Active NPI 1316099849 Individual Practitioner Male Practitioner

Dr. Rodney H Berger , MD

Specialist • Addison, IL

Professional Overview & Biography Verified Profile Summary

Dr. Rodney Berger, MD is a certified Specialist practicing in Addison, IL. With approximately 48 years of clinical experience since completing medical education in 1978, Dr. Berger delivers high-quality medical care to the local community at 240 E LAKE ST.

Dr. Berger is affiliated with Des Plaines Community Health Care Center Inc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services for two or more chronic conditions, first, residence visit for established patient with high level of medical decision making, per day, if using time, at least, physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

240 E Lake St
Suite 200

Addison, IL 601012890

Telephone 6309419344

Fax 6309411486

Associated Practice Facility / Clinic

🏢 Cook Counter Center Of Home Health, Inc. Facility NPI 1659710119

Medicare Profile & Education

Medical School

Other

Graduation Year

1978

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Addison, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs Matches City Avg

City Avg: 48.0 Yrs

State Avg: 38.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Addison, IL (1322 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

25.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Berger (48 Years) 48 Yrs

Addison Specialty Average (48.0 Years) 48.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	607	171	$110.03	$83.09
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	485	178	$220.00	$181.11
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	283	116	$130.00	$102.56
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	254	130	$50.00	$40.81
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	200	157	$65.00	$52.40
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	96	90	$350.00	$266.31
99213 Established patient office or other outpatient visit, typically 15 minutes	56	21	$150.00	$93.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	24	$175.00	$132.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$157.69	$126.22
G0444 Annual depression screening, 5 to 15 minutes	20	20	$25.00	$18.03
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	19	13	$80.00	$61.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$210.00	$157.62
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	11	11	$70.00	$24.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	571	195	$220.18	$194.21
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	441	152	$130.00	$108.05
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	432	165	$110.05	$88.29
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	200	104	$50.00	$43.23
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	183	119	$160.00	$133.19
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	160	120	$65.00	$54.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	47	$174.73	$133.88
99213 Established patient office or other outpatient visit, typically 15 minutes	77	29	$150.00	$92.87
11042 Removal of skin and tissue, 20.0 sq cm or less	67	15	$150.00	$122.63
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	65	64	$350.00	$282.17
80305 Testing for presence of drug, read by direct observation	54	14	$80.00	$12.35
36415 Insertion of needle into vein for collection of blood sample	41	33	$15.00	$8.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$151.97	$133.84
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$209.21	$171.82
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	18	18	$270.00	$210.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	348	194	$220.00	$185.66
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	312	120	$110.13	$89.88
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	286	121	$130.00	$110.37
99213 Established patient office or other outpatient visit, typically 15 minutes	163	64	$148.82	$96.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	74	$171.95	$135.18
36415 Insertion of needle into vein for collection of blood sample	134	81	$15.00	$2.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	108	83	$65.00	$56.01
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	70	61	$160.00	$133.59
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	67	53	$50.00	$43.42
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	38	38	$350.00	$296.84
80305 Testing for presence of drug, read by direct observation	19	11	$80.00	$12.55
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	19	19	$270.00	$228.61
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	12	12	$70.00	$28.10
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$208.64	$176.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$152.27	$137.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	546	270	$154.71	$140.30
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	446	171	$129.85	$113.46
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	379	152	$110.37	$87.89
99213 Established patient office or other outpatient visit, typically 15 minutes	184	87	$169.72	$98.97
99442 Telephone medical discussion with physician, 11-20 minutes	104	89	$125.00	$99.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	99	82	$65.00	$57.03
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	97	59	$50.00	$44.47
80305 Testing for presence of drug, read by direct observation	96	24	$80.05	$12.60
99443 Telephone medical discussion with physician, 21-30 minutes	91	64	$145.00	$141.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$157.14	$143.06
36415 Insertion of needle into vein for collection of blood sample	48	41	$15.00	$3.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	34	34	$70.00	$29.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	29	$244.50	$196.13
G0444 Annual depression screening, 5 to 15 minutes	29	29	$25.00	$20.03
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$210.00	$180.54
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	12	12	$270.00	$236.93
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	11	11	$350.00	$301.29
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	11	11	$220.00	$191.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	502	281	$152.90	$116.51
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	275	157	$110.00	$88.63
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	170	99	$130.00	$114.83
80305 Testing for presence of drug, read by direct observation	109	21	$80.00	$12.42
99213 Established patient office or other outpatient visit, typically 15 minutes	84	34	$165.50	$79.86
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	45	39	$110.00	$96.81
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	24	$65.00	$57.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	18	$250.00	$156.54
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	18	18	$70.00	$28.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$177.94	$122.00
99422 Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes	18	11	$65.00	$33.24
G0444 Annual depression screening, 5 to 15 minutes	14	14	$25.00	$19.25
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	14	13	$50.00	$43.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	22	$120.52	$77.25
90832 Psychotherapy, 30 minutes	57	11	$190.65	$69.88
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	57	53	$200.00	$133.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	31	$151.02	$113.45
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	44	41	$200.00	$110.90
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	19	$200.00	$55.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$222.45	$121.55
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	15	15	$175.00	$42.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	538	103	$200.00	$131.28
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	290	78	$200.00	$110.30
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	177	75	$175.42	$42.54
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	95	71	$199.74	$54.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	31	$192.22	$108.12
94760 Measurement of oxygen saturation in blood using ear or finger device	50	24	$30.56	$3.12
99213 Established patient office or other outpatient visit, typically 15 minutes	27	16	$100.64	$72.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	680	124	$200.15	$134.95
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	273	92	$199.91	$113.27
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	162	76	$177.62	$43.47
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	130	82	$199.81	$56.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$197.73	$121.30

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 036063572

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036063572 (IL)

Hospital & Practice Group Affiliations

Des Plaines Community Health Care Center Inc

380 E Northwest Hwy, Des Plaines, IL 600162274

Phone: 8478130700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Emmanuel Agomo , PA-C

Physician Assistant - Medical

NPI 1093760514

Physician Assistant (Certified)

Marcia Siegal

Obstetrics & Gynecology

NPI 1205090552

Dr. Corazon Buenviaje , MD

Plastic Surgery

NPI 1508003161

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 240 E LAKE ST, SUITE 200, ADDISON, IL 601012890 (Tel: 6309419344)

📍

Updated Business Mailing Address July 09, 2007

Registered at 240 E LAKE ST, SUITE 200, ADDISON, IL 601012890 (Tel: 6309419344)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as RODNEY BERGER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist

🟢

Initial NPI Registration & Enumeration January 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Rodney Berger. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1316099849

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 17, 2007

Last Update: July 09, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

240 E Lake St, Suite 200

Addison, IL 601012890

Phone: 6309419344

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.