Physician
Cardelia, James
Cardelia, James was paid $10K by Medicaid between Jan 2018 and Jul 2018, across 2 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 72% of everything it billed.
33Billing provider infoCARDELIA, JAMES
NORFOLK, VA 23502
NORFOLK, VA 23502
33aNPI1366458283assigned 07/31/2006
33bProvider typePediatric Orthopaedic Surgery Physician
28Total paid$10K
24GClaims118
24DCodes billed2
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other Pediatric Orthopaedic Surgery Physician providers in Virginia
Rank by total paid#5 of 7
Median peer was paid$14K
This provider vs. median0.7×
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 | 118 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 72% | 76 | 75 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 42 | 40 | $3K |
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.