Jason M Gilbert MD PC

Jason M Gilbert MD PC was paid $16K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 92% of everything it billed.

33Billing provider infoJASON M GILBERT MD PC
MEDFORD, MA 02155

33aNPI1093808495assigned 09/30/2006

33bProvider typeOphthalmology Physician

28Total paid$16K

24GClaims508

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in Massachusetts

Rank by total paid#104 of 203

Median peer was paid$18K

This provider vs. median0.9×

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	139	$4K
2019	79	$3K
2020	44	$2K
2021	51	$749.23
2022	55	$2K
2023	114	$4K
2024incomplete	26	$146.48

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	92%	445	442	$14K
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	4.8%	51	50	$749.23
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	3.4%	12	12	$539.31

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 officialGILBERT, JASON (PRESIDENT)