Berkshire Medical Center, INC
Berkshire Medical Center, INC was paid $639K by Medicaid between Jan 2018 and Oct 2024, across 33 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 63% of everything it billed.
NORTH ADAMS, MA 01247
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Massachusetts
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,670 | $113K | |
| 2019 | 9,863 | $145K | |
| 2020 | 6,319 | $107K | |
| 2021 | 5,827 | $88K | |
| 2022 | 102 | $0.00 | |
| 2023 | 3,172 | $55K | |
| 2024incomplete | 7,705 | $132K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 63% | 6,580 | 539 | $400K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 37% | 4,070 | 347 | $239K |
| 82728 | 0% | 1,145 | 935 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 2,092 | 897 | $0.00 |
| 87340 | 0% | 188 | 175 | $0.00 | |
| 86704 | 0% | 115 | 113 | $0.00 | |
| G0499 | Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result | 0% | 296 | 290 | $0.00 |
| 84132 | 0% | 2,694 | 932 | $0.00 | |
| 86769 | 0% | 13 | 13 | $0.00 | |
| 82040 | 0% | 973 | 897 | $0.00 | |
| 82962 | 0% | 129 | 12 | $0.00 | |
| 85018 | 0% | 364 | 155 | $0.00 |
21 more codes
| 86706 | 0% | 115 | $0.00 | |
| 86803 | 0% | 115 | $0.00 | |
| Q2039 | Influenza virus vaccine, not otherwise specified | 0% | 25 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 40 | $0.00 |
| 83550 | 0% | 12 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 14 | $0.00 |
| 82310 | 0% | 2,444 | $0.00 | |
| 84460 | 0% | 976 | $0.00 | |
| 84295 | 0% | 1,049 | $0.00 | |
| 84100 | 0% | 1,333 | $0.00 | |
| 84466 | 0% | 1,145 | $0.00 | |
| 85014 | 0% | 364 | $0.00 | |
| 82374 | 0% | 1,050 | $0.00 | |
| 82565 | 0% | 990 | $0.00 | |
| J1644 | Injection, heparin sodium, per 1000 units | 0% | 7,624 | $0.00 |
| 84520 | 0% | 2,598 | $0.00 | |
| 83970 | 0% | 394 | $0.00 | |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 0% | 729 | $0.00 |
| J1756 | Injection, iron sucrose, 1 mg | 0% | 715 | $0.00 |
| 83540 | 0% | 1,152 | $0.00 | |
| 86709 | 0% | 115 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Berkshire Medical Center, INC | Pittsfield, MA | $150.13M |
| Fairview Hospital | Great Barrington, MA | $17.67M |
| Berkshire Medical Center, INC | Pittsfield, MA | $15.35M |
| Berkshire Faculty Services INC | Pittsfield, MA | $13.13M |
| Fairview Hospital | North Adams, MA | $3.50M |
| Berkshire Medical Center, INC. | Pittsfield, MA | $3.10M |
| Fairview Hospital | Williamstown, MA | $2.82M |
| Fairview Hospital | Great Barrington, MA | $1.95M |
| North Adams Regional Hospital Corporation | North Adams, MA | $306K |
| BHS Urgent Care Center | Pittsfield, MA | $126K |
| Berkshire Medical Center, INC. | Pittsfield, MA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.