NICHOLAS SCARCELLA, M.D.
Adult Reconstructive Orthopaedic Surgery Physician · CLEVELAND, OH
Individual Active NPI 1043744659
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 248 | 520 | $907,725 | $143,792 | $111,885 |
| 2023 | 118 | 177 | $335,111 | $49,683 | $39,277 |
| 2022 | 29 | 30 | $35,508 | $5,811 | $4,630 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 89 | $91 | $63 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 69 | $63 | $45 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 52 | $50 | $38 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 45 | $34 | $27 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 44 | $132 | $105 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 40 | $127 | $94 |
| 27447 | Replacement of knee joint, both sides of knee | 34 | $1,224 | $969 |
| 20610 | Aspiration and/or injection of fluid from large joint | 31 | $45 | $33 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 28 | $1,223 | $966 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 21 | $109 | $88 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | ✓ | 35.142335 | OH |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Adult Reconstructive Orthopaedic Surgery Physician providers in Ohio
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See all Adult Reconstructive Orthopaedic Surgery Physician providers in Ohio →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.