Berkshire Faculty Services INC
Berkshire Faculty Services INC was paid $13.13M by Medicaid between Jan 2018 and Dec 2024, across 149 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
PITTSFIELD, MA 01201
Next to other Multi-Specialty Clinic/Center providers in Massachusetts
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 67,199 | $1.49M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 149,572 | 143,614 | $5.30M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 85,454 | 81,301 | $2.66M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.6% | 13,899 | 13,058 | $598K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.7% | 4,616 | 2,221 | $360K |
| 98929 | 2.5% | 9,790 | 7,360 | $326K | |
| 64405 | 2.4% | 12,199 | 10,513 | $317K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 9,337 | 3,221 | $262K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.0% | 5,922 | 5,865 | $258K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.8% | 9,541 | 9,509 | $240K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.8% | 62,122 | 54,558 | $234K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.3% | 2,514 | 2,488 | $171K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 1,918 | 1,913 | $142K |
137 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.0% | 8,272 | $138K |
| 64450 | 1.0% | 6,341 | $131K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,946 | $124K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,026 | $121K |
| 20552 | <1% | 10,944 | $113K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 2,214 | $104K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,192 | $85K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 7,778 | $84K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,814 | $82K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,019 | $68K |
| 99223 | Prolong inpt eval add15 m | <1% | 834 | $65K |
| 99408 | <1% | 3,122 | $53K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,073 | $52K |
| 62323 | <1% | 1,366 | $52K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 916 | $51K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,398 | $51K |
| 20553 | <1% | 4,448 | $49K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,855 | $47K |
| 98928 | <1% | 1,679 | $43K | |
| 95886 | <1% | 1,139 | $41K | |
| 64493 | <1% | 1,069 | $40K | |
| 92557 | <1% | 1,306 | $39K | |
| 64483 | <1% | 746 | $35K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 3,827 | $34K |
| 92567 | <1% | 2,341 | $33K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,626 | $27K |
| 96127 | <1% | 3,044 | $26K | |
| 64494 | <1% | 1,070 | $24K | |
| 93298 | <1% | 2,737 | $22K | |
| 20610 | <1% | 1,361 | $22K | |
| 27096 | <1% | 552 | $21K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,938 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 228 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 270 | $16K |
| 99406 | <1% | 3,031 | $14K | |
| 64615 | <1% | 254 | $13K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 102 | $12K |
| 64495 | <1% | 580 | $12K | |
| 59025 | Fetal non-stress test | <1% | 402 | $12K |
| 99205 | Prolong outpt/office vis | <1% | 159 | $12K |
| 99152 | <1% | 2,479 | $10K | |
| 93016 | <1% | 1,239 | $10K | |
| 95816 | <1% | 379 | $10K | |
| 98927 | <1% | 419 | $9K | |
| 99221 | <1% | 230 | $9K | |
| 99497 | <1% | 234 | $8K | |
| 95911 | <1% | 108 | $8K | |
| 99442 | <1% | 1,068 | $8K | |
| 93018 | <1% | 1,150 | $7K | |
| 90961 | <1% | 197 | $7K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 93 | $6K |
| 95910 | <1% | 111 | $6K | |
| 69210 | <1% | 516 | $6K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 399 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 90 | $6K |
| 94060 | <1% | 1,167 | $6K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 431 | $6K |
| 64484 | <1% | 251 | $6K | |
| 99443 | <1% | 756 | $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% | 1,948 | $5K |
| 93295 | <1% | 356 | $5K | |
| 93294 | <1% | 863 | $5K | |
| 92551 | <1% | 527 | $5K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 148 | $5K |
| 11721 | <1% | 649 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 392 | $4K |
| 90461 | <1% | 559 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 395 | $4K |
| 64635 | <1% | 37 | $4K | |
| 97597 | <1% | 357 | $3K | |
| 99441 | <1% | 607 | $3K | |
| 64490 | <1% | 49 | $3K | |
| 94729 | <1% | 888 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 332 | $3K |
| 99173 | <1% | 123 | $3K | |
| 76801 | <1% | 70 | $3K | |
| 93880 | <1% | 204 | $2K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 92 | $2K |
| 93272 | <1% | 142 | $2K | |
| 94726 | <1% | 533 | $2K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 60 | $2K |
| 11720 | <1% | 464 | $2K | |
| 11056 | <1% | 237 | $2K | |
| 95908 | <1% | 57 | $2K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 38 | $2K |
| 95885 | <1% | 187 | $2K | |
| 95806 | <1% | 39 | $2K | |
| 93923 | <1% | 245 | $2K | |
| 93793 | <1% | 1,193 | $2K | |
| 96160 | <1% | 1,515 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 46 | $1K |
| 99407 | <1% | 66 | $1K | |
| 64491 | <1% | 37 | $1K | |
| 99188 | <1% | 43 | $1K | |
| 90674 | <1% | 128 | $1K | |
| 92555 | <1% | 94 | $1K | |
| 95251 | <1% | 103 | $1K | |
| 92552 | <1% | 69 | $1K | |
| 62321 | <1% | 25 | $1K | |
| 64492 | <1% | 25 | $955.60 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 83 | $916.48 |
| 76775 | <1% | 66 | $833.15 | |
| 99177 | <1% | 77 | $733.68 | |
| 17110 | <1% | 18 | $727.84 | |
| 93971 | <1% | 41 | $722.47 | |
| 93297 | <1% | 99 | $690.24 | |
| 11719 | <1% | 688 | $625.88 | |
| 43235 | <1% | 14 | $613.39 | |
| G0008 | Administration of influenza virus vaccine | <1% | 239 | $605.44 |
| 11102 | <1% | 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 | <1% | 86 | $573.78 |
| 11055 | <1% | 90 | $532.34 | |
| 85018 | <1% | 184 | $403.03 | |
| 64636 | <1% | 14 | $344.23 | |
| 99490 | Ccm add 20min | <1% | 165 | $315.60 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | $291.78 |
| 81002 | <1% | 1,670 | $266.59 | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 24 | $257.06 |
| 93280 | <1% | 41 | $235.20 | |
| 91200 | <1% | 12 | $232.63 | |
| 93000 | <1% | 14 | $179.50 | |
| 90756 | <1% | 16 | $158.40 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | $93.02 |
| 81025 | <1% | 12 | $77.92 | |
| 76857 | <1% | 12 | $77.32 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 89 | $56.86 |
| 99307 | <1% | 62 | $29.48 | |
| 96161 | <1% | 12 | $24.15 | |
| 81000 | <1% | 205 | $9.81 | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 167 | $0.02 |
| 95874 | 0% | 12 | $0.00 | |
| 90670 | 0% | 12 | $0.00 | |
| 90686 | 0% | 500 | $0.00 | |
| 95012 | 0% | 40 | $0.00 | |
| 91307 | 0% | 13 | $0.00 | |
| 90688 | 0% | 57 | $0.00 | |
| 51798 | 0% | 106 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.