Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Menands › NPI 1992155196

Vyas, Pratik

Vyas, Pratik was paid $16K by Medicaid between Jun 2020 and Aug 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 64% of everything it billed.

33Billing provider infoVYAS, PRATIK
MENANDS, NY 12204
33aNPI1992155196assigned 06/17/2016
33bProvider typeOptometrist
28Total paid$16K
24GClaims2,068
24DCodes billed7
24AFirst – last monthJun 2020 – Aug 2024
Compared with peers

Next to other Optometrist providers in New York

Rank by total paid#918 of 1,605
Median peer was paid$29K
This provider vs. median0.5×

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
2020321$1K
20211,735$14K
2024incomplete12$227.69
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 64% 743 729 $10K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17% 397 390 $3K
92341 13% 107 105 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2.8% 167 167 $451.27
92202 2.8% 407 402 $443.35
92015 Determination of refractive state <1% 152 149 $12.28
2022F 0% 95 95 $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.