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Karl W Bergenstal

Clinical Psychologist · Camarillo

NPI 1043224850

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
45 years
Graduated 1981

Offices

1 location

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Karl W Bergenstal’s office at (805) 987-7006 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$58,468

Medicare paid this office $58,468 for 117 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Psychotherapy, 1 hour21$35,334$123
Psychiatric diagnostic evaluation101$13,722$136
Evaluation of psychological test, first hour100$9,157$92

Who their Medicare patients are

117 Original Medicare patients in 2024. Average age 75 · Under 65 10% · 85 and older 11% · Women 49% · Also on Medicaid 13% · Health risk score 1.46. Above the middle of the specialty; the typical psychologist, clinical clinician is at 1.25.

Conditions among them: High blood pressure 75% · Depression 49% · Coronary heart disease 40% · Diabetes 32% · Chronic kidney disease 26% · COPD 20% · Heart failure 18% · Cancer 16% · Atrial fibrillation 16%.

The office billed $81,501, Medicare allowed $75,877 and paid $58,468; for 491 services of 4 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024117491751.46$81,501$58,468
2023150596751.41$98,250$59,891
2022148581741.48$95,130$64,131
2021124524751.53$86,015$63,848
2020127603741.33$99,020$67,484
2019181821751.65$134,690$87,502
2018139676731.43$110,860$65,420
2017127577731.41$94,650$54,092
201682410731.57$67,270$38,984
201578414691.52$67,720$38,930
201456352691.70$57,775$34,623
201376376701.36$59,235$31,596

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 3 services

Original Medicare services billed in 2023
Psychotherapy, 1 hour23$33,657$102
Psychiatric diagnostic evaluation135$15,747$117
Evaluation of psychological test, first hour132$10,488$79

2022: 3 services

Original Medicare services billed in 2022
Psychotherapy, 1 hour21$35,215$111
Psychiatric diagnostic evaluation133$17,004$128
Evaluation of psychological test, first hour131$11,912$91

2021: 3 services

Original Medicare services billed in 2021
Psychotherapy, 1 hour21$38,685$124
Psychiatric diagnostic evaluation110$15,212$138
Evaluation of psychological test, first hour103$9,951$97

2020: 3 services

Original Medicare services billed in 2020
Psychotherapy, 1 hour27$45,553$114
Psychiatric diagnostic evaluation103$12,458$120
Evaluation of psychological test, first hour100$9,473$94

2019: 3 services

Original Medicare services billed in 2019
Psychotherapy, 1 hour36$54,334$108
Psychiatric diagnostic evaluation161$18,293$114
Evaluation of psychological test, first hour159$14,874$94

2018: 3 services

Original Medicare services billed in 2018
Psychotherapy, 1 hour31$43,815$103
Psychiatric diagnostic evaluation124$13,456$109
Psychological testing with interpretation and report by psychologist or physician per hour126$8,149$64

2017: 3 services

Original Medicare services billed in 2017
Psychotherapy, 1 hour28$35,482$100
Psychiatric diagnostic evaluation111$11,499$104
Psychological testing with interpretation and report by psychologist or physician per hour111$7,111$64

2016: 3 services

Original Medicare services billed in 2016
Psychotherapy, 1 hour18$26,859$100
Psychiatric diagnostic evaluation70$7,468$107
Psychological testing with interpretation and report by psychologist or physician per hour70$4,485$64

2015: 3 services

Original Medicare services billed in 2015
Psychotherapy, 1 hour25$26,592$101
Psychiatric diagnostic evaluation67$6,935$104
Psychological testing with interpretation and report by psychologist or physician per hour67$4,053$60

2014: 3 services

Original Medicare services billed in 2014
Psychotherapy, 1 hour16$24,246$103
Psychiatric diagnostic evaluation46$4,909$107
Psychological testing with interpretation and report by psychologist or physician per hour45$2,919$65

2013: 3 services

Original Medicare services billed in 2013
Psychotherapy, 1 hour15$18,227$78
Psychiatric diagnostic evaluation65$8,298$126
Psychological testing with interpretation and report by psychologist or physician per hour62$4,256$69

Professional record

NPI
1043224850
Licence
CA PSY7950
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 103TC0700X (103TC0700X)
Mailing address
1601 Carmen Dr, Suite 111, Camarillo, CA, 93010
NPI first listed
2006-07-28
NPI last updated
2007-07-08

This is when the NPI record was last certified, not a medical board exam.