Candal, Mario
Candal, Mario was paid $141K by Medicaid between Oct 2018 and Nov 2022, across 3 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 99% of everything it billed.
33Billing provider infoCANDAL, MARIO
EASTON, PA 18042
EASTON, PA 18042
33aNPI1376564435assigned 07/22/2006
33bProvider typeSpecialist
28Total paid$141K
24GClaims5,524
24DCodes billed3
24AFirst – last monthOct 2018 – Nov 2022
Compared with peers
Next to other Specialist providers in Pennsylvania
Rank by total paid#67 of 543
Median peer was paid$16K
This provider vs. median8.9×
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 | 149 | $354.34 | |
| 2020 | 512 | $14K | |
| 2021 | 2,703 | $73K | |
| 2022 | 2,160 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 99% | 5,343 | 2,508 | $139K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 32 | 32 | $1K |
| 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 | <1% | 149 | 27 | $354.34 |
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.