Physician
Berkshire Orthopaedic Associates, INC.
Berkshire Orthopaedic Associates, INC. was paid $1.34M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoBERKSHIRE ORTHOPAEDIC ASSOCIATES, INC.
PITTSFIELD, MA 01201
PITTSFIELD, MA 01201
33aNPI1720117047assigned 03/04/2007
33bProvider typeOrthopaedic Surgery Physician
28Total paid$1.34M
24GClaims33,250
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Massachusetts
Rank by total paid#2 of 166
Median peer was paid$10K
This provider vs. median141×
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 | 3,795 | $126K | |
| 2019 | 4,636 | $162K | |
| 2020 | 4,136 | $153K | |
| 2021 | 4,738 | $182K | |
| 2022 | 3,810 | $191K | |
| 2023 | 6,332 | $267K | |
| 2024incomplete | 5,803 | $256K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 15,927 | 14,953 | $611K |
| 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 | 17% | 3,841 | 3,741 | $229K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 2,233 | 2,227 | $144K |
| 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 | 9.0% | 1,191 | 1,191 | $120K |
| 20610 | 6.1% | 2,931 | 2,592 | $82K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 2.6% | 1,734 | 1,690 | $34K |
| 95886 | 1.7% | 307 | 293 | $22K | |
| 73030 | 1.4% | 1,230 | 1,075 | $19K | |
| 73562 | 1.2% | 803 | 640 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 510 | 494 | $11K |
| 73130 | <1% | 583 | 434 | $11K | |
| 73110 | <1% | 376 | 260 | $8K |
14 more codes
| 29075 | <1% | 114 | $6K | |
| 73100 | <1% | 322 | $6K | |
| 73120 | <1% | 282 | $4K | |
| 73564 | <1% | 234 | $4K | |
| 73560 | <1% | 194 | $3K | |
| 29848 | <1% | 17 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 261 | $2K |
| 73140 | <1% | 32 | $556.72 | |
| 73070 | <1% | 30 | $550.12 | |
| 73610 | <1% | 28 | $492.21 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $410.97 |
| 73501 | <1% | 16 | $308.62 | |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass | <1% | 28 | $305.27 |
| 73630 | <1% | 13 | $235.44 |
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 officialROBERT, YVONNE (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Berkshire Orthopaedic Associates, INC. | Pittsfield, MA | $715K |
| Berkshire Orthopaedic Associates, INC. | Pittsfield, MA | $53K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.