D'aversa, Gerard

D'aversa, Gerard was paid $69K by Medicaid between Jan 2018 and Jul 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 84% of everything it billed.

33Billing provider infoD'AVERSA, GERARD
VALLEY STREAM, NY 11581

33aNPI1548265523assigned 06/16/2005

33bProvider typeOphthalmology Physician

28Total paid$69K

24GClaims1,727

24DCodes billed6

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#441 of 1,085

Median peer was paid$34K

This provider vs. median2.0×

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	221	$10K
2019	270	$10K
2020	208	$9K
2021	401	$15K
2022	380	$15K
2023	146	$4K
2024incomplete	101	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	84%	1,156	1,152	$58K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	5.4%	111	103	$4K
92015	Determination of refractive state	4.5%	395	394	$3K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	4.0%	36	36	$3K
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	1.9%	17	16	$1K
92250		<1%	12	12	$406.21

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.