Patel, Sonali
Patel, Sonali was paid $14K by Medicaid between May 2019 and Aug 2019, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 31% of everything it billed.
33Billing provider infoPATEL, SONALI
JACKSON, WI 53037
JACKSON, WI 53037
33aNPI1619380755assigned 06/06/2014
33bProvider typeOptometrist
28Total paid$14K
24GClaims785
24DCodes billed8
24AFirst – last monthMay 2019 – Aug 2019
Compared with peers
Next to other Optometrist providers in Wisconsin
Rank by total paid#171 of 412
Median peer was paid$7K
This provider vs. median2.2×
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 | 785 | $14K |
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 | 31% | 97 | 96 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 26% | 148 | 85 | $4K |
| V2025 | Deluxe frame | 21% | 57 | 51 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 102 | 97 | $2K |
| 92015 | Determination of refractive state | 10% | 242 | 178 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 75 | 70 | $5.00 |
| V2020 | Frames, purchases | 0% | 14 | 14 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 50 | 50 | $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.