Berkelhammer, Charles
Berkelhammer, Charles was paid $727K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 52% of everything it billed.
33Billing provider infoBERKELHAMMER, CHARLES
OAK LAWN, IL 60453
OAK LAWN, IL 60453
33aNPI1457359697assigned 07/12/2005
33bProvider typeSpecialist
28Total paid$727K
24GClaims6,245
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Illinois
Rank by total paid#12 of 273
Median peer was paid$32K
This provider vs. median23×
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 | 767 | $81K | |
| 2019 | 925 | $107K | |
| 2020 | 1,052 | $116K | |
| 2021 | 971 | $119K | |
| 2022 | 1,054 | $142K | |
| 2023 | 792 | $89K | |
| 2024incomplete | 684 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 52% | 2,002 | 1,860 | $380K |
| 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 | 20% | 2,782 | 2,460 | $145K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 19% | 793 | 754 | $137K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 6.2% | 372 | 350 | $45K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.2% | 39 | 38 | $8K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 37 | 36 | $6K |
| 99152 | <1% | 98 | 94 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 51 | 42 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 41 | 24 | $908.44 |
| 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 | <1% | 14 | 13 | $414.38 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 16 | 15 | $10.16 |
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.