NP / PA
Marc S. Berger, M.D., P.A.
Marc S. Berger, M.D., P.A. was paid $530K by Medicaid between Feb 2019 and Mar 2023, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoMARC S. BERGER, M.D., P.A.
JACKSONVILLE, FL 32244
JACKSONVILLE, FL 32244
33aNPI1114936044assigned 08/07/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$530K
24GClaims16,466
24DCodes billed17
24AFirst – last monthFeb 2019 – Mar 2023
Compared with peers
Next to other Family Nurse Practitioner providers in Florida
Rank by total paid#7 of 280
Median peer was paid$5K
This provider vs. median102×
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 | 3,837 | $142K | |
| 2020 | 3,999 | $128K | |
| 2021 | 4,189 | $126K | |
| 2022 | 3,858 | $115K | |
| 2023 | 583 | $19K |
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 | 42% | 5,656 | 4,915 | $222K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 912 | 905 | $77K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 849 | 805 | $73K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 743 | 728 | $62K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.6% | 545 | 532 | $46K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.2% | 3,327 | 3,236 | $43K |
| 3008F | <1% | 1,148 | 1,047 | $5K | |
| 90686 | <1% | 774 | 711 | $1K | |
| 90723 | <1% | 31 | 25 | $330.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 84 | 78 | $327.64 |
| 90648 | <1% | 194 | 182 | $230.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 799 | 748 | $132.50 |
5 more codes
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 officialBERGER, MARC (PRESIDENT)