Physician
Cardinal Family Medicine, PLLC
Cardinal Family Medicine, PLLC was paid $46K by Medicaid between Nov 2023 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoCARDINAL FAMILY MEDICINE, PLLC
MONTGOMERY, NY 12549
MONTGOMERY, NY 12549
33aNPI1396458642assigned 01/03/2023
33bProvider typeFamily Medicine Physician
28Total paid$46K
24GClaims996
24DCodes billed7
24AFirst – last monthNov 2023 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#785 of 2,605
Median peer was paid$10K
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2023 | 108 | $5K | |
| 2024incomplete | 888 | $41K |
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 | 60% | 278 | 264 | $28K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 183 | 170 | $12K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 4.7% | 42 | 26 | $2K |
| 90759 | 3.3% | 27 | 27 | $2K | |
| 96127 | 2.8% | 307 | 171 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 2.5% | 93 | 90 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 66 | 66 | $393.23 |
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 officialHOWARD, ALEXANDRIA (OWNER)