Bernstein, Harry

Bernstein, Harry was paid $131K by Medicaid between Jan 2018 and Sep 2020, across 15 billing codes. Its largest line is 92250, — 20% of everything it billed.

33Billing provider infoBERNSTEIN, HARRY
ELGIN, IL 60124

33aNPI1598790438assigned 07/11/2006

33bProvider typeOphthalmology Physician

28Total paid$131K

24GClaims4,872

24DCodes billed15

24AFirst – last monthJan 2018 – Sep 2020

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#135 of 431

Median peer was paid$34K

This provider vs. median3.8×

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	1,297	$35K
2019	2,200	$59K
2020	1,375	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92250		20%	829	708	$26K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	17%	610	520	$22K
92015	Determination of refractive state	16%	1,154	984	$21K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	11%	318	285	$14K
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	9.9%	219	196	$13K
92083		7.1%	334	278	$9K
92133		6.4%	458	384	$8K
92273		4.7%	115	106	$6K
92020		4.2%	377	336	$5K
83861		1.7%	135	82	$2K
92145		<1%	185	159	$1K
83516		<1%	84	52	$793.88

3 more codes

99214	Doctor's office visit, returning patient (more involved)	<1%	21	$656.02
92275		<1%	14	$632.40
92283		<1%	19	$385.66

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.