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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJoseph Cerbone
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    Joseph Cerbone — Billing Profile & Reimbursement Data

    NPI 1235173709 · Avenel, NJ · Dermatology Physician

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    Joseph Cerbone is a dermatology physician provider located in Avenel, New Jersey. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoseph Cerbone
    Address1030 Saint Georges Ave
    CityAvenel
    StateNJ
    ZIP07001
    TaxonomyDermatology Physician
    NPI EnumeratedJune 15, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$163.3K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…900$70$59.1K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.240$80$17.7K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…30$410$13.5K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.270$50$13K
    13101This is for a complex repair of a wound to the trunk.  This wound should be 2.6 to 7.5 cm in size.30$320$11K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.30$350$8.8K
    99203The 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…120$80$8.8K
    11103The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…180$40$7.6K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…1,080$10$6.5K
    67810The provider takes a sample of a suspicious area on the skin of the eyelid or its edges. He submits the specimen to a laboratory for analysis to determine its nature.30$150$4.7K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921413,54313,640130$90$23.6K
    13132398030$250$14.4K
    11102155590120$70$14.2K
    9921339614,090100$70$13.1K
    13121559030$260$13K
    1700416624040$140$11.1K
    17000200600170$40$10.6K
    13101258030$280$9.5K
    6781031020$160$6.8K
    111036143060$40$4.9K

    Showing 1–10 of 16

    Nearby Providers

    Other providers in the same ZIP code as Joseph Cerbone, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gregory ShypulaNJHematology & Oncology Physician$612.7K$0
    Mark SingerNJDiagnostic Radiology Physician$227.6K$0
    David WirtshafterNJDiagnostic Radiology Physician$209.2K$0
    Peter DossNJDiagnostic Radiology Physician$161.4K$0
    Robert LimaniNJDiagnostic Radiology Physician$13.3K$136.2K
    Charles SaniewskiNJDiagnostic Radiology Physician$146.4K$0
    Tony GeorgeNJPain Medicine Physician$85.4K$0
    David ChunNJDiagnostic Radiology Physician$69.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Joseph Cerbone — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey