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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHoward Berg
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    Howard Berg — Billing Profile & Reimbursement Data

    NPI 1639272289 · West Orange, NJ · Otolaryngology/Facial Plastic Surgery Physician

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    Howard Berg is a otolaryngology/facial plastic surgery physician provider located in West Orange, New Jersey. This profile covers 12 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
    OrganizationHoward Berg
    Address101 Old Short Hills Road
    CityWest Orange
    StateNJ
    ZIP07052
    TaxonomyOtolaryngology/Facial Plastic Surgery Physician
    NPI EnumeratedSeptember 7, 2006

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

    Payer SourceTotal Paid
    Medicare$67.4K
    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.

    12 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…270$80$20.9K
    99203The provider sees a new 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 provider…210$100$19.5K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.170$40$6.6K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.30$180$5.8K
    30903The provider uses a complex or extensive approach to stop a heavy nosebleed caused by a vessel in the front area of the nose.20$240$5.5K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.30$120$3.8K
    92556The provider measures a patient’s ability to recognize familiar words and repeat them to diagnose hearing disorders.70$40$2.6K
    G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing20$30$640
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.40$10$590
    92563The provider assesses problems in the transmission of nerve impulses from the ear by computing the difference in time between when a tone is emitted and when it is heard. The test results indicate…20$30$480

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    31231182230120$160$25.5K
    992133,12014,090100$70$13.1K
    3157519824070$110$9K
    3090382020$230$5.4K
    992031545,66040$80$4.8K
    6921013149040$40$4.4K
    G026810613060$40$3.5K
    92550748080$20$2.5K
    92563111060$30$2.2K
    92587233070$20$2.1K

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Barnabas Health Medical Group, PCNJSpecialist$0$39.6M
    Anchor Behavioral Solutions LLCNJCommunity/Behavioral Health Agency$0$27.2M
    Vna Health Group Of New Jersey, LLCNJCommunity Based Hospice Care Agency$0$24.5M
    Premie Home Health Care Services, Inc.NJHome Health Agency$0$12.5M
    Mental Health Assn Of Essex And MorrisNJCase Management Agency$0$10.6M
    Vna Health Group Of New Jersey, LLCNJHome Health Agency$0$10.6M
    Kessler Institute For Rehabilitation IncNJRehabilitation Hospital$0$10.2M
    Rwjbh Primary Care ServicesNJInternal Medicine Physician$0$8.6M
    West Orange Board Of EducationNJLocal Education Agency (LEA)$0$8.2M
    Maxim Healthcare Services, Inc.NJHome Health Agency$0$8.1M

    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. New Jersey Distribution
    Howard Berg — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey