Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sanghvi, Prachiben

Sanghvi, Prachiben was paid $37K by Medicaid between Feb 2024 and Dec 2024, across 7 billing codes. Its largest line is V2020, Frames, purchases — 26% of everything it billed.

33Billing provider infoSANGHVI, PRACHIBEN
LOMBARD, IL 60148
33aNPI1770367310assigned 08/23/2023
33bProvider typeOptometrist
28Total paid$37K
24GClaims1,611
24DCodes billed7
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#609 of 1,069
Median peer was paid$56K
This provider vs. median0.7×

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
2024incomplete1,611$37K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 26% 243 239 $9K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 19% 178 178 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 18% 167 165 $7K
92015 Determination of refractive state 11% 388 384 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 10% 190 190 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 8.3% 223 219 $3K
V2784 Lens, polycarbonate or equal, any index, per lens 7.7% 222 219 $3K

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.