Dr. John Bertelson, M.D

NPI: 1215959697
Total Payments
$192,897
2024 Payments
$127,470
Companies
36
Transactions
378
Medicare Patients
1,667
Medicare Billing
$222,077

Payment Breakdown by Category

Other$159,046 (82.5%)
Consulting$22,141 (11.5%)
Food & Beverage$8,117 (4.2%)
Travel$3,589 (1.9%)
Education$3.31 (0.0%)

Payments by Nature

Nature of Payment Amount Transactions Share
Compensation for serving as faculty or as a speaker for a medical education program $91,260 59 47.3%
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $67,786 31 35.1%
Consulting Fee $22,141 10 11.5%
Food and Beverage $8,117 263 4.2%
Travel and Lodging $3,589 14 1.9%
Education $3.31 1 0.0%

Top Paying Companies

Company Total Records Latest Year
Eisai Inc. $147,982 146 $0 (2024)
Biogen, Inc. $26,339 24 $0 (2024)
Lilly USA, LLC $12,444 30 $0 (2024)
OnMark, Inc. $1,400 1 $0 (2024)
Corium, LLC $1,134 10 $0 (2023)
Janssen Pharmaceuticals, Inc $519.27 27 $0 (2024)
Neurocrine Biosciences, Inc. $436.88 18 $0 (2024)
Lundbeck LLC $432.61 19 $0 (2024)
Teva Pharmaceuticals USA, Inc. $408.37 22 $0 (2024)
ACADIA Pharmaceuticals Inc $349.76 17 $0 (2024)

Payment History by Year

Year Amount Transactions Top Company
2024 $127,470 164 Eisai Inc. ($112,852)
2023 $35,234 75 Eisai Inc. ($33,290)
2022 $1,187 59 Janssen Pharmaceuticals, Inc ($179.14)
2021 $22,659 52 Biogen, Inc. ($21,941)
2020 $4,366 5 Biogen, Inc. ($4,342)
2019 $1,836 19 Eisai Inc. ($1,661)
2018 $19.64 1 Mitsubishi Tanabe Pharma America, Inc. ($19.64)
2017 $125.65 3 GENZYME CORPORATION ($97.86)

All Payment Transactions

378 individual payment records from CMS Open Payments — Page 1 of 16

Date Company Product Nature Form Amount Type
12/18/2024 Eisai Inc. Leqembi (Drug) Consulting Fee Cash or cash equivalent $585.00 General
Category: Neurology
12/16/2024 Lilly USA, LLC KISUNLA (Drug) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $1,600.00 General
Category: Neuroscience
12/16/2024 Lilly USA, LLC KISUNLA (Drug) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $600.00 General
Category: Neuroscience
12/16/2024 ACADIA Pharmaceuticals Inc NUPLAZID (Drug) Food and Beverage In-kind items and services $18.90 General
Category: PARKINSONS DISEASE PSYCHOSIS
12/13/2024 Teva Pharmaceuticals USA, Inc. Austedo XR (Drug) Food and Beverage In-kind items and services $16.87 General
Category: Central Nervous System
12/11/2024 Lilly USA, LLC KISUNLA (Drug) Food and Beverage In-kind items and services $32.26 General
Category: Neuroscience
12/05/2024 Eisai Inc. Leqembi (Drug) Food and Beverage In-kind items and services $27.98 General
Category: Neurology
11/21/2024 Eisai Inc. Leqembi (Drug) Compensation for serving as faculty or as a speaker for a medical education program Cash or cash equivalent $1,755.00 General
Category: Neurology
11/21/2024 Eisai Inc. Leqembi (Drug) Compensation for serving as faculty or as a speaker for a medical education program Cash or cash equivalent $1,462.50 General
Category: Neurology
11/21/2024 Eisai Inc. Leqembi (Drug) Compensation for serving as faculty or as a speaker for a medical education program Cash or cash equivalent $1,462.50 General
Category: Neurology
11/21/2024 Eisai Inc. Leqembi (Drug) Compensation for serving as faculty or as a speaker for a medical education program Cash or cash equivalent $585.00 General
Category: Neurology
11/21/2024 Eisai Inc. Leqembi (Drug) Food and Beverage Cash or cash equivalent $114.13 General
Category: Neurology
11/20/2024 Eisai Inc. Leqembi (Drug) Compensation for serving as faculty or as a speaker for a medical education program Cash or cash equivalent $4,680.00 General
Category: Neurology
11/20/2024 Eisai Inc. Leqembi (Drug) Compensation for serving as faculty or as a speaker for a medical education program Cash or cash equivalent $1,462.50 General
Category: Neurology
11/20/2024 Eisai Inc. Leqembi (Drug) Compensation for serving as faculty or as a speaker for a medical education program Cash or cash equivalent $1,462.50 General
Category: Neurology
11/20/2024 Eisai Inc. Leqembi (Drug) Compensation for serving as faculty or as a speaker for a medical education program Cash or cash equivalent $585.00 General
Category: Neurology
11/20/2024 Eisai Inc. Leqembi (Drug) Food and Beverage Cash or cash equivalent $121.84 General
Category: Neurology
11/12/2024 Lilly USA, LLC AMYVID (Drug), KISUNLA Food and Beverage In-kind items and services $24.71 General
Category: Neuroscience
10/30/2024 Eisai Inc. Food and Beverage Cash or cash equivalent $55.61 General
10/25/2024 Lilly USA, LLC KISUNLA (Drug) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $1,600.00 General
Category: Neuroscience
10/25/2024 Lilly USA, LLC KISUNLA (Drug) Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $600.00 General
Category: Neuroscience
10/23/2024 Lundbeck LLC REXULTI (Drug) Food and Beverage Cash or cash equivalent $19.09 General
Category: PSYCHIATRY
10/23/2024 Lilly USA, LLC KISUNLA (Drug) Food and Beverage In-kind items and services $16.08 General
Category: Neuroscience
10/23/2024 Lilly USA, LLC KISUNLA (Drug) Food and Beverage In-kind items and services $2.00 General
Category: Neuroscience
10/18/2024 Eisai Inc. Food and Beverage In-kind items and services $119.45 General

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 6 230 261 $63,386 $34,482
2022 7 479 551 $110,596 $66,279
2021 7 530 585 $127,171 $75,076
2020 8 428 469 $174,557 $46,241
Total Patients
1,667
Total Services
1,866
Medicare Billing
$222,077
Procedure Codes
28

All Medicare Procedures & Services

28 procedure records from CMS Medicare Utilization — Page 1 of 2

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99215 Established patient office or other outpatient visit, 40-54 minutes Office 2023 78 99 $23,753 $13,692 57.6%
99205 New patient office or other outpatient visit, 60-74 minutes Office 2023 32 32 $8,698 $5,226 60.1%
99483 Assessment of and care planning for patient with impaired thought processing, typically 60 minutes Office 2023 25 25 $10,793 $5,127 47.5%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 42 48 $8,340 $4,581 54.9%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2023 35 35 $9,588 $4,482 46.7%
99442 Telephone medical discussion with physician, 11-20 minutes Office 2023 18 22 $2,214 $1,374 62.1%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2022 168 228 $34,065 $21,478 63.0%
99205 New patient office or other outpatient visit, 60-74 minutes Office 2022 118 118 $28,478 $17,524 61.5%
99215 Established patient office or other outpatient visit, 40-54 minutes Office 2022 79 88 $19,898 $12,245 61.5%
99483 Assessment of and care planning for impaired thought processing, typically 50 minutes Office 2022 39 39 $15,679 $8,702 55.5%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2022 29 29 $6,743 $3,044 45.1%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 29 32 $3,990 $2,251 56.4%
99442 Telephone medical discussion with physician, 11-20 minutes Office 2022 17 17 $1,743 $1,036 59.4%
99205 New patient outpatient visit, total time 60-74 minutes Office 2021 175 175 $42,422 $30,703 72.4%
99214 Established patient outpatient visit, total time 30-39 minutes Office 2021 150 185 $29,188 $18,029 61.8%
99215 Established patient outpatient visit, total time 40-54 minutes Office 2021 108 121 $29,307 $16,142 55.1%
99204 New patient outpatient visit, total time 45-59 minutes Office 2021 46 46 $9,816 $5,968 60.8%
99223 Initial hospital inpatient care, typically 70 minutes per day Facility 2021 13 13 $7,865 $1,691 21.5%
99232 Subsequent hospital inpatient care, typically 25 minutes per day Facility 2021 24 31 $6,731 $1,584 23.5%
99213 Established patient outpatient visit, total time 20-29 minutes Office 2021 14 14 $1,842 $958.65 52.0%
99214 Established patient office or other outpatient, visit typically 25 minutes Office 2020 138 162 $48,261 $12,392 25.7%
99205 New patient office or other outpatient visit, typically 60 minutes Office 2020 48 48 $29,371 $7,355 25.0%
99215 Established patient office or other outpatient, visit typically 40 minutes Office 2020 64 70 $27,795 $6,964 25.1%
99204 New patient office or other outpatient visit, typically 45 minutes Office 2020 59 59 $24,399 $6,747 27.7%
99223 Initial hospital inpatient care, typically 70 minutes per day Facility 2020 35 35 $21,183 $5,352 25.3%

About Dr. John Bertelson, M.D

Dr. John Bertelson, M.D is a Behavioral Neurology & Neuropsychiatry healthcare provider based in Austin, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/24/2006. The National Provider Identifier (NPI) number assigned to this provider is 1215959697.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. John Bertelson, M.D has received a total of $192,897 in payments from pharmaceutical and medical device companies, with $127,470 received in 2024. These payments were reported across 378 transactions from 36 companies. The most common payment nature is "Compensation for serving as faculty or as a speaker for a medical education program" ($91,260).

As a Medicare-enrolled provider, Bertelson has provided services to 1,667 Medicare beneficiaries, totaling 1,866 services with total Medicare billing of $222,077. Data is available for 4 years (2020–2023), covering 28 distinct procedure/service records.

Practice Information

  • Specialty Behavioral Neurology & Neuropsychiatry
  • Other Specialties Neurology
  • Location Austin, TX
  • Active Since 07/24/2006
  • Last Updated 12/19/2023
  • Taxonomy Code 2084B0040X
  • Entity Type Individual
  • NPI Number 1215959697

Products in Payments

  • Leqembi (Drug) $145,551
  • KISUNLA (Drug) $11,246
  • Adlarity (Drug) $1,040
  • REXULTI (Drug) $664.05
  • SPRAVATO (Drug) $519.27
  • NUPLAZID (Drug) $349.76
  • INGREZZA (Drug) $277.85
  • AMYVID (Drug) $189.14
  • AUSTEDO (Drug) $184.98
  • Austedo XR (Drug) $139.31
  • TRINTELLIX (Drug) $137.94
  • ONGENTYS (Drug) $105.08
  • AUBAGIO (Drug) $97.86
  • Auvelity (Drug) $95.36
  • ADLARITY (Drug) $93.65
  • UPLIZNA (Biological) $93.48
  • ADUHELM (Biological) $85.98
  • VRAYLAR (Drug) $69.92
  • ARISTADA (Drug) $64.96
  • Dayvigo (Drug) $60.03

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Behavioral Neurology & Neuropsychiatry Doctors in Austin