Berger, Rodney
Berger, Rodney was paid $192K by Medicaid between Oct 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoBERGER, RODNEY
ADDISON, IL 60101
ADDISON, IL 60101
33aNPI1316099849assigned 01/17/2007
33bProvider typeSpecialist
28Total paid$192K
24GClaims6,761
24DCodes billed14
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Illinois
Rank by total paid#55 of 273
Median peer was paid$32K
This provider vs. median6.0×
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 | |
|---|---|---|---|
| 2018 | 88 | $961.71 | |
| 2019 | 477 | $9K | |
| 2020 | 1,764 | $42K | |
| 2021 | 1,257 | $38K | |
| 2022 | 1,261 | $41K | |
| 2023 | 952 | $24K | |
| 2024incomplete | 962 | $37K |
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 | 40% | 1,736 | 1,390 | $77K |
| 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 | 32% | 1,134 | 976 | $61K |
| 99350 | Prolong home eval add 15m | 9.0% | 749 | 680 | $17K |
| 80305 | 7.2% | 1,587 | 1,381 | $14K | |
| 99491 | Ccm add 20min | 4.0% | 399 | 399 | $8K |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | 2.7% | 242 | 242 | $5K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.7% | 99 | 82 | $3K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 1.3% | 25 | 25 | $2K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 71 | 55 | $1K |
| 99349 | <1% | 110 | 105 | $1K | |
| 94760 | <1% | 547 | 345 | $877.52 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 25 | 25 | $782.50 |
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.