Patel, Hemant Kumar
Patel, Hemant Kumar was paid $132K by Medicaid between Jan 2018 and Sep 2024, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 78% of everything it billed.
33Billing provider infoPATEL, HEMANT KUMAR
AUBURN, MA 01501
AUBURN, MA 01501
33aNPI1942572185assigned 02/03/2012
33bProvider typeOptometrist
28Total paid$132K
24GClaims3,550
24DCodes billed3
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#125 of 629
Median peer was paid$15K
This provider vs. median8.8×
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 | |
|---|---|---|---|
| 2018 | 427 | $16K | |
| 2019 | 403 | $15K | |
| 2020 | 331 | $13K | |
| 2021 | 580 | $21K | |
| 2022 | 640 | $23K | |
| 2023 | 741 | $29K | |
| 2024incomplete | 428 | $15K |
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 | 78% | 1,523 | 1,523 | $102K |
| 92015 | Determination of refractive state | 19% | 1,935 | 1,931 | $25K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.5% | 92 | 92 | $5K |
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.