Caradonna, David

Caradonna, David was paid $12K by Medicaid between Apr 2018 and Dec 2022, across 4 billing codes. Its largest line is 31231, — 80% of everything it billed.

33Billing provider infoCARADONNA, DAVID
BOSTON, MA 02215

33aNPI1679512107assigned 06/06/2006

33bProvider typeOtolaryngology Physician

28Total paid$12K

24GClaims279

24DCodes billed4

24AFirst – last monthApr 2018 – Dec 2022

Compared with peers

Next to other Otolaryngology Physician providers in Massachusetts

Rank by total paid#49 of 90

Median peer was paid$14K

This provider vs. median0.9×

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	80	$3K
2019	50	$2K
2020	13	$640.17
2021	55	$3K
2022	81	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
31231		80%	198	194	$10K
92557		9.7%	40	40	$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	5.3%	14	14	$637.82
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.0%	27	27	$601.77

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.