Physician
Durante, Bernard
Durante, Bernard was paid $185K by Medicaid between Mar 2019 and Mar 2023, across 11 billing codes. Its largest line is 31231, — 45% of everything it billed.
33Billing provider infoDURANTE, BERNARD
PLYMOUTH, MA 02360
PLYMOUTH, MA 02360
33aNPI1164400040assigned 01/02/2006
28Total paid$185K
24GClaims3,615
24DCodes billed11
24AFirst – last monthMar 2019 – Mar 2023
Compared with peers
Next to other Clinical & Laboratory Immunology (Allergy & Immunology) Physician providers in Massachusetts
Rank by total paid#3 of 6
Median peer was paid$117K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2019 | 438 | $11K | |
| 2020 | 281 | $8K | |
| 2021 | 795 | $45K | |
| 2022 | 1,590 | $90K | |
| 2023 | 511 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 45% | 531 | 515 | $83K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 33% | 575 | 367 | $61K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 628 | 577 | $30K |
| 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 | 3.9% | 57 | 57 | $7K |
| 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 | 1.1% | 30 | 28 | $2K |
| 95115 | <1% | 188 | 113 | $1K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 12 | 12 | $878.37 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,280 | 1,168 | $0.00 |
| 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% | 12 | 12 | $0.00 |
| 1036F | 0% | 290 | 267 | $0.00 | |
| G8852 | Positive airway pressure therapy was prescribed | 0% | 12 | 12 | $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.