Dugel, Pravin

Dugel, Pravin was paid $141K by Medicaid between Jan 2018 and Jan 2020, across 7 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 27% of everything it billed.

33Billing provider infoDUGEL, PRAVIN
PHOENIX, AZ 85014

33aNPI1780686766assigned 08/10/2005

33bProvider typeOphthalmology Physician

28Total paid$141K

24GClaims2,289

24DCodes billed7

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Ophthalmology Physician providers in Arizona

Rank by total paid#27 of 78

Median peer was paid$44K

This provider vs. median3.2×

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	1,599	$103K
2019	675	$38K
2020	15	$550.35

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	27%	375	370	$39K
92134		25%	1,007	988	$36K
J9035	Injection, bevacizumab, 10 mg	15%	296	291	$21K
99244	Office or other outpatient consultation, moderate to high complexity	12%	118	117	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	306	299	$16K
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	6.3%	121	120	$9K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	3.4%	66	64	$5K

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.