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NPI 1023469277 · Centralia, IL · Podiatrist
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Robert Schergen is a podiatrist provider located in Centralia, Illinois. This profile covers 19 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Robert Schergen |
| Address | 402 N Pleasant Ave |
| City | Centralia |
| State | IL |
| ZIP | 62801 |
| Taxonomy | Podiatrist |
| NPI Enumerated | June 29, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $185.9K |
| Medicare | $157.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,600 | $60 | $87.8K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 190 | $60 | $11.5K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 130 | $80 | $10.3K |
| 11044 | The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the… | 60 | $150 | $8.5K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 60 | $130 | $8.2K |
| 14040 | The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code… | 20 | $430 | $8.1K |
| 28122 | In this procedure, the provider removes the infected portion of the tarsal or metatarsal bone, not including the talus or calcaneus, using craterization, saucerization, or diaphysectomy. | 20 | $210 | $3.6K |
| 11043 | The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or… | 30 | $90 | $2.8K |
| 28285 | The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position. | 20 | $180 | $2.7K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 30 | $100 | $2.6K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 11043 | 39 | 60 | 40 | $160 | $21.3K |
| 14040 | 19 | 40 | 20 | $600 | $18.7K |
| 99214 | 8,431 | 18,540 | 110 | $80 | $17.1K |
| 28285 | 42 | 40 | 30 | $540 | $16.1K |
| 11056 | 345 | 430 | 140 | $60 | $15.4K |
| 11721 | 573 | 640 | 290 | $30 | $15.1K |
| 99232 | 7,615 | 7,960 | 90 | $60 | $12.4K |
| 99223 | 2,399 | 6,190 | 50 | $140 | $10.4K |
| 11042 | 427 | 480 | 90 | $70 | $10.1K |
| 99213 | 48 | 17,390 | 70 | $60 | $8.8K |
Showing 1–10 of 19
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 5,330 | $20 | $117.3K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 920 | $40 | $34.8K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 810 | $30 | $26.8K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 110 | $40 | $4K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 260 | $10 | $2K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 290 | $10 | $2K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 80 | $20 | $1.4K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 3,879 | 14,680 | 300 | $50 | $48.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 722 | 14,190 | 280 | $20 | $38.9K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 111 | 190 | 190 | $40 | $30.4K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 257 | 3,270 | 80 | $40 | $11.1K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 220 | 370 | 400 | $10 | $8.9K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 90 | 170 | 340 | $10 | $7.7K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 1,750 | 3,330 | 90 | $10 | $7.4K |
Other providers in the same ZIP code as Robert Schergen, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Community Resource Center Inc. | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $5.7M |
| Physician Services Corporation Of Southern Illinois Inc | IL | Rural Health Clinic/Center | $0 | $5.6M |
| Lifestar Ambulance Service,inc. | IL | Ambulance | $587.1K | $2.7M |
| Gibran Mahmud | IL | Hematology & Oncology Physician | $2.2M | $477.7K |
| Naeem Khan | IL | Cardiovascular Disease Physician | $359.8K | $133.2K |
| Suresh Krishnamoorthy | IL | Geriatric Medicine (Internal Medicine) Physician | $339.5K | $28.5K |
| James Schutzenhofer | IL | Internal Medicine Physician | $278.7K | $19.5K |
| Natalie Amason | IL | Nurse Practitioner | $253.1K | $15.3K |
| Daniel Wolf | IL | Optometrist | $88.6K | $1.6K |
| Joel Barrientos | IL | Urology Physician | $85.4K | $1.7K |
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