Medicaid Provider Spending

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

BERKSHIRE FACULTY SERVICES INC

NPI: 1548212939 · PITTSFIELD, MA 01201 · Multi-Specialty Clinic/Center · NPI assigned 05/16/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RODOWICZ, DARLENE controls 11+ related entities in our dataset. Read more

$13.13M
Total Medicaid Paid
490,173
Total Claims
445,108
Beneficiaries
149
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRODOWICZ, DARLENE (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date05/16/2006

Related Entities

Other providers sharing the same authorized official: RODOWICZ, DARLENE

ProviderCityStateTotal Paid
BERKSHIRE MEDICAL CENTER, INC PITTSFIELD MA $150.13M
FAIRVIEW HOSPITAL GREAT BARRINGTON MA $17.67M
BERKSHIRE MEDICAL CENTER, INC PITTSFIELD MA $15.35M
FAIRVIEW HOSPITAL NORTH ADAMS MA $3.50M
BERKSHIRE MEDICAL CENTER, INC. PITTSFIELD MA $3.10M
FAIRVIEW HOSPITAL WILLIAMSTOWN MA $2.82M
FAIRVIEW HOSPITAL GREAT BARRINGTON MA $1.95M
BERKSHIRE MEDICAL CENTER, INC NORTH ADAMS MA $639K
NORTH ADAMS REGIONAL HOSPITAL CORPORATION NORTH ADAMS MA $306K
BHS URGENT CARE CENTER PITTSFIELD MA $126K
BERKSHIRE MEDICAL CENTER, INC. PITTSFIELD MA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 57,826 $1.51M
2019 71,728 $1.89M
2020 59,223 $1.78M
2021 69,137 $1.94M
2022 77,899 $2.37M
2023 87,161 $2.15M
2024 67,199 $1.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 149,572 143,614 $5.30M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85,454 81,301 $2.66M
99215 Prolong outpt/office vis 13,899 13,058 $598K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,616 2,221 $360K
98929 9,790 7,360 $326K
64405 12,199 10,513 $317K
99232 Subsequent hospital care, per day, moderate complexity 9,337 3,221 $262K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,922 5,865 $258K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9,541 9,509 $240K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 62,122 54,558 $234K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,514 2,488 $171K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,918 1,913 $142K
99309 Subsequent nursing facility care, per day, low to moderate complexity 8,272 6,188 $138K
64450 6,341 5,319 $131K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,946 1,945 $124K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,026 2,025 $121K
20552 10,944 8,320 $113K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 2,214 2,210 $104K
90460 Immunization administration through 18 years of age via any route, first or only component 4,192 3,267 $85K
99308 Subsequent nursing facility care, per day, straightforward 7,778 5,790 $84K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,814 1,636 $82K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,019 1,019 $68K
99223 Prolong inpt eval add15 m 834 824 $65K
99408 3,122 2,287 $53K
99222 Initial hospital care, per day, moderate complexity 1,073 1,053 $52K
62323 1,366 1,346 $52K
45380 Colonoscopy, flexible; with biopsy, single or multiple 916 911 $51K
99233 Prolong inpt eval add15 m 1,398 867 $51K
20553 4,448 3,985 $49K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,855 3,834 $47K
98928 1,679 1,373 $43K
95886 1,139 1,137 $41K
64493 1,069 1,053 $40K
92557 1,306 1,303 $39K
64483 746 734 $35K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 3,827 3,817 $34K
92567 2,341 2,329 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,626 1,596 $27K
96127 3,044 2,875 $26K
64494 1,070 1,035 $24K
93298 2,737 2,729 $22K
20610 1,361 1,251 $22K
27096 552 543 $21K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,938 1,930 $19K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 228 228 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 270 270 $16K
99406 3,031 2,968 $14K
64615 254 254 $13K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 102 102 $12K
64495 580 576 $12K
59025 Fetal non-stress test 402 320 $12K
99205 Prolong outpt/office vis 159 159 $12K
99152 2,479 2,402 $10K
93016 1,239 1,231 $10K
95816 379 367 $10K
98927 419 321 $9K
99221 230 223 $9K
99497 234 233 $8K
95911 108 108 $8K
99442 1,068 998 $8K
93018 1,150 1,147 $7K
90961 197 195 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 93 92 $6K
95910 111 111 $6K
69210 516 506 $6K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 399 258 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 90 90 $6K
94060 1,167 1,161 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity 431 166 $6K
64484 251 234 $6K
99443 756 716 $6K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,948 1,897 $5K
93295 356 356 $5K
93294 863 863 $5K
92551 527 523 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 148 140 $5K
11721 649 648 $4K
71046 Radiologic examination, chest; 2 views 392 390 $4K
90461 559 310 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 395 391 $4K
64635 37 37 $4K
97597 357 215 $3K
99441 607 577 $3K
64490 49 48 $3K
94729 888 880 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 332 308 $3K
99173 123 123 $3K
76801 70 67 $3K
93880 204 204 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 92 92 $2K
93272 142 142 $2K
94726 533 525 $2K
99310 Prolong nursin fac eval 15m 60 59 $2K
11720 464 464 $2K
11056 237 237 $2K
95908 57 57 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 38 38 $2K
95885 187 186 $2K
95806 39 39 $2K
93923 245 244 $2K
93793 1,193 479 $2K
96160 1,515 1,510 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 46 46 $1K
99407 66 64 $1K
64491 37 36 $1K
99188 43 43 $1K
90674 128 128 $1K
92555 94 94 $1K
95251 103 101 $1K
92552 69 69 $1K
62321 25 25 $1K
64492 25 24 $955.60
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 83 66 $916.48
76775 66 64 $833.15
99177 77 77 $733.68
17110 18 17 $727.84
93971 41 41 $722.47
93297 99 99 $690.24
11719 688 688 $625.88
43235 14 13 $613.39
G0008 Administration of influenza virus vaccine 239 239 $605.44
11102 28 28 $577.13
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 86 74 $573.78
11055 90 90 $532.34
85018 184 184 $403.03
64636 14 13 $344.23
99490 Ccm add 20min 165 165 $315.60
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 24 12 $291.78
81002 1,670 1,628 $266.59
90935 Hemodialysis procedure with single evaluation by a physician 24 12 $257.06
93280 41 41 $235.20
91200 12 12 $232.63
93000 14 14 $179.50
90756 16 16 $158.40
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 19 19 $93.02
81025 12 12 $77.92
76857 12 12 $77.32
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 89 87 $56.86
99307 62 55 $29.48
96161 12 12 $24.15
81000 205 202 $9.81
J0585 Injection, onabotulinumtoxina, 1 unit 167 110 $0.02
95874 12 12 $0.00
90670 12 12 $0.00
90686 500 500 $0.00
95012 40 40 $0.00
91307 13 13 $0.00
90688 57 57 $0.00
51798 106 105 $0.00