Gerstein, Craig

Gerstein, Craig was paid $1.02M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 41% of everything it billed.

33Billing provider infoGERSTEIN, CRAIG
CHICAGO, IL 60659

33aNPI1083712681assigned 09/20/2006

33bProvider typeOphthalmology Physician

28Total paid$1.02M

24GClaims20,521

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#27 of 431

Median peer was paid$34K

This provider vs. median30×

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	1,929	$65K
2019	2,887	$169K
2020	3,308	$163K
2021	3,622	$220K
2022	3,294	$157K
2023	3,006	$156K
2024incomplete	2,475	$92K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	41%	588	444	$417K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	22%	7,127	6,589	$226K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	15%	2,545	2,265	$157K
92015	Determination of refractive state	12%	6,695	6,110	$118K
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	6.6%	1,794	1,564	$67K
92136		3.1%	1,279	1,108	$31K
92133		<1%	89	87	$1K
92202		<1%	279	273	$1K
96160		<1%	74	64	$1K
92226		<1%	19	12	$202.55
92201		<1%	19	19	$144.51
76514		<1%	13	13	$47.80

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.