Physician
Kalodner, David
Kalodner, David was paid $410K by Medicaid between Oct 2020 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoKALODNER, DAVID
SUNBURY, PA 17801
SUNBURY, PA 17801
33aNPI1407231392assigned 07/21/2015
33bProvider typeFamily Medicine Physician
28Total paid$410K
24GClaims12,267
24DCodes billed29
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#163 of 2,756
Median peer was paid$19K
This provider vs. median21×
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 | |
|---|---|---|---|
| 2020 | 152 | $6K | |
| 2021 | 1,009 | $39K | |
| 2022 | 3,482 | $120K | |
| 2023 | 4,175 | $135K | |
| 2024incomplete | 3,449 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 5,882 | 5,124 | $213K |
| 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 | 26% | 2,025 | 1,924 | $108K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.6% | 188 | 178 | $19K |
| 80061 | Lipid panel | 2.7% | 768 | 755 | $11K |
| 80053 | Comprehensive metabolic panel | 2.2% | 756 | 741 | $9K |
| 80050 | General health panel | 1.8% | 163 | 160 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 72 | 69 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 70 | 70 | $7K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 151 | 145 | $6K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.2% | 414 | 395 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 40 | 40 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 512 | 503 | $3K |
17 more codes
| G0008 | Administration of influenza virus vaccine | <1% | 245 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 50 | $2K |
| 87070 | <1% | 172 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 181 | $1K |
| 81001 | <1% | 189 | $573.13 | |
| 87430 | <1% | 66 | $457.38 | |
| 93000 | <1% | 13 | $274.82 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 12 | $248.30 |
| 90651 | <1% | 13 | $157.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $156.47 |
| 99173 | <1% | 12 | $79.20 | |
| 90674 | 0% | 22 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 13 | $0.00 |
| G9920 | Screening performed and negative | 0% | 167 | $0.00 |
| 90756 | 0% | 27 | $0.00 | |
| 99490 | Ccm add 20min | 0% | 13 | $0.00 |
| 90658 | 0% | 19 | $0.00 |
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.