Ali Od and Patel Od Professional Optometric Corporation
Ali Od and Patel Od Professional Optometric Corporation was paid $1.04M by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 24% of everything it billed.
SANTA MARIA, CA 93454
Next to other Optometrist providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,513 | $70K | |
| 2019 | 3,709 | $93K | |
| 2020 | 4,019 | $104K | |
| 2021 | 5,022 | $125K | |
| 2022 | 7,199 | $202K | |
| 2023 | 8,996 | $219K | |
| 2024incomplete | 8,398 | $228K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 24% | 6,175 | 6,151 | $254K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 5,295 | 5,166 | $201K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 3,899 | 3,449 | $169K |
| 92250 | 13% | 3,498 | 3,479 | $134K | |
| 92015 | Determination of refractive state | 12% | 13,850 | 13,807 | $122K |
| 92083 | 4.5% | 2,864 | 2,828 | $47K | |
| 92134 | 3.9% | 1,759 | 1,750 | $41K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 464 | 463 | $34K |
| 92133 | 1.8% | 702 | 699 | $19K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 149 | 147 | $11K |
| 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 | <1% | 155 | 154 | $6K |
| 92025 | <1% | 109 | 107 | $3K |
1 more codes
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 937 | $885.49 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Pioneer Medical Group, PL | Temple Terrace, FL | $829K |
| Acclaim Dermatology LLC | Sugar Land, TX | $178K |
| Wecare Health PLLC | East Windsor, CT | $87K |
| Syed T Ali MD PLLC | Las Vegas, NV | $78K |
| Kidney Care of Dallas PLLC | Dallas, TX | $78K |
| Syed V. Ali, MD PC | Port Huron, MI | $69K |
| Syed S. Ali, MD | Columbus, GA | $46K |
| DR Syed W. Ali | St Augustine, FL | $16K |
| Syed a Ali MD INC | Boonville, IN | $15K |
| New England MD Health Partners PLLC | West Hartford, CT | $7K |
| Hope Behavioural Health Clinic INC | Princeton, NJ | $2K |
| S&i Right Choice Pharmacy INC | Bronx, NY | $1K |
| Whittier Anesthesia Associates a Professional Medical Corp | Whittier, CA | $439.28 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.