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    OpenPayerNPI Medicare & MedicaidBerkshire Cosmetic & Reconstructive Surgery Center…
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    Berkshire Cosmetic & Reconstructive Surgery Center Inc. — Billing Profile & Reimbursement Data

    NPI 1285673186 · Pittsfield, MA · Ambulatory Surgical Clinic/Center

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    Berkshire Cosmetic & Reconstructive Surgery Center Inc. is a ambulatory surgical clinic/center provider located in Pittsfield, Massachusetts. This profile covers 16 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 TypeOrganization
    OrganizationBerkshire Cosmetic & Reconstructive Surgery Center Inc.
    Address426 South St
    CityPittsfield
    StateMA
    ZIP01201
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJune 6, 2006

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

    Payer SourceTotal Paid
    Medicare$300K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…100$690$69.2K
    14020The provider repairs the defects in the patient’s scalp, arms, and/or legs by using healthy tissues from an adjacent site. This code represents services for defects of 10 cm2 or less.60$690$38K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.50$680$34.5K
    14041The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…50$680$33.1K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.50$680$32K
    14021The provider repairs lesions in the patient’s scalp, arms, or legs by using the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2.40$710$26.3K
    15220This CPT code is for a free full–thickness skin graft of the scalp, arms, and/or legs that is 20 cm2 or less in size.40$650$24.5K
    40520The provider makes a V–shaped incision on the patient’s lips and closes the incision directly in a linear fashion. He typically performs this service to remove a lesion or defect.10$910$12.7K
    15240This code is for a free full–thickness skin graft of the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet that is 20 cm2 or less in size.20$630$10.7K
    14000In an adjacent tissue transfer (ATT) of the trunk, the provider transfers a skin part to another skin segment on the trunk.  This code is for an ATT 10 cm2 in size or less.10$630$7.5K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    15260115020$810$29.2K
    1402011050$590$26.5K
    1522021020$600$23.9K
    1404163020$750$21.6K
    1524041020$720$21.5K
    1406095030$600$19.7K
    1404023020$610$19.6K
    1402111020$700$14.8K
    4052011010$910$12.7K
    1400031010$440$6.6K

    Showing 1–10 of 16

    Nearby Providers

    Other providers in the same ZIP code as Berkshire Cosmetic & Reconstructive Surgery Center Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusetsMACase Management Agency$0$275M
    Berkshire Medical Center, IncMAGeneral Acute Care Hospital$0$150M
    The Brien Center For Mental Health And Substance Abuse Services Inc.MAMental Health Clinic/Center (Including Community Mental Health Center)$0$50.7M
    Elder Services Of Berkshire County Inc.MACase Management Agency$0$35.9M
    Hillcrest Educational Centers IncMAEmotionally Disturbed Childrens' Residential Treatment Facility$0$21.6M
    Berkshire County Arc, Inc.MAFoster Care Agency$0$19.8M
    Berkshire Medical Center, IncMASubstance Abuse Rehabilitation Facility$0$15.4M
    Ucp Of Western Massachusetts IncMAEarly Intervention Provider Agency$0$14.9M
    Hospicecare In The Berkshires, Inc.MACommunity Based Hospice Care Agency$0$13.8M
    Berkshire Faculty Services IncMAMulti-Specialty Clinic/Center$0$13.1M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Berkshire Cosmetic & Reconstructive Surgery Center Inc. — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts