Steven T. Berger MD PC
Steven T. Berger MD PC was paid $304K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 40% of everything it billed.
33Billing provider infoSTEVEN T. BERGER MD PC
SPRINGFIELD, MA 01118
SPRINGFIELD, MA 01118
33aNPI1578549895assigned 12/19/2005
33bProvider typeOptometrist
28Total paid$304K
24GClaims9,606
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#68 of 629
Median peer was paid$15K
This provider vs. median20×
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 | 273 | $10K | |
| 2019 | 708 | $36K | |
| 2020 | 177 | $7K | |
| 2021 | 2,284 | $78K | |
| 2022 | 1,770 | $49K | |
| 2023 | 2,369 | $82K | |
| 2024incomplete | 2,025 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 40% | 2,059 | 2,026 | $122K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 1,628 | 1,602 | $71K |
| 92015 | Determination of refractive state | 12% | 3,058 | 2,972 | $37K |
| 92250 | 11% | 1,709 | 1,656 | $34K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.7% | 755 | 717 | $23K |
| 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 | 3.3% | 205 | 205 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 49 | 49 | $4K |
| 92134 | <1% | 66 | 66 | $782.52 | |
| 92083 | <1% | 25 | 25 | $676.80 | |
| 92133 | <1% | 28 | 27 | $227.58 | |
| 83861 | <1% | 24 | 12 | $107.57 |
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 officialBERGER, STEVEN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
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| LA Brea Rehabilitation Center, LLC | Los Angeles, CA | $32K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.