Physician
Berger, Michael
Berger, Michael was paid $5K by Medicaid between Feb 2019 and Dec 2020, across 2 billing codes. Its largest line is 99285, emergency room visit (most serious) — 55% of everything it billed.
33Billing provider infoBERGER, MICHAEL
WAUKESHA, WI 53188
WAUKESHA, WI 53188
33aNPI1821170333assigned 10/20/2006
33bProvider typeEmergency Medicine Physician
28Total paid$5K
24GClaims124
24DCodes billed2
24AFirst – last monthFeb 2019 – Dec 2020
Compared with peers
Next to other Emergency Medicine Physician providers in Wisconsin
Rank by total paid#128 of 230
Median peer was paid$7K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2019 | 69 | $3K | |
| 2020 | 55 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 55% | 71 | 68 | $3K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 45% | 53 | 52 | $2K |
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.