Madhiwala, Neha
Madhiwala, Neha was paid $9K by Medicaid between Sep 2020 and Sep 2023, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 70% of everything it billed.
33Billing provider infoMADHIWALA, NEHA
CLIFTON, NJ 07011
CLIFTON, NJ 07011
33aNPI1215005707assigned 12/01/2006
33bProvider typeOptometrist
28Total paid$9K
24GClaims563
24DCodes billed7
24AFirst – last monthSep 2020 – Sep 2023
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#240 of 599
Median peer was paid$2K
This provider vs. median4.9×
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 | |
|---|---|---|---|
| 2020 | 14 | $0.00 | |
| 2021 | 210 | $3K | |
| 2022 | 170 | $2K | |
| 2023 | 169 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 70% | 187 | 182 | $6K |
| 92250 | 23% | 79 | 73 | $2K | |
| 92015 | Determination of refractive state | 7.5% | 202 | 192 | $655.60 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 39 | 39 | $0.00 |
| V2020 | Frames, purchases | 0% | 16 | 16 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 13 | 13 | $0.00 |
| 2033F | 0% | 27 | 26 | $0.00 |
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.