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 New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Robert Cerniglia (NPI 1952855439)

Field	Value
Entity Type	Individual
Organization	Robert Cerniglia
Address	425 Jack Martin Blvd
City	Brick
State	NJ
ZIP	08724
Taxonomy	Surgical Physician Assistant
NPI Enumerated	August 12, 2016

Payer Source	Total Paid
Medicare	$7.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
44207	The provider performs laparoscopic removal of part of the colon with connection of the colon to the rectum.	10	$210	$2.5K
15734	The provider develops a muscle, myocutaneous, or fasciocutaneous flap obtained from the trunk (the area between the neck and the waist) and places it over a defect on the patient's body.	20	$120	$2.3K
47563	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. She injects dye and…	10	$80	$1.2K
49596	The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length greater than 10 cm. The hernias are incarcerated (trapped) or strangulated…	10	$60	$790
49650	The provider performs laparoscopic repair of an initial inguinal hernia.	10	$50	$560
44213	In this laparoscopic add–on procedure, during the same session in which the provider performs partial colectomy, he also mobilizes the splenic flexure, a sharp bend between the transverse and the…	10	$20	$270

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Robert Cerniglia — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
15734	9	10	20	$850	$27.2K
44207	5	10	10	$1,180	$15.4K
47563	5	10	10	$480	$7.7K
49650	57	60	20	$400	$7.7K
49596	3	10	10	$430	$6.1K
44213	2	10	10	$120	$1.6K

Robert Cerniglia — Billing Profile & Reimbursement Data

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Robert Cerniglia — 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