George W. Hertneky, O.D., P.C.
George W. Hertneky, O.D., P.C. was paid $1.07M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is V2410, Variable asphericity lens, single vision, full field, glass or plastic, per lens — 31% of everything it billed.
33Billing provider infoGEORGE W. HERTNEKY, O.D., P.C.
BRUSH, CO 80723
BRUSH, CO 80723
33aNPI1003026477assigned 05/23/2007
33bProvider typeOptometrist
28Total paid$1.07M
24GClaims18,887
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Colorado
Rank by total paid#58 of 425
Median peer was paid$49K
This provider vs. median22×
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 | 3,478 | $181K | |
| 2019 | 2,919 | $141K | |
| 2020 | 1,933 | $115K | |
| 2021 | 2,458 | $159K | |
| 2022 | 2,513 | $166K | |
| 2023 | 3,026 | $160K | |
| 2024incomplete | 2,560 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 31% | 5,448 | 2,353 | $336K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 3,041 | 2,881 | $287K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 21% | 2,062 | 1,919 | $223K |
| V2020 | Frames, purchases | 14% | 3,540 | 3,100 | $149K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.8% | 2,888 | 2,548 | $51K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 207 | 200 | $10K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 197 | 95 | $9K |
| 92015 | Determination of refractive state | <1% | 1,427 | 1,353 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 34 | 27 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 14 | 13 | $1K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14 | 13 | $0.00 |
| 1036F | 0% | 15 | 14 | $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.
From NPPES
Who's on the registration
Authorized officialHERTNEKY, GEORGE (PRESIDENT)