Loading...
NPI 1093793903 · Burlington, IA · Optometrist
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Tod Gerhardt is a optometrist provider located in Burlington, Iowa. This profile covers 12 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Tod Gerhardt |
| Address | 2743 Mt Pleasant St |
| City | Burlington |
| State | IA |
| ZIP | 52601 |
| Taxonomy | Optometrist |
| NPI Enumerated | January 3, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $337.1K |
| Medicare | $63.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92014 | An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group… | 230 | $80 | $18.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 310 | $60 | $16.9K |
| 92083 | The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended… | 150 | $40 | $6K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 60 | $90 | $5.5K |
| 92082 | The provider performs visual field testing at an intermediate level, for example, at least 2 isopters on a Goldmann perimeter. This code includes test interpretation and report generation. | 170 | $30 | $4.7K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 180 | $20 | $3.6K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 40 | $80 | $3.1K |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 100 | $20 | $2.1K |
| 92134 | The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes. | 50 | $30 | $1.3K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 30 | $40 | $1.1K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 186 | 340 | 50 | $340 | $50.4K |
| 92014 | 225 | 500 | 200 | $70 | $19.8K |
| 99213 | 559 | 4,740 | 100 | $50 | $8K |
| 92134 | 280 | 450 | 80 | $30 | $6.8K |
| 92004 | 83 | 410 | 40 | $80 | $3.9K |
| 99203 | 1,379 | 1,600 | 30 | $60 | $3.2K |
| 92083 | 59 | 390 | 50 | $40 | $3.1K |
| 92250 | 66 | 340 | 70 | $20 | $3K |
| 99212 | 675 | 1,240 | 40 | $30 | $2.1K |
| 92133 | 116 | 410 | 50 | $20 | $1.9K |
Showing 1–10 of 12
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92014 | An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group… | 2,360 | $60 | $143.7K |
| V2020 | Frames, purchases | 2,640 | $30 | $66K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 650 | $90 | $56.9K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1,170 | $20 | $23.4K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 550 | $40 | $19.1K |
| 92082 | The provider performs visual field testing at an intermediate level, for example, at least 2 isopters on a Goldmann perimeter. This code includes test interpretation and report generation. | 570 | $30 | $16.4K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 310 | $30 | $9.6K |
| V2756 | Eye glass case | 2,440 | $1 | $2.4K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 30 | $30 | $840 |
| 92083 | The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended… | 20 | $40 | $530 |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Iowa median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 845 | 1,310 | 760 | $20 | $153.1K |
| 92014 | An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group… | 34 | 450 | 290 | $60 | $42.8K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 67 | 350 | 140 | $80 | $39.5K |
| V2020 | Frames, purchases | 34 | 420 | 420 | $20 | $22.3K |
| 92083 | The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended… | 10 | 10 | 60 | $20 | $10.8K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 29 | 270 | 150 | $20 | $9.2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 199 | 220 | 80 | $20 | $7.1K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 8 | 70 | 80 | $30 | $7K |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 7 | 10 | 20 | $10 | $6.6K |
| 92082 | The provider performs visual field testing at an intermediate level, for example, at least 2 isopters on a Goldmann perimeter. This code includes test interpretation and report generation. | 1 | 10 | 80 | $30 | $6.5K |
Showing 1–10 of 13
Other providers in the same ZIP code as Tod Gerhardt, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.