Berkes, Jamie

Berkes, Jamie was paid $245K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.

33Billing provider infoBERKES, JAMIE
MAYWOOD, IL 60153

33aNPI1891809620assigned 08/18/2006

33bProvider typeGastroenterology Physician

28Total paid$245K

24GClaims4,607

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#34 of 370

Median peer was paid$16K

This provider vs. median15×

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	567	$19K
2019	599	$26K
2020	347	$18K
2021	709	$39K
2022	670	$37K
2023	819	$49K
2024incomplete	896	$57K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	79%	3,293	2,894	$193K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	13%	531	146	$31K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	7.0%	605	186	$17K
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	<1%	25	25	$2K
99238	Hospital discharge day management, 30 minutes or less	<1%	30	25	$836.83
91200		<1%	109	108	$806.38
99222	Initial hospital care, per day, moderate complexity	<1%	14	13	$359.80

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.