GINA BERTHOLD, M.D.
Infectious Disease Physician · WILMINGTON, NC
Individual Active NPI 1477768182
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 238 | 1,085 | $191,022 | $89,747 | $70,669 |
| 2023 | 238 | 2,177 | $209,669 | $105,621 | $83,042 |
| 2022 | 224 | 3,709 | $229,131 | $127,633 | $101,323 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 406 | $74 | $58 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 144 | $119 | $92 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 110 | $162 | $129 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 90 | $111 | $88 |
| 36415 | Insertion of needle into vein for collection of blood sample | 68 | $9 | $9 |
| 80053 | Blood test, comprehensive group of blood chemicals | 39 | $10 | $10 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 36 | $8 | $8 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 32 | $85 | $61 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 32 | $156 | $121 |
| 85652 | Red blood cell sedimentation rate, to detect inflammation, automated | 27 | $3 | $3 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 14 | $8 | $8 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 11 | $206 | $164 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ✓ | 2012-01777 | NC |
| Pediatric Infectious Diseases Physician | 2080P0208X | 2012-01777 | NC |
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.