Patel, Prajay
Patel, Prajay was paid $280K by Medicaid between Jan 2022 and Dec 2024, across 15 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 23% of everything it billed.
33Billing provider infoPATEL, PRAJAY
HUMMELSTOWN, PA 17036
HUMMELSTOWN, PA 17036
33aNPI1235543687assigned 06/13/2014
33bProvider typeOptometrist
28Total paid$280K
24GClaims13,129
24DCodes billed15
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#99 of 983
Median peer was paid$20K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2022 | 7,080 | $158K | |
| 2023 | 3,173 | $64K | |
| 2024incomplete | 2,876 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 23% | 2,256 | 2,213 | $64K |
| 92002 | 22% | 1,523 | 1,514 | $61K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 21% | 1,503 | 1,493 | $60K |
| V2025 | Deluxe frame | 21% | 1,231 | 1,231 | $59K |
| V2020 | Frames, purchases | 8.2% | 1,167 | 1,134 | $23K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.8% | 1,682 | 1,645 | $11K |
| V2781 | Progressive lens, per lens | <1% | 33 | 33 | $2K |
| V2760 | Scratch resistant coating, per lens | <1% | 483 | 482 | $732.58 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 12 | 12 | $465.25 |
| V2750 | Anti-reflective coating, per lens | <1% | 31 | 31 | $161.92 |
| V2744 | Tint, photochromatic, per lens | <1% | 27 | 27 | $122.44 |
| 92015 | Determination of refractive state | <1% | 3,070 | 3,050 | $90.00 |
3 more codes
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.