Cardinal Healthcare PLLC

Cardinal Healthcare PLLC was paid $195K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.

33Billing provider infoCARDINAL HEALTHCARE PLLC
FALLING WATERS, WV 25419

33aNPI1316377005assigned 11/18/2013

33bProvider typeFamily Medicine Physician

28Total paid$195K

24GClaims3,078

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in West Virginia

Rank by total paid#93 of 202

Median peer was paid$172K

This provider vs. median1.1×

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	551	$35K
2019	138	$10K
2020	542	$38K
2021	457	$31K
2022	611	$40K
2023	480	$26K
2024incomplete	299	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	97%	2,902	2,485	$189K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.6%	83	81	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	26	25	$302.40
92551		<1%	26	24	$202.57
99173		<1%	28	26	$58.17
90686		<1%	13	13	$19.58

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 officialSOOD, VINEET (OWNER)