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
STEUBENVILLE, OH 43952
33aNPI1437185360assigned 06/23/2006
33bProvider typeEmergency Medicine Physician
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
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 | 1,324 | $126K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.