Physician
Berman, James
Berman, James was paid $80K by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoBERMAN, JAMES
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
33aNPI1407820731assigned 02/14/2006
33bProvider typePediatric Gastroenterology Physician
28Total paid$80K
24GClaims1,011
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatric Gastroenterology Physician providers in Illinois
Rank by total paid#19 of 45
Median peer was paid$57K
This provider vs. median1.4×
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 | 27 | $3K | |
| 2019 | 48 | $5K | |
| 2020 | 22 | $2K | |
| 2021 | 12 | $1K | |
| 2022 | 340 | $26K | |
| 2023 | 351 | $26K | |
| 2024incomplete | 211 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 497 | 469 | $40K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 32% | 321 | 304 | $26K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.4% | 100 | 97 | $7K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 7.8% | 51 | 51 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 30 | 25 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12 | 12 | $590.64 |
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.