DR. ROBERTO BERAJA MD
NPI 1275696627
Ophthalmology in Coral Gables, FL

Medicare Participation & PECOS Enrollment Status

Roberto Beraja is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Unknown

• Other-Vision, Hearing, and Speech Services (OC000N)

  Frames, purchases (HCPCS:V2020)

  1 DME suppliers used 24 Medicare Claims 24 Services Paid

• Other-Vision, Hearing, and Speech Services (OC000N)

  Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens (HCPCS:V2203)

  1 DME suppliers used 18 Medicare Claims 36 Services Paid

• Other-Vision, Hearing, and Speech Services (OC000N)

  Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens (HCPCS:V2745)

  1 DME suppliers used 11 Medicare Claims 22 Services Paid

• Other-Vision, Hearing, and Speech Services (OC000N)

  Anti-reflective coating, per lens (HCPCS:V2750)

  1 DME suppliers used 19 Medicare Claims 38 Services Paid

• Other-Vision, Hearing, and Speech Services (OC000N)

  U-v lens, per lens (HCPCS:V2755)

  1 DME suppliers used 24 Medicare Claims 48 Services Paid

• Other-Vision, Hearing, and Speech Services (OC000N)

  Oversize lens, per lens (HCPCS:V2780)

  1 DME suppliers used 24 Medicare Claims 48 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 16 times for 11 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 33134 ZIP code area.

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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