Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cercone, David

Cercone, David was paid $126K by Medicaid between Jan 2018 and Dec 2018, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 53% of everything it billed.

33Billing provider infoCERCONE, DAVID
STEUBENVILLE, OH 43952
33aNPI1437185360assigned 06/23/2006
28Total paid$126K
24GClaims1,324
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Emergency Medicine Physician providers in Ohio

Rank by total paid#94 of 368
Median peer was paid$13K
This provider vs. median9.8×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,324$126K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 53% 441 433 $67K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 25% 293 291 $31K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 22% 500 490 $28K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 40 40 $290.96
93042 <1% 12 12 $7.12
99053 0% 38 37 $0.00

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.