FEDERICO CERRONE, M.D.
Sleep Medicine (Internal Medicine) Physician · SUMMIT, NJ
Individual Active NPI 1184625220
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,082 | 1,650 | $455,145 | $152,223 | $112,835 |
| 2023 | 1,044 | 1,512 | $429,187 | $145,979 | $106,546 |
| 2022 | 1,091 | 1,548 | $444,303 | $157,363 | $113,757 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 95800 | Sleep study including heart rate, breathing, and sleep time | 624 | $41 | $30 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 467 | $99 | $73 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 226 | $138 | $104 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 144 | $180 | $129 |
| 95810 | Sleep study in sleep lab (6 years or older) | 63 | $123 | $97 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 33 | $129 | $99 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 25 | $224 | $160 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 20 | $197 | $157 |
| 94729 | Test to examine how well the lungs exchange gases | 12 | $9 | $7 |
| 94726 | Test to determine lung volumes using sensors | 11 | $11 | $9 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ✓ | 25MA05770900 | NJ |
| Pulmonary Disease Physician | 207RP1001X | 25MA05770900 | 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.