Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJeffrey Berger
    Ask Trek AI about this page

    Jeffrey Berger — Billing Profile & Reimbursement Data

    NPI 1174526941 · New Hyde Park, NY · Gastroenterology Physician

    Customize your policy alerts

    Sign up for Jeffrey Berger — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Jeffrey Berger is a gastroenterology physician provider located in New Hyde Park, New York. This profile covers 42 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJeffrey Berger
    Address1 Dakota Dr
    CityNew Hyde Park
    StateNY
    ZIP11042
    TaxonomyGastroenterology Physician
    NPI EnumeratedMay 24, 2005

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

    Payer SourceTotal Paid
    Medicare$300.7K
    Medicaid$0

    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.

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…660$110$70.1K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…180$350$63.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.140$300$43.2K
    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…310$80$23.6K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk60$340$18.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit110$150$15.6K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…30$430$12.9K
    99204The provider sees a new 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 provider…90$140$12.5K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…140$30$4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.380$10$3.8K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453856501,10040$320$19.4K
    992141,82330,45090$100$19K
    45380621,22040$230$15K
    432391471,29050$180$14.2K
    992134,81031,44080$70$12.1K
    G01055334020$300$11.8K
    G04391,6136,29050$130$11.2K
    87493111070$40$10.9K
    823062581,03060$30$10.9K
    4537846669020$230$8.3K

    Showing 1–10 of 42

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Optum Medical Care, P.C.NYCardiovascular Disease Physician$0$105.1M
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Long Island Digestive Endoscopy Center, LLCNYAmbulatory Surgical Clinic/Center$1.6M$1.4M
    Matthew PomykalaNYOphthalmology Physician$1.7M$1M
    Howard CharlesNYOphthalmology Physician$2.7M$13.9K
    Changping JiaNYNuclear Imaging & Therapy Physician$2.2M$58.7K
    Eric FitzNYOphthalmology Physician$2.2M$1.3K
    Gad AvshalomovNYAllergy & Immunology Physician$1.6M$452.4K
    Michael VitaleNYVascular & Interventional Radiology Physician$995.6K$907.1K
    Alexandra PappasNYOphthalmology Physician$1.8M$14.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Freedom Care LLCNYHome Health Agency$0$3B
    Northwell Health LaboratoriesNYClinical Medical Laboratory$48.5M$198.2M
    Optum Medical Care Of New Jersey PCNYPediatrics Physician$0$219.4M
    North Shore University HospitalNYCase Management Agency$0$166.6M
    Prohealth Care Associates LLPNYInternal Medicine Physician$0$69.4M
    Personal Touch Home Care Of New York, Inc.NYEarly Intervention Provider Agency$0$19.3M
    Nhpe, LLCNYAmbulatory Surgical Clinic/Center$831.7K$3M
    Stuart WeinermanNYEndocrinology, Diabetes & Metabolism Physician$2.3M$2.3K
    Jason KarpNYPulmonary Disease Physician$2.1M$35.2K
    Vishesh AgrawalNYRadiation Oncology Physician$2.1M$13K

    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. New York Distribution
    Jeffrey Berger — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York