Patel, Rupa
Patel, Rupa was paid $168K by Medicaid between Nov 2019 and Sep 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 56% of everything it billed.
33Billing provider infoPATEL, RUPA
WESTMINSTER, CO 80023
WESTMINSTER, CO 80023
33aNPI1780169177assigned 10/01/2018
33bProvider typeOptometrist
28Total paid$168K
24GClaims3,888
24DCodes billed5
24AFirst – last monthNov 2019 – Sep 2024
Compared with peers
Next to other Optometrist providers in Colorado
Rank by total paid#150 of 425
Median peer was paid$49K
This provider vs. median3.4×
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 | 97 | $4K | |
| 2021 | 344 | $14K | |
| 2022 | 927 | $41K | |
| 2023 | 1,469 | $61K | |
| 2024incomplete | 1,051 | $48K |
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 | 56% | 935 | 911 | $94K |
| 92250 | 27% | 1,268 | 1,232 | $45K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 233 | 230 | $24K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 56 | 54 | $4K |
| 92015 | Determination of refractive state | <1% | 1,396 | 1,334 | $112.15 |
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.