PHILIP CERAULO, DO
Physical Medicine & Rehabilitation Physician · UNION, NJ
Individual Active NPI 1114180882
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 335 | 3,394 | $1,326,974 | $271,366 | $210,018 |
| 2023 | 416 | 3,221 | $1,725,520 | $356,337 | $288,007 |
| 2022 | 447 | 4,168 | $1,717,945 | $426,701 | $342,109 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 687 | $96 | $68 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 489 | $135 | $97 |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 395 | $57 | $41 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 342 | $0 | $0 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 222 | $17 | $14 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 172 | $106 | $106 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 123 | $102 | $81 |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 89 | $153 | $153 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 74 | $58 | $58 |
| 95911 | Nerve conduction, 9-10 studies | 60 | $224 | $172 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 37 | $133 | $106 |
| 98980 | Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month | 34 | $56 | $45 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ✓ | 25MB08316500 | NJ |
| Pain Medicine Physician | 208VP0000X | 25MB08316500 | NJ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.