Physician
Karetnick, Gerald
Karetnick, Gerald was paid $27K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.
33Billing provider infoKARETNICK, GERALD
NANUET, NY 10954
NANUET, NY 10954
33aNPI1740269000assigned 01/13/2006
33bProvider typeFamily Medicine Physician
28Total paid$27K
24GClaims5,223
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#957 of 2,605
Median peer was paid$10K
This provider vs. median2.7×
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 | 2,367 | $6K | |
| 2019 | 1,184 | $6K | |
| 2020 | 702 | $3K | |
| 2021 | 420 | $3K | |
| 2022 | 285 | $4K | |
| 2023 | 97 | $2K | |
| 2024incomplete | 168 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 90% | 1,384 | 1,272 | $25K |
| 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 | 7.5% | 51 | 51 | $2K |
| 90682 | 2.5% | 27 | 27 | $675.38 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 241 | 207 | $0.00 |
| 1036F | 0% | 421 | 365 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 423 | 393 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 421 | 365 | $0.00 |
| 3017F | 0% | 391 | 350 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,044 | 938 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 414 | 362 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 241 | 206 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 165 | 146 | $0.00 |
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.