Physician
Berkson, David
Berkson, David was paid $84K by Medicaid between Nov 2020 and Oct 2024, across 10 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 31% of everything it billed.
33Billing provider infoBERKSON, DAVID
PHOENIXVILLE, PA 19460
PHOENIXVILLE, PA 19460
33aNPI1588756233assigned 09/29/2006
33bProvider typeSports Medicine (Family Medicine) Physician
28Total paid$84K
24GClaims2,072
24DCodes billed10
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Sports Medicine (Family Medicine) Physician providers in Pennsylvania
Rank by total paid#9 of 49
Median peer was paid$16K
This provider vs. median5.1×
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 | |
|---|---|---|---|
| 2020 | 196 | $7K | |
| 2021 | 1,142 | $44K | |
| 2022 | 357 | $18K | |
| 2024incomplete | 377 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 31% | 902 | 887 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 482 | 475 | $23K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 16% | 388 | 384 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 138 | 138 | $11K |
| S9083 | Global fee urgent care centers | 5.9% | 40 | 40 | $5K |
| 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 | 4.8% | 57 | 57 | $4K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 29 | 27 | $773.43 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | 12 | $324.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | 12 | $160.50 |
| 81003 | <1% | 12 | 12 | $30.60 |
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.