Polterock, Jerrold

Polterock, Jerrold was paid $3K by Medicaid between May 2018 and May 2018, across 1 billing code. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 100% of everything it billed.

33Billing provider infoPOLTEROCK, JERROLD
OAKDALE, CA 95361

33aNPI1578536306assigned 02/10/2006

33bProvider typeOtolaryngology Physician

28Total paid$3K

24GClaims30

24DCodes billed1

24AFirst – last monthMay 2018 – May 2018

Compared with peers

Next to other Otolaryngology Physician providers in California

Rank by total paid#125 of 168

Median peer was paid$67K

This provider vs. median0.1×

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	30	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	100%	30	18	$3K

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.