Calandra, Carl

Calandra, Carl was paid $12K by Medicaid between May 2021 and Oct 2023, across 3 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 74% of everything it billed.

33Billing provider infoCALANDRA, CARL
HINSDALE, IL 60521

33aNPI1366527418assigned 10/26/2006

33bProvider typeGastroenterology Physician

28Total paid$12K

24GClaims368

24DCodes billed3

24AFirst – last monthMay 2021 – Oct 2023

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#202 of 370

Median peer was paid$16K

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
2021	67	$2K
2022	83	$4K
2023	218	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	74%	310	147	$9K
99223	Prolong inpt eval add15 m	21%	30	28	$2K
99231	Subsequent hospital care, per day, straightforward or low complexity	4.9%	28	14	$580.24

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.