Physician
Cerniello, Christine
Cerniello, Christine was paid $422K by Medicaid between Jan 2018 and Jul 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoCERNIELLO, CHRISTINE
WEST ISLIP, NY 11795
WEST ISLIP, NY 11795
33aNPI1790881167assigned 09/15/2006
33bProvider typePediatrics Physician
28Total paid$422K
24GClaims15,990
24DCodes billed22
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#451 of 1,983
Median peer was paid$17K
This provider vs. median25×
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 | 1,465 | $43K | |
| 2019 | 2,062 | $49K | |
| 2020 | 3,072 | $63K | |
| 2021 | 2,860 | $76K | |
| 2022 | 2,622 | $81K | |
| 2023 | 3,027 | $84K | |
| 2024incomplete | 882 | $26K |
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 | 55% | 5,188 | 4,630 | $233K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 1,455 | 1,443 | $47K |
| 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 | 9.0% | 612 | 597 | $38K |
| 87428 | 5.7% | 601 | 579 | $24K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.3% | 274 | 274 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 266 | 266 | $16K |
| 92551 | 1.7% | 954 | 954 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 364 | 358 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 920 | 905 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 244 | 240 | $6K |
| 99402 | <1% | 400 | 400 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 509 | 506 | $3K |
10 more codes
| 87081 | <1% | 873 | $3K | |
| 87184 | <1% | 809 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 42 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 28 | $2K |
| 81000 | <1% | 615 | $1K | |
| 99173 | <1% | 587 | $1K | |
| 81003 | <1% | 333 | $499.62 | |
| 99401 | <1% | 401 | $81.29 | |
| 99000 | 0% | 491 | $0.00 | |
| 99072 | 0% | 24 | $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.