Patel, Priya
Patel, Priya was paid $14K by Medicaid between Oct 2020 and Mar 2024, across 8 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 19% of everything it billed.
33Billing provider infoPATEL, PRIYA
LOMBARD, IL 60148
LOMBARD, IL 60148
33aNPI1912348517assigned 07/11/2013
33bProvider typeOptometrist
28Total paid$14K
24GClaims578
24DCodes billed8
24AFirst – last monthOct 2020 – Mar 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#761 of 1,069
Median peer was paid$56K
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
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 | |
|---|---|---|---|
| 2020 | 12 | $540.00 | |
| 2021 | 74 | $3K | |
| 2022 | 311 | $7K | |
| 2023 | 119 | $2K | |
| 2024incomplete | 62 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 19% | 78 | 78 | $3K |
| 92015 | Determination of refractive state | 17% | 226 | 222 | $2K |
| V2020 | Frames, purchases | 17% | 70 | 70 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 14% | 44 | 44 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 43 | 42 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 37 | 36 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.6% | 38 | 38 | $769.12 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.9% | 42 | 42 | $540.12 |
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.