Berke, Robert

Berke, Robert was paid $90K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoBERKE, ROBERT
WESTFIELD, NY 14787

33aNPI1720057599assigned 03/15/2006

33bProvider typePublic Health & General Preventive Medicine Physician

28Total paid$90K

24GClaims6,147

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Public Health & General Preventive Medicine Physician providers in New York

Rank by total paid#2 of 10

Median peer was paid$7K

This provider vs. median13×

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	335	$6K
2019	768	$6K
2020	1,095	$7K
2021	1,253	$11K
2022	1,226	$19K
2023	894	$22K
2024incomplete	576	$18K

Box 24 · Service lines

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	56%	1,234	1,124	$51K
99490	Ccm add 20min	20%	2,636	2,636	$18K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	342	320	$9K
99484		6.0%	1,094	1,094	$5K
99439		4.6%	476	476	$4K
99457		1.8%	125	125	$2K
99308	Subsequent nursing facility care, per day, straightforward	<1%	74	70	$564.21
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%	91	84	$24.30
80305		<1%	28	25	$16.16
G2058	Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).	0%	47	47	$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.