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    OpenPayerNPI Medicare & MedicaidDaren Bergman
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    Daren Bergman — Billing Profile & Reimbursement Data

    NPI 1669402905 · Framingham, MA · Podiatrist

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    Daren Bergman is a podiatrist provider located in Framingham, Massachusetts. This profile covers 8 Medicare and 1 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
    OrganizationDaren Bergman
    Address42 Lincoln St
    CityFramingham
    StateMA
    ZIP01702
    TaxonomyPodiatrist
    NPI EnumeratedJuly 3, 2006

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

    Payer SourceTotal Paid
    Medicare$69.8K
    Medicaid$840

    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.

    8 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…490$70$35.8K
    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…150$80$12.7K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.340$20$8.1K
    28730In this procedure, the provider surgically immobilizes multiple or transverse midtarsal or tarsometatarsal joints with the help of fixation devices. Midtarsal joints are combined joints of either the…10$620$6.8K
    20605In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…90$40$3.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…10$100$1.5K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.40$20$880
    J1030Injection, methylprednisolone acetate, 40 mg90$10$530

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921374513,70070$60$8.8K
    2873011010$610$6.8K
    992222,7833,42030$100$4.5K
    992032764,29030$80$4.1K
    206051414020$40$1.6K
    736302176050$20$1.3K
    J103012930070$10$960
    7361023960030$10$700

    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.

    1 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…20$60$840

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    1 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…4,7735,300230$60$164.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Symeon ZannikosMAOrthopaedic Surgery Physician$310.4K$0
    Sean RockettMAOrthopaedic Surgery Physician$271.2K$0
    Kevin SullivanMAPhysical Medicine & Rehabilitation Physician$260.4K$0
    Mark FinnoMAPhysical Medicine & Rehabilitation Physician$216.1K$0
    Agam ShahMAOrthopaedic Surgery Physician$187.9K$0
    Jason SaillantMAOrthopaedic Hand Surgery Physician$141.9K$0
    Michael SgangaMAFoot & Ankle Surgery Podiatrist$85.7K$0
    Donald AdamsMAPodiatrist$61.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusettsMACase Management Agency$0$350.2M
    Vhs Acquisition Subsidiary Number 9 IncMAGeneral Acute Care Hospital$0$58.9M
    South Middlesex Opportunity Council IncMACommunity/Behavioral Health Agency$0$37.4M
    New England Family Dental PCMAPoint of Service$0$14.6M
    Justice Resource Institute, Inc.MADevelopmentally Disabled Services Day Training Agency$0$14.2M
    Advanced Home Care Services LLCMAHome Health Agency$0$12.4M
    New Horizons Medical, Inc.MAAddiction (Substance Use Disorder) Counselor$0$11.7M
    Robert JohnstonMAPsychiatry Physician$10.9K$11M
    Hdc Care Solutions, LLCMANurse Practitioner$0$8M
    Alec H. Jaret, Dmd, PCMADentist$0$7.3M

    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. Massachusetts Distribution
    Daren Bergman — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Daren Bergman — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts