PAUL BERGER, D.O.
Pulmonary Disease Physician · CLINTON TOWNSHIP, MI
Individual Active NPI 1699921163
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 284 | 870 | $446,747 | $85,160 | $66,728 |
| 2023 | 278 | 863 | $493,785 | $89,908 | $71,461 |
| 2022 | 327 | 966 | $634,520 | $94,611 | $75,067 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 144 | $198 | $155 |
| 99292 | Critical care, each additional 30 minutes | 71 | $99 | $79 |
| 94729 | Test to examine how well the lungs exchange gases | 63 | $8 | $6 |
| 94010 | Test to measure expiratory airflow and volume | 54 | $8 | $6 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 47 | $10 | $7 |
| 94726 | Test to determine lung volumes using sensors | 45 | $11 | $9 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 42 | $136 | $107 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 42 | $111 | $89 |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 37 | $19 | $15 |
| 31653 | Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes | 36 | $215 | $166 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 33 | $170 | $131 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 32 | $92 | $71 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 9499 | SD |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 9499 | SD |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Michigan
- NPI 1972619179
- NPI 1912506684
- NPI 1053914721
- NPI 1871854232
- NPI 1225426893
- NPI 1033736293
- NPI 1487920740
- NPI 1508239104
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.