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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDavid Berken
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    David Berken — Billing Profile & Reimbursement Data

    NPI 1790105153 · Houston, TX · Orthopaedic Surgery Physician

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    David Berken is a orthopaedic surgery physician provider located in Houston, Texas. This profile covers 23 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
    OrganizationDavid Berken
    Address6400 Fannin St Ste 1700
    CityHouston
    StateTX
    ZIP77030
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 23, 2014

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

    Payer SourceTotal Paid
    Medicare$85.4K
    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.

    23 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…320$60$19.9K
    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…200$90$17.3K
    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…120$110$13.5K
    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$7.9K
    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.250$30$6.2K
    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…60$100$5.5K
    27829In this procedure, the provider surgically repairs the disrupted ligaments of the tibiofibular joint and secures the tibia and the fibula with plates and screws, wires, or pins.10$290$3.5K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.30$90$2.7K
    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…30$40$1.2K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…30$40$930

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921410,85932,500110$80$17.6K
    800532,0352,650130$10$10.6K
    992133,49229,79070$60$8.4K
    7372137256040$100$7.7K
    850252,3522,910110$10$6.6K
    992041,38216,38030$110$5.6K
    206102,2042,48060$50$5.5K
    7700242556030$70$5.5K
    992221,9577,91030$100$4.9K
    364154,6626,270100$10$4.5K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lsu Health Sciences Center Shreveport Faculty Group PracticeLAFamily Medicine Physician$0$235.7M
    Affinity Health Group, LLCLAFamily Medicine Physician$0$34.6M
    Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLCLAWomen's Hospital$0$15M
    Brfhh Shreveport LLCLAGeneral Acute Care Hospital$0$6.3M
    Highland Clinic, A Prof Med CorpLAMulti-Specialty Clinic/Center$0$5.9M
    Kirtan KotichaLAHematology & Oncology Physician$3.1M$0
    Pavan KatikaneniLAInterventional Cardiology Physician$1.3M$0
    Benjamin CloseLAPediatric Allergy/Immunology Physician$381.9K$688.8K
    Manish DhawanLAHematology & Oncology Physician$870.9K$24.3K
    Wilson BaberLAOphthalmology Physician$756.8K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    David Berken — 2 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas