Gerstein, Richard

Gerstein, Richard was paid $11K by Medicaid between Jan 2018 and Feb 2020, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 59% of everything it billed.

33Billing provider infoGERSTEIN, RICHARD
WARE, MA 01082

33aNPI1497838767assigned 10/23/2006

33bProvider typeFamily Medicine Physician

28Total paid$11K

24GClaims143

24DCodes billed4

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Family Medicine Physician providers in Massachusetts

Rank by total paid#366 of 744

Median peer was paid$10K

This provider vs. median1.1×

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	105	$7K
2019	26	$3K
2020	12	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	59%	67	67	$7K
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	18%	24	12	$2K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	16%	38	13	$2K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	6.4%	14	14	$715.80

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.