Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Gerzina, Douglas

Gerzina, Douglas was paid $53K by Medicaid between Nov 2020 and Oct 2023, across 2 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 99% of everything it billed.

33Billing provider infoGERZINA, DOUGLAS
CORRY, PA 16407
33aNPI1346332210assigned 09/29/2006
33bProvider typeOptometrist
28Total paid$53K
24GClaims1,130
24DCodes billed2
24AFirst – last monthNov 2020 – Oct 2023
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#338 of 983
Median peer was paid$20K
This provider vs. median2.6×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
202086$4K
2021407$19K
2022387$18K
2023250$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 99% 1,117 1,116 $52K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.1% 13 13 $575.00

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.