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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSamuel Zerkle
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    Samuel Zerkle — Billing Profile & Reimbursement Data

    NPI 1689992091 · Erie, PA · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician

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    Samuel Zerkle is a undersea and hyperbaric medicine (emergency medicine) physician provider located in Erie, Pennsylvania. This profile covers 15 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
    OrganizationSamuel Zerkle
    Address201 State St
    CityErie
    StatePA
    ZIP16550
    TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
    NPI EnumeratedMay 10, 2010

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

    Payer SourceTotal Paid
    Medicare$72.7K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…170$70$12.4K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…440$30$11.7K
    97598After debriding the initial 20 cm2 at the same encounter, the provider excises devitalized (dead) tissue from an open wound. He may use a variety of techniques that include sharp debridement with…510$20$9.7K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.80$90$7.1K
    99204The 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…60$100$5.8K
    11042The 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 cm2.120$50$5.4K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.40$140$5.4K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.70$60$4.3K
    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…90$50$4.1K
    11045The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…90$20$1.9K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992852,6813,230120$140$20.3K
    992147,93223,230100$80$14.5K
    1104211943070$70$7.8K
    992139,54922,37070$60$7.7K
    992841,1953,35060$90$6.9K
    97597735060$60$5.4K
    992042,39310,29030$110$5K
    1527162050$80$4.4K
    97598330140$20$4K
    17250285040$40$3.9K

    Showing 1–10 of 15

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Samuel Zerkle, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Central Ohio Family Care Center, IncOHSpecialist$0$15.3M
    Genesis Medical Group LLCOHGeneral Practice Physician$0$15.2M
    Genesis Emergency Physicians LLCOHEmergency Medicine Physician$0$10.8M
    Levent AkdumanMOOphthalmology Physician$3.1M$1.4M
    Phu TranFLHematology & Oncology Physician$1.2M$10.9K
    Shaun BhattyOHClinical Cardiac Electrophysiology Physician$341.6K$0
    Benjamin MartinOHUrology Physician$299.7K$0
    Grant ChowOHClinical Cardiac Electrophysiology Physician$242.2K$0
    Muhammad Abdel MigeedMIClinical Cardiac Electrophysiology Physician$220.8K$400
    Isaac MitchellFLSports Medicine (Orthopaedic Surgery) Physician$219.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Upmc HamotPAGeneral Acute Care Hospital$0$18.1M
    Richard KocanPADiagnostic Radiology Physician$104.3K$169.8K
    Rachel LagosPADiagnostic Radiology Physician$246.1K$3.4K
    Antonio PenaPADiagnostic Radiology Physician$133.5K$114.3K
    Jennifer NaberPAAnatomic Pathology & Clinical Pathology Physician$82.9K$146.9K
    Stephen OljeskiPADiagnostic Radiology Physician$156.1K$40.4K
    Dale StevensPADiagnostic Radiology Physician$73.3K$75.6K
    Angelo ZerboniaPADiagnostic Radiology Physician$59.7K$83.9K
    Kim KrichkoPACertified Registered Nurse Anesthetist$46K$0
    Mark YostPADiagnostic Radiology Physician$27.3K$10.1K

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Samuel Zerkle — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania