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NPI 1730109513 · Erie, PA · Orthopaedic Hand Surgery Physician
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Marybeth Cermak is a orthopaedic hand surgery physician provider located in Erie, Pennsylvania. This profile covers 23 Medicare and 5 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 | Marybeth Cermak |
| Address | 300 State St |
| City | Erie |
| State | PA |
| ZIP | 16507 |
| Taxonomy | Orthopaedic Hand Surgery Physician |
| NPI Enumerated | July 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $122.1K |
| Medicaid | $18.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 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… | 410 | $60 | $25.8K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 70 | $310 | $22.4K |
| 25447 | The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the… | 20 | $630 | $13.2K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 60 | $180 | $10.5K |
| 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… | 110 | $70 | $8.1K |
| 20550 | Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation. | 160 | $40 | $6.6K |
| 20600 | In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 150 | $40 | $5.7K |
| 25310 | The provider transfers a tendon from one location in the forearm or wrist to another to replace a damaged or diseased tendon and restore motion of the hand. | 20 | $240 | $5K |
| 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,… | 120 | $40 | $4.8K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 660 | $10 | $3.3K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64721 | 19 | 160 | 30 | $420 | $17.1K |
| 99214 | 20,146 | 23,230 | 100 | $80 | $14.5K |
| 26055 | 19 | 140 | 30 | $280 | $10.8K |
| 25447 | 9 | 40 | 20 | $550 | $9.4K |
| 99213 | 1,422 | 22,370 | 70 | $60 | $7.7K |
| 99204 | 6,880 | 10,290 | 30 | $110 | $5K |
| 25310 | 1 | 10 | 20 | $260 | $4.2K |
| 99203 | 609 | 7,330 | 30 | $70 | $3.5K |
| 99212 | 481 | 4,720 | 30 | $40 | $2.3K |
| 20550 | 39 | 560 | 30 | $40 | $2.1K |
Showing 1–10 of 23
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.
5 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… | 580 | $30 | $15.5K |
| 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 | $1.6K |
| 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… | 10 | $50 | $600 |
| 99072 | The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items… | 40 | $10 | $300 |
| 73100 | In this procedure, the provider takes two X–ray images of a patient’s wrist to check for any fracture, swelling, or reason of pain in the wrist area. | 10 | $20 | $270 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 2,961 | 8,870 | 240 | $40 | $56.1K |
| 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… | 1,483 | 1,620 | 80 | $60 | $28.4K |
| 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,… | 842 | 1,630 | 90 | $30 | $22K |
| 73100 | In this procedure, the provider takes two X–ray images of a patient’s wrist to check for any fracture, swelling, or reason of pain in the wrist area. | 33 | 40 | 40 | $20 | $4.4K |
| 99072 | The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items… | 158 | 230 | 110 | $1 | $990 |
Other providers in the same ZIP code as Marybeth Cermak, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Gaudenzia Inc | PA | Community/Behavioral Health Agency | $0 | $40M |
| Dr Gertrude A Barber Center Inc | PA | Clinic/Center | $0 | $18.7M |
| Robert Baldwin | PA | Ophthalmology Physician | $2.3M | $145.9K |
| Laboratory Associates Of Erie LLC | PA | Clinical Medical Laboratory | $60.1K | $2.2M |
| Ryan Constantine | PA | Retina Specialist (Ophthalmology) Physician | $2M | $0 |
| David Almeida | PA | Ophthalmology Physician | $1.3M | $520.5K |
| Upmc Hamot Surgery Center, LLC | PA | Ambulatory Surgical Clinic/Center | $871.5K | $719.9K |
| Douglas Babel | PA | Ophthalmology Physician | $742.6K | $63.8K |
| Edward Zimm | PA | Ophthalmology Physician | $422.7K | $380 |
| Ellen Dailey | PA | Obstetrics & Gynecology Physician | $72.4K | $276.7K |
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