Gera, Jerome

Gera, Jerome was paid $12K by Medicaid between Aug 2021 and Aug 2024, across 3 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 82% of everything it billed.

33Billing provider infoGERA, JEROME
MT PLEASANT, PA 15666

33aNPI1043266257assigned 05/26/2006

33bProvider typeFamily Medicine Physician

28Total paid$12K

24GClaims469

24DCodes billed3

24AFirst – last monthAug 2021 – Aug 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#1,612 of 2,756

Median peer was paid$19K

This provider vs. median0.6×

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
2021	36	$651.54
2022	117	$2K
2023	194	$5K
2024incomplete	122	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	82%	396	239	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.8%	47	47	$1K
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	8.7%	26	25	$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.