David P. Berry, MD, PA

David P. Berry, MD, PA was paid $16K by Medicaid between Feb 2018 and Feb 2024, across 4 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 77% of everything it billed.

33Billing provider infoDAVID P. BERRY, MD, PA
SPARTANBURG, SC 29303

33aNPI1356474043assigned 03/13/2007

33bProvider typeOphthalmology Physician

28Total paid$16K

24GClaims293

24DCodes billed4

24AFirst – last monthFeb 2018 – Feb 2024

Compared with peers

Next to other Ophthalmology Physician providers in South Carolina

Rank by total paid#32 of 64

Median peer was paid$15K

This provider vs. median1.0×

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	21	$1K
2019	53	$2K
2021	65	$4K
2022	63	$4K
2023	53	$2K
2024incomplete	38	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	77%	239	187	$12K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	8.1%	16	13	$1K
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	7.8%	16	16	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.1%	22	20	$1K

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.

From NPPES

Who's on the registration

Authorized officialLANFORD, GWEN (INSURANCE COORDINATOR)