Physician
Patel, Monica
Patel, Monica was paid $93K by Medicaid between Feb 2019 and Oct 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.
33Billing provider infoPATEL, MONICA
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1295070910assigned 12/06/2012
33bProvider typeOphthalmology Physician
28Total paid$93K
24GClaims4,366
24DCodes billed13
24AFirst – last monthFeb 2019 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#400 of 1,085
Median peer was paid$34K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2019 | 347 | $6K | |
| 2020 | 176 | $3K | |
| 2021 | 207 | $5K | |
| 2022 | 1,125 | $22K | |
| 2023 | 1,474 | $28K | |
| 2024incomplete | 1,037 | $28K |
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 | 28% | 889 | 852 | $26K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 20% | 888 | 807 | $19K |
| 92250 | 19% | 776 | 753 | $17K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 220 | 218 | $12K |
| 92083 | 11% | 565 | 531 | $10K | |
| 92133 | 4.7% | 394 | 379 | $4K | |
| 92134 | 1.1% | 102 | 96 | $1K | |
| 92202 | 1.0% | 243 | 232 | $969.71 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 37 | 35 | $893.99 |
| 92020 | <1% | 112 | 104 | $637.44 | |
| 92226 | <1% | 48 | 26 | $274.36 | |
| 92015 | Determination of refractive state | <1% | 53 | 51 | $171.37 |
1 more codes
| 76514 | <1% | 39 | $96.51 |
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.