Shah, Prayag
Shah, Prayag was paid $347K by Medicaid between Mar 2018 and Dec 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.
33Billing provider infoSHAH, PRAYAG
ROCKFORD, IL 61108
ROCKFORD, IL 61108
33aNPI1720072184assigned 08/31/2005
33bProvider typeOptometrist
28Total paid$347K
24GClaims10,788
24DCodes billed8
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#195 of 1,069
Median peer was paid$56K
This provider vs. median6.2×
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 | |
|---|---|---|---|
| 2018 | 522 | $15K | |
| 2019 | 1,399 | $47K | |
| 2020 | 1,812 | $58K | |
| 2021 | 2,064 | $65K | |
| 2022 | 1,967 | $63K | |
| 2023 | 1,678 | $53K | |
| 2024incomplete | 1,346 | $44K |
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% | 2,623 | 2,421 | $121K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 2,126 | 1,948 | $94K |
| 92015 | Determination of refractive state | 25% | 4,801 | 4,453 | $87K |
| 92250 | 9.3% | 837 | 759 | $32K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 301 | 270 | $9K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 50 | 50 | $2K |
| 92083 | <1% | 29 | 27 | $813.71 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21 | 12 | $361.66 |
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.