Ertl, Jamie
Ertl, Jamie was paid $0.00 by Medicaid between Oct 2019 and Sep 2020, across 4 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 0% of everything it billed.
33Billing provider infoERTL, JAMIE
DE PERE, WI 54115
DE PERE, WI 54115
33aNPI1952392003assigned 10/28/2005
33bProvider typeOptometrist
28Total paid$0.00
24GClaims111
24DCodes billed4
24AFirst – last monthOct 2019 – Sep 2020
Compared with peers
Next to other Optometrist providers in Wisconsin
Rank by total paid#384 of 412
Median peer was paid$7K
This provider vs. median0.0×
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
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 | |
|---|---|---|---|
| 2019 | 94 | $0.00 | |
| 2020 | 17 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 14 | 13 | $0.00 |
| 92015 | Determination of refractive state | 0% | 45 | 45 | $0.00 |
| V2020 | Frames, purchases | 0% | 38 | 27 | $0.00 |
| V2025 | Deluxe frame | 0% | 14 | 13 | $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.