George D. Bertherman,o.D., INC.
George D. Bertherman,o.D., INC. was paid $1.50M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is V2103, Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens — 28% of everything it billed.
33Billing provider infoGEORGE D. BERTHERMAN,O.D., INC.
PROVIDENCE, RI 02905
PROVIDENCE, RI 02905
33aNPI1316072143assigned 02/22/2007
33bProvider typeOptometrist
28Total paid$1.50M
24GClaims50,908
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#7 of 209
Median peer was paid$24K
This provider vs. median63×
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 | 7,436 | $215K | |
| 2019 | 9,181 | $266K | |
| 2020 | 4,049 | $116K | |
| 2021 | 6,071 | $181K | |
| 2022 | 6,900 | $209K | |
| 2023 | 9,252 | $275K | |
| 2024incomplete | 8,019 | $233K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 28% | 8,556 | 8,269 | $421K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 8,694 | 8,539 | $371K |
| V2020 | Frames, purchases | 13% | 11,833 | 11,389 | $201K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 11,209 | 10,671 | $198K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 7.0% | 6,189 | 5,908 | $105K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.0% | 1,280 | 1,255 | $75K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 1,368 | 1,221 | $64K |
| V2303 | Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens | 2.3% | 376 | 373 | $35K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 91 | 90 | $7K |
| 92342 | <1% | 307 | 304 | $7K | |
| 92250 | <1% | 107 | 105 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 71 | 65 | $3K |
6 more codes
| 92341 | <1% | 107 | $2K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 26 | $1K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 267 | $1K |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 204 | $870.06 |
| 1036F | <1% | 208 | $870.06 | |
| G9905 | Patient not screened for tobacco use | 0% | 15 | $0.00 |
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 officialBERTHERMAN, GEORGE (PRESIDENT)