Orville D Cerna Medical Clinic, LLC

Orville D Cerna Medical Clinic, LLC was paid $39K by Medicaid between Jan 2018 and Jul 2021, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoORVILLE D CERNA MEDICAL CLINIC, LLC
PECOS, TX 79772

33aNPI1528205150assigned 01/20/2009

33bProvider typeInternal Medicine Physician

28Total paid$39K

24GClaims2,302

24DCodes billed11

24AFirst – last monthJan 2018 – Jul 2021

Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#336 of 1,028

Median peer was paid$10K

This provider vs. median3.8×

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	934	$14K
2019	619	$10K
2020	498	$8K
2021	251	$8K

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	44%	883	813	$17K
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	40%	522	491	$16K
99309	Subsequent nursing facility care, per day, low to moderate complexity	13%	389	380	$5K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.1%	59	13	$420.26
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	62	62	$293.58
99310	Prolong nursin fac eval 15m	<1%	58	57	$33.08
99239	Hospital discharge day management, more than 30 minutes	0%	12	12	$0.00
Q2035	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	0%	56	56	$0.00
G0008	Administration of influenza virus vaccine	0%	187	141	$0.00
90688		0%	62	61	$0.00
Q2036	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)	0%	12	12	$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.

From NPPES

Who's on the registration

Authorized officialCERENA, ORVILLE (PRESIDENT)