Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pederzol, Bert

Pederzol, Bert was paid $81K by Medicaid between Jan 2018 and Oct 2022, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 41% of everything it billed.

33Billing provider infoPEDERZOL, BERT
ALLIANCE, OH 44601
33aNPI1649338112assigned 12/05/2006
33bProvider typeOptometrist
28Total paid$81K
24GClaims2,949
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#380 of 1,098
Median peer was paid$41K
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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20181,390$40K
20191,037$31K
2020465$10K
202257$221.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 41% 755 734 $33K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 32% 635 600 $26K
92340 Fitting of spectacles, except for aphakia; monofocal 20% 837 794 $16K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.0% 69 69 $2K
92341 1.8% 63 59 $1K
V2020 Frames, purchases 1.2% 99 97 $987.00
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.1% 22 14 $872.20
92015 Determination of refractive state <1% 469 469 $644.90

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.