Redka, James

Redka, James was paid $11K by Medicaid between Dec 2020 and Nov 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoREDKA, JAMES
WILLIAMSPORT, PA 17701

33aNPI1548240773assigned 01/23/2006

33bProvider typeFamily Medicine Physician

28Total paid$11K

24GClaims332

24DCodes billed2

24AFirst – last monthDec 2020 – Nov 2023

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#1,633 of 2,756

Median peer was paid$19K

This provider vs. median0.6×

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	14	$462.00
2021	58	$2K
2022	132	$5K
2023	128	$4K

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	65%	240	228	$7K
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	35%	92	80	$4K

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.