Berken, Scott
Berken, Scott was paid $27K by Medicaid between Jun 2018 and Dec 2024, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 50% of everything it billed.
33Billing provider infoBERKEN, SCOTT
ABERDEEN, WA 98520
ABERDEEN, WA 98520
33aNPI1952490294assigned 10/12/2006
33bProvider typeOptometrist
28Total paid$27K
24GClaims1,112
24DCodes billed4
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#270 of 565
Median peer was paid$23K
This provider vs. median1.1×
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 | 26 | $311.74 | |
| 2019 | 97 | $1K | |
| 2020 | 91 | $2K | |
| 2021 | 62 | $714.80 | |
| 2022 | 426 | $12K | |
| 2023 | 325 | $10K | |
| 2024incomplete | 85 | $850.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 50% | 219 | 219 | $13K |
| 92015 | Determination of refractive state | 28% | 722 | 721 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 40 | 40 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.0% | 131 | 131 | $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.