Patel, Toral
Patel, Toral was paid $72K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 52% of everything it billed.
33Billing provider infoPATEL, TORAL
MAYNARD, MA 01754
MAYNARD, MA 01754
33aNPI1598014607assigned 09/05/2012
33bProvider typeOptometrist
28Total paid$72K
24GClaims2,242
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#173 of 629
Median peer was paid$15K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2018 | 341 | $11K | |
| 2019 | 351 | $9K | |
| 2020 | 90 | $2K | |
| 2021 | 185 | $5K | |
| 2022 | 254 | $8K | |
| 2023 | 574 | $20K | |
| 2024incomplete | 447 | $17K |
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 | 52% | 658 | 654 | $37K |
| 92015 | Determination of refractive state | 22% | 1,173 | 1,172 | $16K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 185 | 185 | $14K |
| 92134 | 5.7% | 213 | 212 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 13 | 12 | $484.65 |
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.