Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Moosic › NPI 1295718237
Physician

Berger, Matthew

Berger, Matthew was paid $3.69M by Medicaid between Apr 2020 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoBERGER, MATTHEW
MOOSIC, PA 18507
33aNPI1295718237assigned 11/23/2005
33bProvider typePsychiatry Physician
28Total paid$3.69M
24GClaims54,943
24DCodes billed11
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers

Next to other Psychiatry Physician providers in Pennsylvania

Rank by total paid#8 of 244
Median peer was paid$30K
This provider vs. median124×

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$50K$100K2018201920202021202220232024
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
20205,079$265K
202114,638$891K
202212,369$826K
202313,454$982K
2024incomplete9,403$728K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 65% 32,529 28,781 $2.41M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18% 11,082 10,439 $660K
99205 Prolong outpt/office vis 8.3% 1,450 1,373 $307K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 7.0% 8,630 1,087 $260K
99222 Initial hospital care, per day, moderate complexity <1% 380 341 $22K
99252 <1% 162 156 $17K
99238 Hospital discharge day management, 30 minutes or less <1% 202 194 $7K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 410 90 $6K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 36 25 $3K
99251 <1% 12 12 $802.00
90846 Family psychotherapy without the patient present, 50 minutes <1% 50 40 $762.84

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.