Physician
Berkshire Allergy Care, P.C.
Berkshire Allergy Care, P.C. was paid $1.64M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 95004, Percutaneous tests with allergenic extracts, immediate type reaction — 25% of everything it billed.
33Billing provider infoBERKSHIRE ALLERGY CARE, P.C.
PITTSFIELD, MA 01201
PITTSFIELD, MA 01201
33aNPI1033328786assigned 05/21/2007
33bProvider typeAllergy & Immunology Physician
28Total paid$1.64M
24GClaims50,674
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Allergy & Immunology Physician providers in Massachusetts
Rank by total paid#4 of 37
Median peer was paid$30K
This provider vs. median56×
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 | 6,744 | $264K | |
| 2019 | 7,173 | $236K | |
| 2020 | 5,018 | $177K | |
| 2021 | 8,023 | $259K | |
| 2022 | 8,605 | $281K | |
| 2023 | 8,292 | $253K | |
| 2024incomplete | 6,819 | $172K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 25% | 3,545 | 3,311 | $417K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 15% | 2,045 | 2,022 | $254K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 5,163 | 4,831 | $248K |
| 95117 | 9.2% | 23,677 | 10,677 | $151K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.5% | 1,855 | 1,836 | $140K |
| 95018 | 8.5% | 3,772 | 3,469 | $140K | |
| 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 | 6.3% | 890 | 880 | $104K |
| 95024 | 3.3% | 784 | 763 | $55K | |
| 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 | 3.2% | 696 | 684 | $53K |
| 95115 | 1.7% | 4,620 | 2,219 | $28K | |
| 94375 | 1.1% | 1,239 | 815 | $18K | |
| 99443 | <1% | 619 | 594 | $14K |
10 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,091 | $11K |
| 0012A | <1% | 114 | $3K | |
| 0011A | <1% | 116 | $3K | |
| 0064A | <1% | 55 | $1K | |
| 94060 | <1% | 42 | $1K | |
| 94010 | <1% | 35 | $556.05 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $514.08 |
| 99441 | <1% | 14 | $107.70 | |
| 91306 | 0% | 52 | $0.00 | |
| 91301 | 0% | 235 | $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.
From NPPES
Who's on the registration
Authorized officialEDWARDS, THOMAS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Hope Health Center INC | Fairfield, AL | $281K |
| Thomas L Edwards DO INC | San Antonio, FL | $84K |
| Thomasj Edwards DDS INC | Zanesville, OH | $466.18 |
| Thomas E. Edwards, O.D. INC | Brookville, IN | $100.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.