Schultz, Gerald

Schultz, Gerald was paid $66K by Medicaid between Jan 2018 and Mar 2021, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 31% of everything it billed.

33Billing provider infoSCHULTZ, GERALD
YUCCA VALLEY, CA 92284

33aNPI1942293543assigned 08/30/2005

33bProvider typeOphthalmology Physician

28Total paid$66K

24GClaims1,493

24DCodes billed7

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#318 of 759

Median peer was paid$35K

This provider vs. median1.9×

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	773	$34K
2019	489	$23K
2020	148	$6K
2021	83	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	31%	446	444	$20K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	28%	289	288	$18K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	24%	444	436	$16K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	5.5%	105	103	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.4%	57	56	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.2%	126	124	$3K
99205	Prolong outpt/office vis	3.3%	26	26	$2K

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.