Physician

Andrew Joseph Berens, MD

According to 2025 Medicare claims, Andrew Berens, MD (NPI: 1912962358) practices family practice in the Hagerstown-Martinsburg, MD-WV market, with the plurality of this provider's patient population coming from Morgan, WV. This provider's primary affiliated billing organization is FAMILY MEDICINE OF BERKELEY SPRINGS, INC. (NPI: 1700968351; TIN: 550778720) and primary practice location at 25411-1551. Berens is affiliated with the ACO West Virginia (ACO ID: A3563) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Berens' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 249 traditional Medicare patients, billed 5,343 HCPCS/CPT codes, and received $172,243 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 6,916 prescription claims across 328 beneficiaries totaling $381,905 in drug costs, led by Jardiance (Empagliflozin). DME data shows 118 claims. Open Payments data shows 3 records totaling $54. 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 changed little. Similarly, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved from a higher plateau to a lower plateau, from $23,883 to $13,154.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	409	5,287	$219,088
2016	407	4,928	$208,466
2017	391	4,936	$210,242
2018	397	5,565	$250,503
2019	375	5,220	$255,037
2020	375	4,688	$221,251
2021	351	4,295	$222,842
2022	322	4,119	$205,044
2023	277	3,541	$195,280
2024	249	5,343	$172,243

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	301	7,060	$363,637
2016	291	7,075	$368,316
2017	288	6,320	$347,335
2018	289	5,931	$334,126
2019	308	5,822	$338,161
2020	308	6,298	$374,797
2021	314	6,661	$408,966
2022	316	6,269	$441,358
2023	327	6,175	$384,066
2024	328	6,916	$381,905

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	139	642	$22,795
2016	92	452	$15,560
2017	67	408	$10,382
2018	12	309	$13,720
2019	38	162	$8,483
2020	N/R	216	$10,819
2021	12	175	$4,642
2022	N/R	133	$4,605
2023	N/R	66	$2,174
2024	N/R	118	$4,643

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	93	191	$114
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	209	849	$79
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	81	150	$48
36415	Insertion of needle into vein for collection of blood sample	166	394	$9
81000	Manual urinalysis test with examination using microscope, non-automated	103	239	$4

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	85	2,942	$56,633
Ozempic	Semaglutide	26	1,322	$40,621
Eliquis	Apixaban	44	1,378	$26,463
Breo Ellipta	Fluticasone/Vilanterol	43	1,530	$20,554
Januvia	Sitagliptin Phosphate	25	857	$15,925

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	34	$2,525
K0823	Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds	Y	N/R	11	$1,110
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	34	$558
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	16	$217
A7037	Tubing used with positive airway pressure device	N	N/R	11	$124

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$54	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Andrew Joseph Berens, MD?

Tedicare shows public-source Medicare data for Andrew Joseph Berens, MD (NPI 1912962358), 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 Andrew Joseph Berens, MD have ACO affiliation data?

Andrew Joseph Berens, MD is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Andrew Joseph Berens, MD?

Andrew Joseph Berens, MD is linked to FAMILY MEDICINE OF BERKELEY SPRINGS, INC. (billing NPI 1700968351) in the available physician profile data.

Does Andrew Joseph Berens, MD have Open Payments data?

Andrew Joseph Berens, MD has 3 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.