Kersulis, Gregory

Kersulis, Gregory was paid $206K by Medicaid between Jan 2018 and Jan 2020, across 6 billing codes. Its largest line is 64405, — 67% of everything it billed.

33Billing provider infoKERSULIS, GREGORY
LAWRENCEBURG, TN 38464

33aNPI1982743001assigned 02/05/2007

33bProvider typeNeurology Physician

28Total paid$206K

24GClaims4,880

24DCodes billed6

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Neurology Physician providers in Tennessee

Rank by total paid#18 of 83

Median peer was paid$27K

This provider vs. median7.8×

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	2,446	$109K
2019	2,279	$91K
2020	155	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
64405		67%	1,388	1,126	$138K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	19%	2,012	1,782	$39K
J1030	Injection, methylprednisolone acetate, 40 mg	6.8%	1,265	1,121	$14K
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	3.5%	104	99	$7K
95886		2.7%	76	58	$6K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	35	27	$1K

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.