Badiwala, Hiral

Badiwala, Hiral was paid $138K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 77% of everything it billed.

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	1,137	$30K
2019	1,052	$39K
2020	754	$42K
2021	67	$4K
2022	27	$2K
2023	238	$15K
2024incomplete	282	$6K

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	77%	2,078	1,969	$106K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	12%	404	390	$17K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	5.5%	345	330	$8K
V2020	Frames, purchases	3.4%	413	390	$5K
V2784	Lens, polycarbonate or equal, any index, per lens	1.5%	193	183	$2K
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	$485.52
92015	Determination of refractive state	<1%	93	85	$222.42
92340	Fitting of spectacles, except for aphakia; monofocal	0%	18	17	$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.