Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Berkower, Alan

Berkower, Alan was paid $341K by Medicaid between Jan 2018 and Oct 2024, across 16 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 25% of everything it billed.

33Billing provider infoBERKOWER, ALAN
BRONX, NY 10461
33aNPI1871601153assigned 08/28/2006
33bProvider typeOtolaryngology Physician
28Total paid$341K
24GClaims7,780
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Otolaryngology Physician providers in New York

Rank by total paid#48 of 302
Median peer was paid$10K
This provider vs. median34×

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$10K$20K$30K2018201920202021202220232024
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
2018416$21K
20191,205$64K
20201,025$48K
20211,180$50K
20221,484$51K
20231,549$78K
2024incomplete921$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 25% 1,126 1,122 $87K
31231 22% 908 870 $75K
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 20% 1,123 1,091 $67K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 12% 253 51 $40K
92557 4.1% 739 736 $14K
92588 4.0% 669 666 $14K
92570 3.3% 689 686 $11K
92563 2.4% 622 619 $8K
92511 1.8% 501 496 $6K
69210 1.7% 331 328 $6K
31575 1.1% 150 147 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 90 89 $3K
4 more codes
92552 <1% 498 $2K
99213 Doctor's office visit, returning patient (routine) <1% 54 $2K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 15 $1K
43200 <1% 12 $522.38

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.