Physician
Berman, Robert
Berman, Robert was paid $14K by Medicaid between Aug 2019 and Nov 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoBERMAN, ROBERT
CROSSVILLE, TN 38555
CROSSVILLE, TN 38555
33aNPI1033183744assigned 02/17/2006
33bProvider typePediatrics Physician
28Total paid$14K
24GClaims475
24DCodes billed4
24AFirst – last monthAug 2019 – Nov 2023
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#258 of 333
Median peer was paid$139K
This provider vs. median0.1×
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 | 78 | $1K | |
| 2020 | 106 | $2K | |
| 2022 | 131 | $5K | |
| 2023 | 160 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 78% | 209 | 184 | $11K |
| D1206 | Topical application of fluoride varnish | 13% | 92 | 88 | $2K |
| D0190 | 7.4% | 92 | 88 | $1K | |
| 96160 | 2.5% | 82 | 68 | $356.40 |
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.