Clinic
Berkshire Medical Center, INC.
Berkshire Medical Center, INC. was paid $2.21M by Medicaid between Jan 2018 and Oct 2024, across 41 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 71% of everything it billed.
33Billing provider infoBERKSHIRE MEDICAL CENTER, INC.
PITTSFIELD, MA 01201
PITTSFIELD, MA 01201
33aNPI1518173871assigned 05/15/2007
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$2.21M
24GClaims188,184
24DCodes billed41
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Massachusetts
Rank by total paid#28 of 82
Median peer was paid$1.16M
This provider vs. median1.9×
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 | 38,705 | $574K | |
| 2019 | 29,002 | $124K | |
| 2020 | 27,721 | $335K | |
| 2021 | 28,719 | $323K | |
| 2022 | 26,076 | $304K | |
| 2023 | 21,359 | $306K | |
| 2024incomplete | 16,602 | $244K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 71% | 29,016 | 2,045 | $1.57M |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 24% | 13,453 | 999 | $529K |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 3.6% | 6,570 | 2,112 | $79K |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 5,271 | 1,682 | $20K |
| 83970 | <1% | 2,293 | 2,163 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,841 | 3,057 | $967.10 |
| 82728 | <1% | 3,391 | 3,080 | $966.89 | |
| 84466 | <1% | 3,391 | 3,080 | $906.21 | |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 19,876 | 1,641 | $658.76 |
| 85018 | <1% | 5,554 | 1,925 | $550.52 | |
| 85014 | <1% | 5,554 | 1,925 | $550.52 | |
| 87340 | <1% | 677 | 596 | $522.34 |
29 more codes
| 83540 | <1% | 3,393 | $459.01 | |
| 84132 | <1% | 8,824 | $458.81 | |
| 82310 | <1% | 6,964 | $363.80 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 76 | $274.86 |
| 90688 | <1% | 79 | $205.22 | |
| 86704 | <1% | 435 | $174.02 | |
| 86803 | <1% | 439 | $167.86 | |
| 86709 | <1% | 438 | $162.68 | |
| 86706 | <1% | 436 | $151.06 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 372 | $87.79 |
| 84520 | <1% | 8,109 | $63.28 | |
| J0636 | Injection, calcitriol, 0.1 mcg | <1% | 621 | $54.04 |
| 90686 | <1% | 16 | $41.64 | |
| 90694 | <1% | 13 | $31.41 | |
| 82040 | <1% | 3,437 | $5.11 | |
| 82962 | 0% | 17,316 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 140 | $0.00 |
| J0606 | Injection, etelcalcetide, 0.1 mg | 0% | 16,664 | $0.00 |
| G0499 | Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result | 0% | 834 | $0.00 |
| 83550 | 0% | 28 | $0.00 | |
| 86769 | 0% | 73 | $0.00 | |
| 90480 | 0% | 20 | $0.00 | |
| 84100 | 0% | 4,013 | $0.00 | |
| 84460 | 0% | 3,259 | $0.00 | |
| 82374 | 0% | 3,796 | $0.00 | |
| 84295 | 0% | 3,793 | $0.00 | |
| 82565 | 0% | 3,498 | $0.00 | |
| 82947 | 0% | 191 | $0.00 | |
| 91322 | 0% | 20 | $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 officialGROMACKI, KATHY (PROJECT COORDINATOR)
Parent organizationBERKSHIRE MEDICAL CENTER, INC.