Physician
Tobi Berchen, MD
Tobi Berchen, MD was paid $360K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoTOBI BERCHEN, MD
GENESEO, NY 14454
GENESEO, NY 14454
33aNPI1073885836assigned 02/08/2012
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$360K
24GClaims10,014
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New York
Rank by total paid#62 of 161
Median peer was paid$100K
This provider vs. median3.6×
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 | 1,094 | $40K | |
| 2019 | 1,398 | $47K | |
| 2020 | 1,600 | $43K | |
| 2021 | 1,444 | $43K | |
| 2022 | 1,398 | $54K | |
| 2023 | 1,626 | $67K | |
| 2024incomplete | 1,454 | $66K |
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 | 39% | 1,923 | 1,786 | $140K |
| 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 | 38% | 1,382 | 1,270 | $137K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.9% | 1,777 | 1,757 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 272 | 272 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.0% | 186 | 186 | $18K |
| 99401 | 1.7% | 861 | 851 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 24 | 24 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 589 | 557 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 314 | 313 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 28 | 26 | $313.68 |
| 99173 | <1% | 668 | 667 | $241.47 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 46 | 43 | $198.31 |
10 more codes
| 90686 | <1% | 429 | $103.20 | |
| 3008F | <1% | 13 | $25.00 | |
| 90688 | <1% | 65 | $17.97 | |
| 99429 | <1% | 14 | $0.05 | |
| 90656 | 0% | 45 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 185 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 911 | $0.00 |
| 90461 | 0% | 25 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 211 | $0.00 |
| 99080 | 0% | 46 | $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 officialBERCHEN, TOBI (SOLE PROPRIETOR)