Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Jeffrey Cerny (NPI 1730289869)

Field	Value
Entity Type	Individual
Organization	Jeffrey Cerny
Address	1515 Holcombe Blvd
City	Houston
State	TX
ZIP	77030
Taxonomy	Anesthesiology Physician
NPI Enumerated	September 25, 2006

Payer Source	Total Paid
Medicare	$14K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01610	The provider performs anesthesia services for a patient undergoing any procedure of the nerves, muscles, tendons, fascia, and bursae of the shoulder and axilla.	20	$150	$2.7K
00532	The provider performs anesthesia services for the procedure of accessing central venous circulation, which refers to the major veins draining blood into the heart. Another provider may use this…	30	$80	$2.4K
00402	The provider performs anesthesia services for a patient undergoing a procedure on the integumentary system on the extremities, anterior trunk and perineum, including reconstructive procedures on the…	20	$140	$2K
01112	The provider performs anesthesia services for a patient undergoing the procedure of either bone marrow aspiration or biopsy or both. The procedure site is the anterior or posterior iliac crest.	20	$110	$2K
00912	The provider performs anesthesia services for a patient undergoing excision of one or more tumors within the bladder performed through the urethra, which is the opening for the outflow of urine.	20	$90	$1.8K
00902	The provider performs anesthesia services for a procedure involving the anus or rectum.	20	$90	$1.4K
00400	The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system on the extremities, anterior trunk and perineum, not otherwise specified.	10	$70	$880
00910	The provider performs anesthesia services for a patient undergoing transurethral procedures including urethrocystoscopy. The surgical provider may examine the organs of the urinary system from within…	10	$60	$760

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Jeffrey Cerny — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01610	12	40	10	$150	$2.4K
01112	16	30	20	$100	$2.4K
00402	1	10	10	$170	$2.4K
00902	47	90	20	$70	$2K
00532	11	60	20	$90	$1.8K
00912	13	40	20	$90	$1.7K
00910	170	240	10	$60	$1.3K
00400	107	170	10	$80	$1.3K

Jeffrey Cerny — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References