Benjamin L Berger , OT
Occupational Therapist โข Austin, TX
12201 Renfert Way Ste 115
Austin, TX 787585367
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Benjamin Berger is listed in NPPES under Occupational Therapist.
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NPI assigned on March 31, 2017; this date does not establish years in practice.
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Published CMS data list 723 Original Medicare Part B services in 2018.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018. Published rows only; this is not a quality measure.
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Published Part B service records, 2018:
- 97110 โ Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility: 276 service units.
- 97530 โ Therapy procedure using functional activities: 129 service units.
- 97112 โ Therapy procedure to re-educate brain-to-nerve-to-muscle function: 119 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2017 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2018). CPT notice
See all 7 records in the table ยท Guide: How to read Medicare Part B data
Practice Location & Contact Primary Location
12201 Renfert Way Ste 115
Austin, TX 787585367
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Occupational Therapist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $21,780 in 2018
The total amount Medicare approved for these services in 2018. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018.
Paid by Medicare
About $17,352 in 2018
The part of the Medicare-allowed amount that Medicare itself paid in 2018, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Austin and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Benjamin Berger are from 2018.
444 active clinicians are listed under Occupational Therapist with a practice address in Austin, TX (7,694 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Austin
0.2% of these 444 clinicians have the CMS telehealth indicator.
7.4% of these 444 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
CMS data for Medicare Part B services are available for 2018 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2018 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2018 only.
Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2018; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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97110
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
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276 | 37 | $84.69 | $24.14 |
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97530
Therapy procedure using functional activities
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129 | 22 | $90.00 | $36.74 |
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97112
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
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119 | 22 | $85.00 | $29.82 |
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97140
Therapy procedure using manual technique, each 15 minutes
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93 | 22 | $80.00 | $21.88 |
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97535
Training for self-care or home management, each 15 minutes
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42 | 22 | $87.86 | $28.10 |
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97165
Evaluation for occupational therapy, typically 30 minutes
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35 | 31 | $194.29 | $90.89 |
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97150
Therapy procedure in a group setting
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29 | 15 | $50.00 | $14.92 |
Source: CMS Part B by Provider and Service, 2018; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 225X00000X
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery - Orthopaedic Trauma
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 12201 RENFERT WAY STE 115, AUSTIN, TX 787585367 (Tel: 5125510375)
Registered at 12201 RENFERT WAY STE 115, AUSTIN, TX 787585367 (Tel: 5125510375)
NPI status registered as active in NPPES database
Registered at 23225 KINGSLAND BLVD, SUITE 600, KATY, TX 774942868 (Tel: 5128528134)
Registered at 23225 KINGSLAND BLVD, SUITE 600, KATY, TX 774942868 (Tel: 5128528134)
Recorded as BENJAMIN BERGER, OT
Occupational Therapist (license number reported to NPPES: TX 117244)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Occupational Therapists in Austin
- Jose Palacios, OTR
- Camille Cagley, OT
- M. Willms, OTR
- Kathryn Hadley, OTR, L
- Emily Brackenridge, MS, OTR, L
- Christina Bennett, OTR
Mailing Address
12201 Renfert Way Ste 115
Austin, TX 787585367
Phone: 5125510375