Cervone, James
Cervone, James was paid $63K by Medicaid between Oct 2020 and Dec 2024, across 5 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 51% of everything it billed.
33Billing provider infoCERVONE, JAMES
BELLEVUE, PA 15202
BELLEVUE, PA 15202
33aNPI1780640177assigned 04/25/2006
33bProvider typeOptician
28Total paid$63K
24GClaims1,681
24DCodes billed5
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Optician providers in Pennsylvania
Rank by total paid#69 of 140
Median peer was paid$57K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2020 | 88 | $4K | |
| 2021 | 342 | $13K | |
| 2022 | 351 | $13K | |
| 2023 | 537 | $21K | |
| 2024incomplete | 363 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 51% | 464 | 453 | $32K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 35% | 552 | 540 | $22K |
| V2020 | Frames, purchases | 10% | 545 | 530 | $6K |
| 92015 | Determination of refractive state | 2.9% | 46 | 46 | $2K |
| V2025 | Deluxe frame | 1.4% | 74 | 73 | $879.12 |
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.