Patel, Vishal
Patel, Vishal was paid $1.02M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.
33Billing provider infoPATEL, VISHAL
NORTHLAKE, IL 60164
NORTHLAKE, IL 60164
33aNPI1427499797assigned 07/15/2013
33bProvider typeOptometrist
28Total paid$1.02M
24GClaims33,917
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#55 of 1,069
Median peer was paid$56K
This provider vs. median18×
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 | 2,268 | $76K | |
| 2019 | 4,480 | $123K | |
| 2020 | 2,992 | $94K | |
| 2021 | 4,292 | $134K | |
| 2022 | 5,777 | $172K | |
| 2023 | 7,247 | $212K | |
| 2024incomplete | 6,861 | $204K |
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 | 35% | 7,822 | 7,389 | $354K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 34% | 8,111 | 7,716 | $349K |
| 92015 | Determination of refractive state | 26% | 16,427 | 15,833 | $266K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 1.7% | 389 | 389 | $17K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.4% | 512 | 506 | $14K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.3% | 294 | 294 | $14K |
| 92341 | <1% | 31 | 31 | $907.68 | |
| V2020 | Frames, purchases | 0% | 137 | 133 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 78 | 76 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 116 | 114 | $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.