Berkowitz, Carl
Berkowitz, Carl was paid $186K by Medicaid between Oct 2020 and Jul 2024, across 11 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 43% of everything it billed.
33Billing provider infoBERKOWITZ, CARL
ERIE, PA 16509
ERIE, PA 16509
33aNPI1275642878assigned 08/29/2006
33bProvider typeOptometrist
28Total paid$186K
24GClaims7,252
24DCodes billed11
24AFirst – last monthOct 2020 – Jul 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#143 of 983
Median peer was paid$20K
This provider vs. median9.2×
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 | |
|---|---|---|---|
| 2020 | 232 | $6K | |
| 2021 | 1,790 | $46K | |
| 2022 | 2,106 | $46K | |
| 2023 | 2,511 | $69K | |
| 2024incomplete | 613 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 43% | 2,657 | 2,402 | $79K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 21% | 1,330 | 1,270 | $40K |
| V2020 | Frames, purchases | 16% | 534 | 524 | $29K |
| 92310 | 9.9% | 534 | 422 | $18K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.7% | 297 | 284 | $9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.7% | 355 | 349 | $9K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 56 | 55 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 13 | 13 | $455.00 |
| 92015 | Determination of refractive state | 0% | 579 | 498 | $0.00 |
| 92250 | 0% | 868 | 581 | $0.00 | |
| V2799 | Vision item or service, miscellaneous | 0% | 29 | 27 | $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.