Cephas, Marcellus
Cephas, Marcellus was paid $425K by Medicaid between Jan 2018 and Dec 2021, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.
33Billing provider infoCEPHAS, MARCELLUS
WHITESBORO, NY 13492
WHITESBORO, NY 13492
33aNPI1134116007assigned 10/05/2005
33bProvider typeSpecialist
28Total paid$425K
24GClaims5,771
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#259 of 1,221
Median peer was paid$45K
This provider vs. median9.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,880 | $222K | |
| 2019 | 2,867 | $203K | |
| 2020 | 12 | $382.15 | |
| 2021 | 12 | $133.72 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 91% | 5,512 | 5,176 | $386K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 9.2% | 259 | 255 | $39K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.