James S Cerneka DO PLLC

James S Cerneka DO PLLC was paid $3K by Medicaid between Jun 2023 and Nov 2023, across 2 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 63% of everything it billed.

33Billing provider infoJAMES S CERNEKA DO PLLC
MESA, AZ 85201

33aNPI1396934402assigned 10/15/2007

33bProvider typeGeneral Practice Physician

28Total paid$3K

24GClaims29

24DCodes billed2

24AFirst – last monthJun 2023 – Nov 2023

Compared with peers

Next to other General Practice Physician providers in Arizona

Rank by total paid#28 of 33

Median peer was paid$130K

This provider vs. median0.0×

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
2023	29	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	63%	16	12	$2K
99222	Initial hospital care, per day, moderate complexity	37%	13	12	$950.95

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.

From NPPES

Who's on the registration

Authorized officialCERNEKA, JAMES (OWNER)