Physician
Gertser, Elaine
Gertser, Elaine was paid $364K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 54% of everything it billed.
33Billing provider infoGERTSER, ELAINE
SAN DIEGO, CA 92120
SAN DIEGO, CA 92120
33aNPI1992719967assigned 07/27/2006
33bProvider typeInternal Medicine Physician
28Total paid$364K
24GClaims11,228
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#294 of 2,679
Median peer was paid$13K
This provider vs. median29×
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 | 1,124 | $32K | |
| 2019 | 1,629 | $36K | |
| 2020 | 1,271 | $21K | |
| 2021 | 1,573 | $41K | |
| 2022 | 1,426 | $41K | |
| 2023 | 2,182 | $78K | |
| 2024incomplete | 2,023 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 54% | 5,942 | 4,579 | $196K |
| 99306 | Prolong nursin fac eval 15m | 23% | 1,267 | 1,232 | $85K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 18% | 1,583 | 208 | $67K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 841 | 108 | $7K |
| 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 | 1.1% | 1,366 | 1,362 | $4K |
| 99315 | 1.1% | 97 | 97 | $4K | |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | 12 | $237.90 |
| 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% | 40 | 39 | $47.12 |
| 82947 | <1% | 79 | 79 | $4.85 |
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.