Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Bernard J Durante MD PC

Bernard J Durante MD PC was paid $1.78M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 31231, — 33% of everything it billed.

33Billing provider infoBERNARD J DURANTE MD PC
PLYMOUTH, MA 02360
33aNPI1114024312assigned 09/20/2006
28Total paid$1.78M
24GClaims55,352
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical & Laboratory Immunology (Allergy & Immunology) Physician providers in Massachusetts

Rank by total paid#1 of 6
Median peer was paid$117K
This provider vs. median15×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20186,460$121K
20196,464$126K
20205,473$152K
20217,361$192K
20228,029$275K
202311,243$442K
2024incomplete10,322$476K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
31231 33% 6,965 6,723 $596K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 14% 5,480 3,854 $255K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 8,120 7,650 $251K
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 14% 3,085 3,066 $246K
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 12% 4,829 4,565 $209K
95027 5.2% 668 667 $93K
92557 1.7% 1,144 1,138 $30K
92567 <1% 1,424 1,415 $16K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 222 222 $14K
95115 <1% 2,483 1,592 $13K
92511 <1% 332 321 $13K
69210 <1% 1,147 1,091 $13K
15 more codes
92588 <1% 370 $11K
95017 <1% 117 $7K
99203 Doctor's office visit, new patient (routine) <1% 75 $5K
95117 <1% 1,260 $5K
31233 <1% 13 $2K
99205 Prolong outpt/office vis <1% 15 $1K
76536 <1% 43 $1K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 12,370 $1K
99215 Doctor's office visit, returning patient (complex) <1% 16 $759.14
1036F <1% 3,910 $384.43
92550 <1% 12 $168.06
G8851 Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented) 0% 154 $0.00
4004F 0% 415 $0.00
G8852 Positive airway pressure therapy was prescribed 0% 154 $0.00
G8839 Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepiness 0% 529 $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 officialDURANTE, BERANRD (PRESIDENT)