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    OpenPayerNPI Medicare & MedicaidTodd Berger
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    Todd Berger — Billing Profile & Reimbursement Data

    NPI 1205836418 · St Petersburg, FL · Ophthalmology Physician

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    Todd Berger is a ophthalmology physician provider located in St Petersburg, Florida. This profile covers 19 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTodd Berger
    Address1601 38th Ave N
    CitySt Petersburg
    StateFL
    ZIP33713
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 29, 2005

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

    Payer SourceTotal Paid
    Medicare$1.6M
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,110$670$743.9K
    J2778Injection, ranibizumab, 0.1 mg1,640$180$289.4K
    J2777Injection, faricimab‑svoa, 0.1 mg7,080$30$205.3K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg870$120$100.9K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.1,140$90$97.6K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…400$90$35.9K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.1,180$30$34.1K
    J3490Unclassified drugs30$1,090$28.3K
    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…140$90$12.8K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…110$60$6.8K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178111250800$690$817.6K
    J277712517012,810$30$549.2K
    J277820110660$180$234.1K
    J27811350500$120$102K
    67028109300710$90$91.1K
    J349016018070$280$87.5K
    920146012,180160$80$28.5K
    9921415,98832,760140$90$25K
    920126001,170110$60$16.7K
    J7999128190130$70$16.4K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Selina LinFLOphthalmology Physician$4.1M$0
    Daniel KiernanFLOphthalmology Physician$2.7M$572.1K
    Martin OrlickFLOphthalmology Physician$2.2M$0
    Byung-joon AhnFLOphthalmology Physician$2.1M$0
    Michael TsipurskyFLRetina Specialist (Ophthalmology) Physician$1.5M$513.3K
    Scott PautlerFLOphthalmology Physician$2M$0
    Karina FindlayFLRetina Specialist (Ophthalmology) Physician$1.6M$0
    Nandesh PatelFLRetina Specialist (Ophthalmology) Physician$1.6M$370
    George PetersMAOphthalmology Physician$1.6M$0
    Joshua MaliNJRetina Specialist (Ophthalmology) Physician$1.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mariano D Cibran, Md Corp Dba St Petersburg PediatricsFLPediatrics Physician$0$30M
    Professional Health Care Of Pinellas LLCFLInternal Medicine Physician$0$11.7M
    Hazem Al-andaryFLInternal Medicine Physician$975.2K$0
    Tracy HalmeFLDiagnostic Radiology Physician$324.5K$0
    Luis YcazaFLInternal Medicine Physician$232.7K$0
    Mia JacksonFLDiagnostic Radiology Physician$221.5K$0
    Rishi PatelFLFamily Medicine Physician$204.5K$0
    Patricia GilroyFLPlastic Surgery within the Head & Neck (Otolaryngology) Physician$164.6K$0
    Loren MillerFLFoot & Ankle Surgery Podiatrist$159K$0
    Kevin HuguetFLSurgery Physician$132.5K$0

    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. Florida Distribution
    Todd Berger — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida