Physician
Berliner, Carl
Berliner, Carl was paid $221K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoBERLINER, CARL
MOUNT VERNON, WA 98273
MOUNT VERNON, WA 98273
33aNPI1881680148assigned 09/22/2005
33bProvider typeFamily Medicine Physician
28Total paid$221K
24GClaims4,215
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Washington
Rank by total paid#119 of 347
Median peer was paid$53K
This provider vs. median4.2×
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 | 868 | $38K | |
| 2019 | 888 | $47K | |
| 2020 | 606 | $27K | |
| 2021 | 427 | $24K | |
| 2022 | 491 | $27K | |
| 2023 | 508 | $30K | |
| 2024incomplete | 427 | $28K |
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 | 44% | 1,581 | 1,496 | $96K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 463 | 430 | $38K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 383 | 380 | $36K |
| 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 | 14% | 360 | 343 | $30K |
| 90686 | 3.9% | 546 | 541 | $9K | |
| 90688 | 1.2% | 218 | 215 | $3K | |
| 90670 | <1% | 187 | 186 | $2K | |
| 90672 | <1% | 135 | 133 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 110 | 104 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 24 | 24 | $1K |
| 90685 | <1% | 77 | 76 | $1K | |
| 90648 | <1% | 69 | 68 | $711.36 |
5 more codes
| 0072A | <1% | 12 | $480.00 | |
| 90633 | <1% | 12 | $195.24 | |
| 90700 | <1% | 12 | $178.97 | |
| 90680 | <1% | 14 | $102.48 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 12 | $0.00 |
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.