Berkson, Michael

Berkson, Michael was paid $3K by Medicaid between Jul 2023 and Nov 2023, across 2 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 64% of everything it billed.

33Billing provider infoBERKSON, MICHAEL
PRINCETON, IL 61356

33aNPI1427057728assigned 07/19/2005

33bProvider typeOrthopaedic Surgery Physician

28Total paid$3K

24GClaims86

24DCodes billed2

24AFirst – last monthJul 2023 – Nov 2023

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Illinois

Rank by total paid#342 of 422

Median peer was paid$21K

This provider vs. median0.1×

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
2023	86	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	64%	48	47	$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	36%	38	34	$960.39

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.