Physician
Berger Henry Ent Specialty Group
Berger Henry Ent Specialty Group was paid $993K by Medicaid between Jan 2018 and May 2024, across 11 billing codes. Its largest line is 31231, — 54% of everything it billed.
33Billing provider infoBERGER HENRY ENT SPECIALTY GROUP
NORRISTOWN, PA 19401
NORRISTOWN, PA 19401
33aNPI1437220050assigned 11/13/2006
33bProvider typeOtolaryngology Physician
28Total paid$993K
24GClaims16,590
24DCodes billed11
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Otolaryngology Physician providers in Pennsylvania
Rank by total paid#6 of 136
Median peer was paid$13K
This provider vs. median75×
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 | 832 | $52K | |
| 2020 | 306 | $22K | |
| 2021 | 2,820 | $180K | |
| 2022 | 5,254 | $303K | |
| 2023 | 5,436 | $318K | |
| 2024incomplete | 1,942 | $118K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 54% | 5,248 | 5,164 | $533K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 2,721 | 2,681 | $117K |
| 31615 | 11% | 1,600 | 1,560 | $110K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 2,638 | 2,572 | $85K |
| 92557 | 5.5% | 1,619 | 1,583 | $54K | |
| 92550 | 4.1% | 1,745 | 1,707 | $41K | |
| 99243 | 2.5% | 264 | 261 | $24K | |
| 31575 | 2.0% | 270 | 265 | $20K | |
| 69210 | <1% | 405 | 388 | $6K | |
| 92587 | <1% | 67 | 64 | $3K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 13 | 12 | $0.00 |
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 officialMOREHOUSE, TODD (VICE PRESIDENT)