MARSCHALL BERKES, MD
Orthopaedic Trauma Physician · SAINT LOUIS, MO
Individual Active NPI 1568622702
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 266 | 605 | $891,531 | $177,712 | $138,049 |
| 2023 | 313 | 638 | $980,062 | $202,131 | $159,718 |
| 2022 | 290 | 574 | $855,242 | $178,719 | $141,801 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 157 | $87 | $65 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 89 | $125 | $98 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 31 | $161 | $116 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 28 | $80 | $61 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 16 | $123 | $86 |
| 27245 | Treatment of broken neck of thigh bone with bone implant | 14 | $1,184 | $919 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 13 | $107 | $75 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | ✓ | 2018009382 | MO |
| Orthopaedic Surgery Physician | 207X00000X | 2018009382 | 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.