Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Setty, Rajanish

Setty, Rajanish was paid $1K by Medicaid between Feb 2018 and Feb 2018, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 87% of everything it billed.

33Billing provider infoSETTY, RAJANISH
MECHANICSVILLE, VA 23111
33aNPI1285824219assigned 07/26/2007
33bProvider typeOptometrist
28Total paid$1K
24GClaims24
24DCodes billed2
24AFirst – last monthFeb 2018 – Feb 2018
Compared with peers

Next to other Optometrist providers in Virginia

Rank by total paid#412 of 491
Median peer was paid$23K
This provider vs. median0.1×

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$500$1.0K$1.5K2018201920202021202220232024
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
201824$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 87% 12 12 $1K
92015 Determination of refractive state 13% 12 12 $175.40

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.