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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEdward Berman
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    Edward Berman — Billing Profile & Reimbursement Data

    NPI 1326082538 · Ridgefield, CT · Geriatric Medicine (Internal Medicine) Physician

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    Edward Berman is a geriatric medicine (internal medicine) physician provider located in Ridgefield, Connecticut. This profile covers 9 Medicare and 2 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
    OrganizationEdward Berman
    Address30 Prospect St
    CityRidgefield
    StateCT
    ZIP06877
    TaxonomyGeriatric Medicine (Internal Medicine) Physician
    NPI EnumeratedJune 16, 2006

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

    Payer SourceTotal Paid
    Medicare$36.1K
    Medicaid$26.2K

    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.

    9 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…210$60$13.4K
    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…70$90$6.1K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…170$30$5.1K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…50$70$3.4K
    G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and…30$90$2.6K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…20$110$2.2K
    99347The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…50$40$1.6K
    99315The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.30$60$1.6K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…10$10$120

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G018171040$90$18.3K
    992143,9016,48090$90$14.2K
    992131,0446,44070$60$8.1K
    9930514319040$100$7.5K
    99304194050$60$6.1K
    993074518060$30$4.3K
    99315194030$60$2.3K
    99347256030$30$1.7K
    930001,4471,55040$10$1.3K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…1,110$20$25.4K
    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…10$50$730

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Connecticut median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,6541,710750$30$243.3K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…2180330$10$14.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Hospital Of Central Connecticut At New Britain General And BradleyCTGeneral Acute Care Hospital$0$220M
    Hartford HospitalCTSurgery Physician$0$27.5M
    Hartford Healthcare Medical Group, IncCTSurgery Physician$0$22.4M
    The Hospital Of Central Connecticut At New Britain General And BradleyCTHospitalist Physician$0$22.2M
    Edward FitzpatrickCTOphthalmology Physician$757.6K$0
    Robert MalkinCTCardiovascular Disease Physician$337.7K$0
    Manny KatsetosCTInterventional Cardiology Physician$246.1K$0
    Arun AgarwalCTCardiovascular Disease Physician$178.5K$0
    Haklai LauCTInternal Medicine Physician$172.2K$0
    Joshua RockCTCardiovascular Disease Physician$171K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Danbury Surgical Center LPCTAmbulatory Surgical Clinic/Center$1.5M$44.3K
    Rvnahealth, Inc.CTHome Health Agency$0$1.1M
    Town Of RidgefieldCTAmbulance$401.2K$165.4K
    Western Connecticut Health Network Affiliates, Inc.CTRadiology Clinic/Center$396.2K$76.1K
    Lucille SoldanoCTDiagnostic Radiology Physician$273.6K$0
    James AhernCTFamily Medicine Physician$201.8K$0
    David PazerCTInternal Medicine Physician$179K$0
    Ronald RaymondCTCardiovascular Disease Physician$160K$0
    Robert RuxinCTInternal Medicine Physician$151.6K$310
    Serafima GlouzgalCTInternal Medicine Physician$132.7K$13.9K

    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. Connecticut Distribution
    Edward Berman — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut
    Medicaid Revenue by Year vs. Connecticut Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Connecticut Distribution
    Edward Berman — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut