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    OpenPayerNPI Medicare & MedicaidRobert Berkley
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    Robert Berkley — Billing Profile & Reimbursement Data

    NPI 1710092523 · Las Vegas, NV · Cardiovascular Disease Physician

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    Robert Berkley is a cardiovascular disease physician provider located in Las Vegas, Nevada. This profile covers 34 Medicare and 11 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
    OrganizationRobert Berkley
    Address3150 N Tenaya Way
    CityLas Vegas
    StateNV
    ZIP89128
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedAugust 20, 2006

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

    Payer SourceTotal Paid
    Medicare$324.5K
    Medicaid$70.3K

    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93229In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…110$660$74.1K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…400$110$44.6K
    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…290$90$25.7K
    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…350$70$23.4K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…410$50$19.8K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…530$40$19.6K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…430$40$15.7K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.390$40$14.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…230$60$13.9K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…90$90$8.3K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93229125030$660$56.3K
    992337011,150150$90$26.8K
    992325041,340140$60$23.7K
    9330651250190$90$22.5K
    992148743,610110$80$19K
    33208203020$620$13.1K
    99487536040$100$12.2K
    9943928120180$40$11.1K
    994571590150$40$11.1K
    9949038220130$50$11K

    Showing 1–10 of 34

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…140$160$21.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…100$100$10.2K
    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…100$110$10.1K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,740$10$8.7K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…20$490$7.3K
    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…180$20$2.7K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose20$180$2.7K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…60$40$2.6K
    99204The provider sees a new 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 provider…10$190$2.2K
    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$70$1.1K

    Showing 1–10 of 11

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nevada median

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…325470380$70$281.2K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…4550120$240$209.3K
    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…1,5912,250290$60$138K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…98170180$80$120.5K
    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…2,3462,480330$50$107.6K
    99204The provider sees a new 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 provider…74678090$100$46.6K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose243090$60$39.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…357540130$30$28K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.36210200$1$21.9K
    93015The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…263060$30$19.6K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nevada Heart And Vascular Center Resh LLPNVCardiovascular Disease Physician$0$14.1M
    Stephen SavranNVCardiovascular Disease Physician$2.4M$320
    Rafael ValenciaNVCardiovascular Disease Physician$2.3M$121.1K
    Sanjay MalhotraNVCardiovascular Disease Physician$2M$59.5K
    Chowdhury AhsanNVCardiovascular Disease Physician$1.8M$64K
    Shahabuddin KhanNVCardiovascular Disease Physician$1.7M$67.1K
    William ReshNVCardiovascular Disease Physician$807.7K$163.3K
    Thomas LambertNVCardiovascular Disease Physician$934.3K$580
    Sunil KallaNVCardiovascular Disease Physician$743.1K$15.9K
    Cres MirandaNVInterventional Cardiology Physician$711.4K$37.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sunrise Mountainview Hospital, Inc.NVGeneral Acute Care Hospital$0$32.1M
    Fremont Emergency Services Scherr LtdNVEmergency Medicine Physician$0$22.9M
    Ellis Bandt Birkin Kollins & Wong PLLCNVDiagnostic Radiology Physician$0$18.1M
    Nevada Acute Medical Services-scherr 1 PCNVHospitalist Physician$0$13.5M
    Renal Care Group Las Vegas, LLCNVEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$13.4M
    Laboratory Medicine Consultants LtdNVClinical Medical Laboratory$1.9M$9.2M
    Cybt, IncNVIn Home Supportive Care Agency$0$11.1M
    Kan-di-ki LLCNVClinical Medical Laboratory$5M$3.6M
    Southwest Rehabilitation Physicians & Farhang Associates PLLCNVPain Medicine Physician$0$7.1M
    New Century Rehabilitation LLCNVPhysical Therapist$0$6.9M

    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. Nevada Distribution
    Robert Berkley — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada
    Medicaid Revenue by Year vs. Nevada Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Robert Berkley — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada