Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BERKELHAMMER, CHARLES

NPI: 1457359697 · OAK LAWN, IL 60453 · Specialist · NPI assigned 07/12/2005

$727K
Total Medicaid Paid
6,245
Total Claims
5,686
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 767 $81K
2019 925 $107K
2020 1,052 $116K
2021 971 $119K
2022 1,054 $142K
2023 792 $89K
2024 684 $73K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,002 1,860 $380K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,782 2,460 $145K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 793 754 $137K
99244 Office or other outpatient consultation, moderate to high complexity 372 350 $45K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 39 38 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple 37 36 $6K
99152 98 94 $3K
99233 Prolong inpt eval add15 m 51 42 $1K
99232 Subsequent hospital care, per day, moderate complexity 41 24 $908.44
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 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) 16 15 $10.16