THOMAS BERKBIGLER, D.O.
Orthopaedic Surgery Physician · FARMINGTON, MO
Individual Active NPI 1295983567
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 363 | 4,058 | $475,685 | $198,303 | $149,398 |
| 2023 | 487 | 6,105 | $639,228 | $280,620 | $212,337 |
| 2022 | 519 | 6,583 | $790,221 | $324,371 | $247,873 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 1,344 | $9 | $7 |
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 896 | $17 | $13 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 476 | $1 | $1 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 180 | $84 | $58 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 97 | $104 | $75 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 85 | $102 | $71 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 83 | $7 | $5 |
| 73560 | X-ray of knee, 1-2 views | 67 | $35 | $23 |
| 20610 | Aspiration and/or injection of fluid from large joint | 65 | $69 | $51 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 63 | $117 | $86 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 49 | $157 | $102 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | 48 | $1 | $1 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | 2008015400 | MO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.