Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Berg En Dal PLLC

Berg En Dal PLLC was paid $194K by Medicaid between Oct 2020 and Dec 2024, across 9 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 34% of everything it billed.

33Billing provider infoBERG EN DAL PLLC
AUSTIN, TX 78704
33aNPI1740373141assigned 09/30/2006
28Total paid$194K
24GClaims8,862
24DCodes billed9
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Corneal and Contact Management Optometrist providers in Texas

Rank by total paid#11 of 52
Median peer was paid$30K
This provider vs. median6.4×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2020961$28K
20214,367$125K
20222,389$19K
2023122$0.00
2024incomplete1,023$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 34% 2,027 1,844 $66K
V2020 Frames, purchases 19% 2,572 2,316 $37K
V2784 Lens, polycarbonate or equal, any index, per lens 13% 940 908 $25K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 12% 1,343 1,335 $24K
S0620 Routine ophthalmological examination including refraction; new patient 8.1% 395 377 $16K
V2025 Deluxe frame 7.8% 281 280 $15K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 5.4% 1,275 1,019 $10K
V2105 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens <1% 15 15 $633.57
V2750 Anti-reflective coating, per lens <1% 14 14 $38.69

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 officialHAMISSOU, SALLY (OD)