Patel, Shama
Patel, Shama was paid $45K by Medicaid between Oct 2023 and Dec 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 33% of everything it billed.
33Billing provider infoPATEL, SHAMA
LAKE ZURICH, IL 60047
LAKE ZURICH, IL 60047
33aNPI1831876598assigned 07/03/2023
33bProvider typeOptometrist
28Total paid$45K
24GClaims1,577
24DCodes billed7
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#578 of 1,069
Median peer was paid$56K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2023 | 60 | $1K | |
| 2024incomplete | 1,517 | $43K |
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 | 33% | 298 | 296 | $15K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 22% | 220 | 216 | $10K |
| 92015 | Determination of refractive state | 21% | 599 | 590 | $10K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 156 | 156 | $5K |
| V2020 | Frames, purchases | 9.9% | 163 | 162 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.1% | 60 | 58 | $939.79 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.1% | 81 | 81 | $931.00 |
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.