Physician

Daniel M Berinstein, M.D.

According to 2025 Medicare claims, Daniel Berinstein, M.D. (NPI: 1366416406) practices ophthalmology in the Frederick-Gaithersburg-Bethesda, MD market, with the plurality of this provider's patient population coming from Montgomery, MD. This provider's primary affiliated billing organization is THE RETINA GROUP OF WASHINGTON, PLLC (NPI: 1225001654; TIN: 521570295) and primary practice location at 20815-6956. Berinstein is affiliated with the Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171) and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under the REACH model.

Berinstein's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,785 traditional Medicare patients, billed 38,254 HCPCS/CPT codes, and received $4,837,033 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 366 prescription claims across 114 beneficiaries totaling $38,468 in drug costs, led by Lumigan (Bimatoprost). Open Payments data shows 5 records totaling $162. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $1,943,253 to $4,837,033. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$2.4M$4.8M2015 Medicare payment: $1,943,253 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,818,184 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,839,632 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $2,184,863 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,750,885 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,528,254 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $3,124,550 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $3,443,731 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $4,314,929 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $4,837,033 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,44318,891$1,943,253
20161,47017,942$1,818,184
20171,61118,632$1,839,632
20181,79320,332$2,184,863
20191,75623,057$2,750,885
20201,52516,809$2,528,254
20211,74919,838$3,124,550
20221,69420,581$3,443,731
20231,82039,429$4,314,929
20241,78538,254$4,837,033

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$26K$53K2015 Drug cost: $33,701 (USD; Tot_Drug_Cst)2016 Drug cost: $34,843 (USD; Tot_Drug_Cst)2017 Drug cost: $34,889 (USD; Tot_Drug_Cst)2018 Drug cost: $34,153 (USD; Tot_Drug_Cst)2019 Drug cost: $52,545 (USD; Tot_Drug_Cst)2020 Drug cost: $32,896 (USD; Tot_Drug_Cst)2021 Drug cost: $36,326 (USD; Tot_Drug_Cst)2022 Drug cost: $41,040 (USD; Tot_Drug_Cst)2023 Drug cost: $43,413 (USD; Tot_Drug_Cst)2024 Drug cost: $38,468 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201573320$33,701
201676286$34,843
201791313$34,889
201876307$34,153
2019101341$52,545
202062220$32,896
202197260$36,326
2022104317$41,040
2023109370$43,413
2024114366$38,468

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
67028Injection of drug into eye3841,850$105
92014Established patient complete exam of visual system1,6153,951$99
92134Imaging of retina1,6494,005$34
92201Extended exam of the back part of the eye with retinal drawing364436$20
92202Extended exam of the back part of the eye with optic nerve drawing1,3853,065$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LumiganBimatoprost17944$6,412
Bromfenac SodiumBromfenac Sodium441,554$6,106
ProlensaBromfenac Sodium11465$4,138
Prednisolone AcetatePrednisolone Acetate1084,358$4,019
Brimonidine TartrateBrimonidine Tartrate13964$1,464

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.5$162Astellas Pharma US Inc
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Daniel M. Berinstein, M.D.?

Tedicare shows public-source Medicare data for Daniel M. Berinstein, M.D. (NPI 1366416406), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Daniel M. Berinstein, M.D. have ACO affiliation data?

Daniel M. Berinstein, M.D. is shown with ACO affiliation data for Physician Leaders Direct Contracting Entity, LLC (REACH, ACO ID D0171) and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Daniel M. Berinstein, M.D.?

Daniel M. Berinstein, M.D. is linked to THE RETINA GROUP OF WASHINGTON, PLLC (billing NPI 1225001654) in the available physician profile data.

Does Daniel M. Berinstein, M.D. have Open Payments data?

Daniel M. Berinstein, M.D. has 5 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.