Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Dakota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Stephen Berns (NPI 1437367927)

Field	Value
Entity Type	Individual
Organization	Stephen Berns
Address	222 N 7th St
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	May 18, 2007

Payer Source	Total Paid
Medicaid	$6.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	160	$30	$5.3K
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	60	$20	$1.2K
88304	The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	10	$20	$190
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	10	$1	$50

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Stephen Berns — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	15	20	1,200	$50	$190.6K
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	5	10	670	$110	$123.1K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	10	10	180	$60	$45.7K
88304	The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	9	10	70	$10	$9.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jim Lu	IL	Anatomic Pathology Physician	$2.7M	$584.1K
Aswartha Pothula	IL	Interventional Cardiology Physician	$870.4K	$121.2K
Srikanth Kasula	IA	Interventional Cardiology Physician	$861.7K	$9.8K
Rafat Padaria	IA	Cardiovascular Disease Physician	$705.1K	$0
Robert Pode	IL	Ophthalmology Physician	$581.5K	$47.6K
Edmund Coyne	IA	Cardiovascular Disease Physician	$623K	$920
Kathleen Keyes	IA	Cardiovascular Disease Physician	$614.8K	$0
Anupama Upadhyay	IA	Psychiatry Physician	$31.6K	$560.4K
Maurice Binns	IL	Emergency Medicine Physician	$65.5K	$522.5K
Faraz Manazir	IL	Interventional Cardiology Physician	$477.1K	$78.2K

Stephen Berns — Billing Profile & Reimbursement Data

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Stephen Berns — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References