Physician
Patel Eye Associates LLC
Patel Eye Associates LLC was paid $4.12M by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 32% of everything it billed.
33Billing provider infoPATEL EYE ASSOCIATES LLC
EDISON, NJ 08817
EDISON, NJ 08817
33aNPI1831305267assigned 05/15/2007
33bProvider typeOphthalmology Physician
28Total paid$4.12M
24GClaims101,985
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in New Jersey
Rank by total paid#4 of 213
Median peer was paid$20K
This provider vs. median210×
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 | 15,150 | $670K | |
| 2019 | 15,075 | $729K | |
| 2020 | 10,650 | $515K | |
| 2021 | 13,825 | $562K | |
| 2022 | 16,659 | $606K | |
| 2023 | 18,194 | $756K | |
| 2024incomplete | 12,432 | $288K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 32% | 1,197 | 830 | $1.32M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 15,172 | 14,823 | $611K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 8.9% | 1,291 | 1,108 | $367K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 10,895 | 10,066 | $356K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.7% | 6,083 | 6,011 | $277K |
| 92015 | Determination of refractive state | 6.3% | 15,092 | 14,781 | $259K |
| 92250 | 6.0% | 9,125 | 8,852 | $245K | |
| 92083 | 4.6% | 9,199 | 8,912 | $190K | |
| 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 | 2.6% | 1,547 | 1,514 | $108K |
| 67028 | Intravitreal injection of a pharmacologic agent | 2.6% | 2,020 | 1,443 | $107K |
| 92134 | 1.4% | 3,728 | 3,427 | $59K | |
| 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% | 1,051 | 1,009 | $40K |
26 more codes
| 66821 | <1% | 487 | $36K | |
| 92133 | <1% | 1,937 | $29K | |
| 76512 | <1% | 729 | $28K | |
| 92020 | <1% | 2,426 | $25K | |
| 92136 | <1% | 744 | $22K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 982 | $16K |
| 65855 | <1% | 110 | $9K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 207 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 92 | $3K |
| 65820 | <1% | 15 | $3K | |
| 92341 | <1% | 123 | $2K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 116 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $2K |
| 68200 | <1% | 332 | $840.56 | |
| 92225 | <1% | 36 | $785.59 | |
| 76514 | <1% | 111 | $757.84 | |
| 92132 | <1% | 40 | $713.14 | |
| V2020 | Frames, purchases | <1% | 4,423 | $300.00 |
| 92201 | <1% | 135 | $294.35 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 4,107 | $84.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 4,772 | $15.20 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 637 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 1,404 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 1,437 | $0.00 |
| 99024 | 0% | 144 | $0.00 | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialPATEL, HITESH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Sherman Kahan, MD, PA | Frederick, MD | $1.67M |
| Heartland Discount Pharmacy LLC | Okeechobee, FL | $2K |
| HVM Associate LLC | East Orange, NJ | $1K |
| J & P Holding Company INC | Plainfield, NJ | $371.20 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.