NICHOLAS ADAM BERGER, MA, LPC,BCN
NPI 1932504198, individual, Longmont, CO, Counselor, Professional
- Hours beyond a day in 3 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90837 ($442 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 26.2 | 20.6 | 13.8 | 18.5 | 131 | 2 | 90791 90837 90876 | $70K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 32.8 | 28.3 | 18.8 | 25.7 | 118 | 2 | 90837 90876 | $91K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 29.3 | 27.5 | 18.4 | 27.1 | 120 | 2 | 90837 90876 | $92K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | NICHOLAS ADAM BERGER, MA, LPC,BCN |
| Type | Individual |
| Status | Active |
| NPI issued | October 30, 2014, last updated July 10, 2025 |
| Practice location | 720 100 YEARPARTY CT STE 200, Longmont, CO 80504-8591, 720-295-7427 |
| Specialties | Counselor, Professional (101YP2500X, license 0011628 CO) Counselor, Professional (101YP2500X, primary, license LPC0011628 CO) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90876 | Psychophysiological therapy with biofeedback 45 min | $1.1M | 52% | $392 | $392 (top 5% from $816) | 50th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $981K | 47% | $442 | $191 (top 5% from $442) | 95th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $11K | 1% | $97 | $105 (top 5% from $228) | too few months to rank |
In this area
6 providers in Weld County, CO carry an indicator in the public record, with $13.8M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | CENTER AT CENTERPLACE, LLC Greeley, CO, ranked 4655 | $0 |
|
| 4 | MICHAEL MULLIN Greeley, CO, ranked 7454 | $5.0M |
|
| 4 | THAD MAKOWSKI Greeley, CO, ranked 7609 | $2.6M |
|
| 4 | SARAH POFAHL Greeley, CO, ranked 8421 | $4.7M |
|
| 5 | HEATHER DAIGLE Greeley, CO, ranked 10224 | $598K |
|
| 5 | SARAH WILLIAMSON Greeley, CO, ranked 10584 | $884K |
|
Recent enforcement in CO
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.