Berger, Gary
Berger, Gary was paid $271K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 59% of everything it billed.
33Billing provider infoBERGER, GARY
RICHFIELD, UT 84701
RICHFIELD, UT 84701
33aNPI1386729721assigned 10/26/2006
33bProvider typeOptometrist
28Total paid$271K
24GClaims7,852
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Optometrist providers in Utah
Rank by total paid#9 of 130
Median peer was paid$6K
This provider vs. median46×
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 | 3,290 | $89K | |
| 2019 | 3,399 | $105K | |
| 2020 | 636 | $24K | |
| 2021 | 214 | $22K | |
| 2022 | 181 | $19K | |
| 2023 | 101 | $10K | |
| 2024incomplete | 31 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 59% | 3,306 | 3,225 | $160K |
| 92225 | 17% | 528 | 502 | $46K | |
| 92015 | Determination of refractive state | 9.3% | 3,266 | 3,202 | $25K |
| 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 | 8.3% | 357 | 355 | $22K |
| 92250 | 4.8% | 319 | 313 | $13K | |
| 92201 | <1% | 25 | 25 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 39 | 39 | $2K |
| 92283 | <1% | 12 | 12 | $418.02 |
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.