Mark Berenson, MD PC

Mark Berenson, MD PC was paid $48K by Medicaid between Nov 2018 and Oct 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoMARK BERENSON, MD PC
MELROSE, MA 02176

33aNPI1104308881assigned 08/30/2018

33bProvider typeOrthopaedic Surgery Physician

28Total paid$48K

24GClaims998

24DCodes billed6

24AFirst – last monthNov 2018 – Oct 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Massachusetts

Rank by total paid#36 of 166

Median peer was paid$10K

This provider vs. median5.1×

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
2018	16	$858.90
2019	180	$9K
2020	53	$3K
2021	240	$10K
2022	184	$8K
2023	161	$8K
2024incomplete	164	$10K

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	91%	860	782	$44K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.8%	39	39	$3K
20610		2.7%	30	26	$1K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	28	27	$101.60
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	15	15	$65.30
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	26	24	$0.10

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 officialBERENSON, MARK (PHYSICIAN/OWNER)