Physician
Carmen G Cardona Medical PC
Carmen G Cardona Medical PC was paid $486K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.
33Billing provider infoCARMEN G CARDONA MEDICAL PC
BROOKLYN, NY 11220
BROOKLYN, NY 11220
33aNPI1508161670assigned 01/20/2011
33bProvider typeInternal Medicine Physician
28Total paid$486K
24GClaims7,274
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#481 of 6,049
Median peer was paid$11K
This provider vs. median43×
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 | 780 | $54K | |
| 2019 | 740 | $49K | |
| 2020 | 879 | $59K | |
| 2021 | 906 | $63K | |
| 2022 | 1,355 | $91K | |
| 2023 | 1,680 | $100K | |
| 2024incomplete | 934 | $70K |
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 | 81% | 5,467 | 5,094 | $396K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 10% | 465 | 465 | $51K |
| 99401 | 3.6% | 528 | 514 | $18K | |
| 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 | 2.9% | 127 | 122 | $14K |
| 3078F | <1% | 196 | 195 | $3K | |
| 3074F | <1% | 151 | 151 | $2K | |
| 3075F | <1% | 87 | 87 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 194 | 193 | $708.79 |
| 3079F | <1% | 46 | 45 | $660.00 | |
| 82042 | <1% | 13 | 13 | $41.44 |
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 officialCARDONA, CARMEN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Sunrise Medical Services, P.C. | Pontiac, MI | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.