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    OpenPayerNPI Medicare & MedicaidLaureen Berkowitz
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    Laureen Berkowitz — Billing Profile & Reimbursement Data

    NPI 1104110030 · Providence, RI · Physician Assistant

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    Laureen Berkowitz is a physician assistant provider located in Providence, Rhode Island. This profile covers 4 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLaureen Berkowitz
    Address1125 N Main St
    CityProvidence
    StateRI
    ZIP02904
    TaxonomyPhysician Assistant
    NPI EnumeratedJune 8, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$232.7K
    Medicare$14.5K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…50$130$6.3K
    99443N/A70$80$6.1K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…20$60$1.2K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…10$80$830

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,9381,950100$80$11.7K
    9935062030$130$5.5K
    994978810050$60$4K
    994431511030$80$3.5K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…890$70$58.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…570$70$37K
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…110$330$37K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…290$70$21.5K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…770$20$16.2K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…150$110$15.7K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.90$150$13.6K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.90$150$13.3K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.130$80$10.6K
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…70$50$3.2K

    Showing 1–10 of 15

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Rhode Island median

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…1630260$60$3.4M
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.3250330$50$2.7M
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…1220660$180$475.3K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.77130140$70$160.8K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.73130130$70$141.1K
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…4480100$40$90.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…5221,730220$70$75.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…5952,050300$50$72.3K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…5710090$100$70.7K
    86780The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to Treponema pallidum, a spiral shaped bacteria called a spirochete, that causes syphilis.466090$30$59.7K

    Showing 1–10 of 15

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Laureen Berkowitz, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rhode Island HospitalRIGeneral Acute Care Hospital$0$380.8M
    Rhode Island HospitalRIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$13.2M
    Rhode Island HospitalRIPediatrics Physician$0$5.3M
    Rhode Island HospitalRIMulti-Specialty Clinic/Center$0$4M
    Rhode Island HospitalRIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.6M
    George DupontRIPediatric Dentistry$0$2.4M
    Rhode Island HospitalRIHematology & Oncology Physician$0$2.3M
    Brian SavoieRIRetina Specialist (Ophthalmology) Physician$1.4M$55.1K
    Chandan LakhianiRIPediatrics Physician$0$1.3M
    Boris SkurkovichRIPediatrics Physician$0$1.2M

    Nearby Providers

    Other providers in the same ZIP code as Laureen Berkowitz, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Providence Center IncRIMental Health Clinic/Center (Including Community Mental Health Center)$0$170.9M
    Re-focus Inc.RIDevelopmentally Disabled Services Day Training Agency$0$102.5M
    Hopehealth Hospice & Palliative CareRICommunity Based Hospice Care Agency$0$33.3M
    Mas Medical StaffingRIHome Health Agency$0$24.5M
    Generations Adult Day Health CenterRIAdult Day Care Clinic/Center$0$16.3M
    Prospect Chartercare Sjhsri, LLCRIGeneral Acute Care Hospital$0$10.9M
    Global Homecare And Staffing IncRIHome Health Agency$0$8.3M
    Emergency Care Services Of New England PCRIEmergency Medicine Physician$0$6.9M
    State Of Rhode IslandRIClinical Medical Laboratory$570$6.4M
    The Providence CenterRICommunity/Behavioral Health Agency$0$5.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Rhode Island Distribution
    Laureen Berkowitz — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Laureen Berkowitz — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island