Physician
Ghanshyam M. Patel Mdpa
Ghanshyam M. Patel Mdpa was paid $8K by Medicaid between Jan 2018 and Nov 2020, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 82% of everything it billed.
33Billing provider infoGHANSHYAM M. PATEL MDPA
SUGAR LAND, TX 77478
SUGAR LAND, TX 77478
33aNPI1417976523assigned 07/19/2006
33bProvider typeOphthalmology Physician
28Total paid$8K
24GClaims2,709
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Ophthalmology Physician providers in Texas
Rank by total paid#134 of 231
Median peer was paid$16K
This provider vs. median0.5×
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 | 1,248 | $4K | |
| 2019 | 1,013 | $2K | |
| 2020 | 448 | $2K |
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 | 82% | 245 | 239 | $7K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 18% | 83 | 83 | $1K |
| 2026F | 0% | 40 | 39 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 674 | 650 | $0.00 |
| 2024F | 0% | 40 | 39 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 322 | 305 | $0.00 |
| 5010F | 0% | 57 | 56 | $0.00 | |
| 2027F | 0% | 13 | 13 | $0.00 | |
| 0517F | 0% | 17 | 16 | $0.00 | |
| 2022F | 0% | 38 | 37 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 472 | 455 | $0.00 |
| 1036F | 0% | 650 | 622 | $0.00 |
1 more codes
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 58 | $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.
From NPPES
Who's on the registration
Authorized officialPATEL, GHANSHYAM (PRESIDENT)
Parent organizationGHANSHYAM M PATEL MDPA