Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Patel, Prinal

Patel, Prinal was paid $3K by Medicaid between Jan 2024 and Nov 2024, across 2 billing codes. Its largest line is 92015, Determination of refractive state — 53% of everything it billed.

33Billing provider infoPATEL, PRINAL
LANCASTER, MA 01523
33aNPI1871274522assigned 07/26/2023
33bProvider typeOptometrist
28Total paid$3K
24GClaims100
24DCodes billed2
24AFirst – last monthJan 2024 – Nov 2024
Compared with peers

Next to other Optometrist providers in Massachusetts

Rank by total paid#444 of 629
Median peer was paid$15K
This provider vs. median0.2×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete100$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 53% 87 87 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 47% 13 13 $1K

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.