Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Patel, Hiren

Patel, Hiren was paid $23K by Medicaid between May 2019 and Mar 2022, across 7 billing codes. Its largest line is V2782, Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens — 19% of everything it billed.

33Billing provider infoPATEL, HIREN
TAYLOR, TX 76574
33aNPI1730670829assigned 05/23/2018
33bProvider typeOptometrist
28Total paid$23K
24GClaims735
24DCodes billed7
24AFirst – last monthMay 2019 – Mar 2022
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#769 of 1,408
Median peer was paid$30K
This provider vs. median0.8×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2019709$22K
202114$199.09
202212$155.65
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2782 Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens 19% 92 90 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 19% 48 48 $4K
V2020 Frames, purchases 13% 120 118 $3K
92340 Fitting of spectacles, except for aphakia; monofocal 13% 135 116 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13% 27 27 $3K
92015 Determination of refractive state 12% 196 195 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 10% 117 115 $2K

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.