Gerontis, Catherine

Gerontis, Catherine was paid $372K by Medicaid between Jan 2018 and Mar 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 21% of everything it billed.

33Billing provider infoGERONTIS, CATHERINE
COMMACK, NY 11725

33aNPI1477553253assigned 07/22/2005

33bProvider typeOphthalmology Physician

28Total paid$372K

24GClaims6,191

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#202 of 1,085

Median peer was paid$34K

This provider vs. median11×

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	375	$13K
2019	592	$31K
2020	809	$49K
2021	1,520	$95K
2022	1,437	$95K
2023	1,441	$90K
2024incomplete	17	$0.00

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	21%	527	527	$78K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	20%	826	819	$74K
92060		19%	1,110	1,090	$69K
92015	Determination of refractive state	15%	2,563	2,550	$57K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	11%	452	446	$42K
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	8.4%	379	377	$31K
92250		3.7%	264	207	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.3%	57	57	$5K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	13	12	$1K

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.