,528 | $87K | |
| 2021 | 2,936 | $96K | |
| 2022 | 1,973 | $55K | |
| 2023 | 3,826 | $105K | |
| 2024incomplete | 3,768 | $103K |
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 | 26% | 3,331 | 3,001 | $142K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 2,074 | 1,848 | $94K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 3,113 | 2,808 | $87K |
| 92015 | Determination of refractive state | 15% | 4,826 | 4,343 | $81K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.0% | 666 | 511 | $39K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 5.0% | 607 | 507 | $27K |
| V2020 | Frames, purchases | 4.4% | 792 | 769 | $24K |
| V2025 | Deluxe frame | 2.9% | 798 | 640 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 460 | 428 | $16K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.5% | 715 | 684 | $8K |
| 92341 | 1.0% | 203 | 193 | $6K | |
| 92250 | <1% | 166 | 153 | $5K |
3 more codes
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 395 | $4K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 12 | $555.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | $407.45 |
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.