Gerhardt, Tod
Gerhardt, Tod was paid $337K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 42% of everything it billed.
33Billing provider infoGERHARDT, TOD
BURLINGTON, IA 52601
BURLINGTON, IA 52601
33aNPI1093793903assigned 01/03/2006
33bProvider typeOptometrist
28Total paid$337K
24GClaims14,136
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#27 of 521
Median peer was paid$28K
This provider vs. median12×
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 | 4,193 | $107K | |
| 2019 | 2,726 | $64K | |
| 2020 | 1,611 | $36K | |
| 2021 | 1,565 | $31K | |
| 2022 | 1,862 | $46K | |
| 2023 | 1,439 | $36K | |
| 2024incomplete | 740 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 42% | 2,356 | 2,300 | $143K |
| V2020 | Frames, purchases | 19% | 2,642 | 2,498 | $65K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 647 | 638 | $57K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.8% | 1,172 | 1,115 | $23K |
| 92250 | 5.7% | 547 | 509 | $19K | |
| 92082 | 4.8% | 565 | 505 | $16K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 311 | 294 | $10K |
| V2756 | Eye glass case | <1% | 2,439 | 2,337 | $2K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 29 | 28 | $831.15 |
| 92083 | <1% | 15 | 15 | $524.34 | |
| 92133 | <1% | 15 | 15 | $386.29 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 13 | 12 | $165.88 |
1 more codes
| 92015 | Determination of refractive state | <1% | 3,385 | $15.05 |
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.