Berkner, Justin

Berkner, Justin was paid $14K by Medicaid between Apr 2023 and Jun 2023, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 48% of everything it billed.

33Billing provider infoBERKNER, JUSTIN
BIDDEFORD, ME 04005

33aNPI1497307375assigned 07/11/2019

33bProvider typeEmergency Medicine Physician

28Total paid$14K

24GClaims137

24DCodes billed3

24AFirst – last monthApr 2023 – Jun 2023

Compared with peers

Next to other Emergency Medicine Physician providers in Maine

Rank by total paid#13 of 24

Median peer was paid$14K

This provider vs. median1.0×

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	137	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	48%	52	52	$7K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	47%	72	70	$6K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.7%	13	13	$640.38

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.