Cheponis, Eric

Cheponis, Eric was paid $698K by Medicaid between May 2021 and Apr 2023, across 6 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 86% of everything it billed.

33Billing provider infoCHEPONIS, ERIC
PITTSBURGH, PA 15237

33aNPI1487045613assigned 02/10/2015

33bProvider typeSurgical Physician Assistant

28Total paid$698K

24GClaims4,327

24DCodes billed6

24AFirst – last monthMay 2021 – Apr 2023

Compared with peers

Next to other Surgical Physician Assistant providers in Pennsylvania

Rank by total paid#1 of 23

Median peer was paid$4K

This provider vs. median185×

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
2021	1,243	$153K
2022	2,480	$432K
2023	604	$113K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9012	Other specified case management service not elsewhere classified	86%	2,202	2,198	$597K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	10%	1,331	1,184	$72K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.0%	713	664	$28K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	<1%	19	19	$831.25
80305		<1%	36	35	$412.47
96127		<1%	26	26	$195.08

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.