Gerold, Mark

Gerold, Mark was paid $24K by Medicaid between Jan 2018 and Aug 2018, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoGEROLD, MARK
JEANNETTE, PA 15644

33aNPI1386745768assigned 09/26/2006

33bProvider typeFamily Medicine Physician

28Total paid$24K

24GClaims721

24DCodes billed5

24AFirst – last monthJan 2018 – Aug 2018

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#1,274 of 2,756

Median peer was paid$19K

This provider vs. median1.2×

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	721	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	56%	313	297	$13K
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	36%	133	130	$9K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	4.5%	144	69	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	3.7%	97	97	$877.32
36415	Collection of venous blood by venipuncture	<1%	34	34	$85.92

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.