Berhe, Tseghai

Berhe, Tseghai was paid $1.82M by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.

33Billing provider infoBERHE, TSEGHAI
SCHAUMBURG, IL 60193

33aNPI1982678207assigned 02/14/2006

33bProvider typePediatric Endocrinology Physician

28Total paid$1.82M

24GClaims25,235

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatric Endocrinology Physician providers in Illinois

Rank by total paid#1 of 38

Median peer was paid$125K

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration96% of spending on code 99214 with only 3 total codes billed. Highly concentrated billing profile.

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	3,790	$249K
2019	4,521	$328K
2020	5,095	$349K
2021	4,310	$323K
2022	3,611	$260K
2023	2,538	$192K
2024incomplete	1,370	$120K

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	96%	24,622	20,212	$1.74M
99244	Office or other outpatient consultation, moderate to high complexity	4.2%	569	480	$76K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	44	44	$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.