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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Berkowitz
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    Robert Berkowitz — Billing Profile & Reimbursement Data

    NPI 1518061902 · Sheffield Village, OH · Orthopaedic Surgery Physician

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    Robert Berkowitz is a orthopaedic surgery physician provider located in Sheffield Village, Ohio. This profile covers 22 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
    OrganizationRobert Berkowitz
    Address5001 Transportation Dr
    CitySheffield Village
    StateOH
    ZIP44054
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedSeptember 7, 2006

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

    Payer SourceTotal Paid
    Medicare$78.2K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…10$1,230$17.2K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$540$9.2K
    22630The provider performs an arthrodesis, also known as spinal fusion, in the lumbar spine, or lower back, to permanently join two vertebrae, the interlocking bones of the spine. He excises the lamina…10$640$7.7K
    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…90$70$6.4K
    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…130$50$6.1K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…30$200$5K
    63030This procedure is laminotomy of one lumbar interspace with decompression of the nerve root(s), and includes a partial facetectomy, foraminotomy, and/or the excision of a herniated intervertebral…10$430$4.7K
    63052At the same session as lumbar posterior interbody arthrodesis (joint fusion), the provider performs laminectomy, facetectomy, or foraminotomy on a single vertebral segment for decompression.20$210$3.3K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.30$100$2.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$100$2.4K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22612609020$990$23.8K
    6303091010$1,100$18.8K
    2263041020$1,080$16.2K
    6463513021030$310$14.8K
    630479217020$540$13.5K
    9921410,60620,010100$70$11.7K
    992328,0158,05070$60$8.7K
    992234,6515,59040$130$7.6K
    992136,05720,00070$50$6.6K
    992153,0174,95030$110$5.9K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Hospitals Medical Group IncOHMulti-Specialty Clinic/Center$0$107.5M
    University Primary Care Practices IncOHInternal Medicine Physician$0$78.7M
    Partners Physician GroupOHSurgery Physician$0$28.5M
    Lake Hospital System IncOHFamily Medicine Physician$0$6.9M
    Jennifer MullerFLMedical Oncology Physician$1.9M$0
    Haitham AzemOHInternal Medicine Physician$541.7K$0
    John PeckOHUrology Physician$355.7K$0
    Annie YuenFLDiagnostic Radiology Physician$339.1K$0
    Tushar ShahOHInternal Medicine Physician$331.1K$0
    William SchleicherOHStudent in an Organized Health Care Education/Training Program$269.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert ZanottiOHOrthopaedic Surgery Physician$241.7K$0
    William StanfieldOHOrthopaedic Surgery Physician$186.9K$0
    Scott CiacciaOHOrthopaedic Hand Surgery Physician$89.7K$0
    Marc GuayOHOtolaryngology Physician$89.3K$0
    Harkeet SandhuOHSports Medicine (Internal Medicine) Physician$41.6K$0
    Robert HarastyOHSurgical Physician Assistant$15.6K$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. Ohio Distribution
    Robert Berkowitz — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio