Physician
Berne, Douglas
Berne, Douglas was paid $9K by Medicaid between Feb 2024 and Apr 2024, across 2 billing codes. Its largest line is 99205, Prolong outpt/office vis — 99% of everything it billed.
33Billing provider infoBERNE, DOUGLAS
TEMPLE, PA 19560
TEMPLE, PA 19560
33aNPI1760402283assigned 07/20/2006
33bProvider typePsychiatry Physician
28Total paid$9K
24GClaims112
24DCodes billed2
24AFirst – last monthFeb 2024 – Apr 2024
Compared with peers
Next to other Psychiatry Physician providers in Pennsylvania
Rank by total paid#152 of 244
Median peer was paid$30K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2024incomplete | 112 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99205 | Prolong outpt/office vis | 99% | 89 | 55 | $9K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.4% | 23 | 12 | $121.00 |
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.