Otto Berk
Compared to Social Worker, Clinical Peers
Total spending distribution among 34 providers in this specialty
P25MedianP75P90
This provider's total spending of $166K is at the 25th percentile among 34 Social Worker, Clinical providers.
Total Paid
$166K
$165,645
Total Claims
1,913
Beneficiaries
399
4.8 claims/patient
Avg Cost/Claim
$87
🔍 Analysis
Provider Overview
Otto Berk is a Social Worker, Clinical provider based in Forest Hills, NY. From 2018-01 through 2018-09, this provider received $166K in Medicaid payments across 2K claims serving 399 beneficiaries, billing 2 distinct procedure codes.
Key Findings
- 📊99% of all billing comes from a single procedure code: 90876 (90876). This extreme concentration is unusual and may indicate specialized services or a narrow billing pattern.
- 📊Billing stopped in 2018-09, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 2 distinct procedure codes. The top code (90876) accounts for 99% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
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