Bertherman, George
Bertherman, George was paid $126K by Medicaid between Jan 2018 and Aug 2022, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.
33Billing provider infoBERTHERMAN, GEORGE
PROVIDENCE, RI 02905
PROVIDENCE, RI 02905
33aNPI1629074141assigned 06/21/2005
33bProvider typeOptometrist
28Total paid$126K
24GClaims5,700
24DCodes billed9
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#45 of 209
Median peer was paid$24K
This provider vs. median5.3×
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 | 1,610 | $35K | |
| 2019 | 1,211 | $26K | |
| 2020 | 646 | $14K | |
| 2021 | 1,456 | $33K | |
| 2022 | 777 | $17K |
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 | 28% | 1,175 | 1,105 | $35K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 27% | 1,025 | 938 | $34K |
| V2020 | Frames, purchases | 16% | 1,515 | 1,396 | $20K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 1,374 | 1,257 | $20K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 10% | 524 | 475 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 33 | 28 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 30 | 25 | $1K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | 12 | $644.91 |
| 92341 | <1% | 12 | 12 | $227.55 |
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.