DJ Marc Cardinal, MD PA

DJ Marc Cardinal, MD PA was paid $34K by Medicaid between Jan 2018 and Mar 2022, across 12 billing codes. Its largest line is 76805, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation — 34% of everything it billed.

33Billing provider infoDJ MARC CARDINAL, MD PA
BLACKFOOT, ID 83221

33aNPI1053493809assigned 10/20/2006

33bProvider typeDiagnostic Radiology Physician

28Total paid$34K

24GClaims2,237

24DCodes billed12

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Diagnostic Radiology Physician providers in Idaho

Rank by total paid#6 of 16

Median peer was paid$5K

This provider vs. median7.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	827	$8K
2019	1,083	$22K
2020	199	$2K
2021	97	$1K
2022	31	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	34%	296	282	$12K
74177	Computed tomography, abdomen and pelvis; with contrast material	15%	88	82	$5K
71046	Radiologic examination, chest; 2 views	13%	897	813	$5K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	13%	176	152	$4K
70450	Computed tomography, head or brain; without contrast material	8.4%	158	138	$3K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	6.2%	61	51	$2K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	4.4%	57	52	$2K
76857		2.4%	46	46	$818.62
76700	Ultrasound, abdominal, real time with image documentation; complete	1.4%	19	17	$466.48
G9637	Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)	<1%	376	274	$330.32
74246		<1%	12	12	$272.88
71045	Radiologic examination, chest; single view	<1%	51	41	$110.96

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCARDINAL, DJ (PRESIDENT)