Jerry R. Pederson, O.D., P.C.
Jerry R. Pederson, O.D., P.C. was paid $3K by Medicaid between Jul 2022 and Apr 2024, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 58% of everything it billed.
33Billing provider infoJERRY R. PEDERSON, O.D., P.C.
CENTENNIAL, CO 80121
CENTENNIAL, CO 80121
33aNPI1073742938assigned 07/13/2009
33bProvider typeOptometrist
28Total paid$3K
24GClaims27
24DCodes billed2
24AFirst – last monthJul 2022 – Apr 2024
Compared with peers
Next to other Optometrist providers in Colorado
Rank by total paid#369 of 425
Median peer was paid$49K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 15 | $1K | |
| 2024incomplete | 12 | $1K |
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 | 58% | 12 | 12 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 42% | 15 | 14 | $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.
From NPPES
Who's on the registration
Authorized officialPEDERSON, JON (OWNER)