Physician
Family Practice Associates, PA
Family Practice Associates, PA was paid $1.22M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoFAMILY PRACTICE ASSOCIATES, PA
WILMINGTON, DE 19805
WILMINGTON, DE 19805
33aNPI1053426692assigned 08/21/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.22M
24GClaims48,367
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Delaware
Rank by total paid#13 of 97
Median peer was paid$101K
This provider vs. median12×
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 | 4,824 | $27K | |
| 2019 | 6,491 | $64K | |
| 2020 | 5,915 | $178K | |
| 2021 | 8,177 | $214K | |
| 2022 | 8,305 | $254K | |
| 2023 | 9,390 | $327K | |
| 2024incomplete | 5,265 | $155K |
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 | 37% | 11,363 | 8,822 | $458K |
| 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 | 30% | 9,469 | 6,719 | $368K |
| 99490 | Ccm add 20min | 11% | 5,799 | 5,183 | $138K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.8% | 625 | 502 | $34K |
| 99439 | 2.1% | 1,045 | 967 | $26K | |
| 99457 | 2.1% | 803 | 773 | $26K | |
| 99454 | 1.8% | 539 | 521 | $22K | |
| 99491 | Ccm add 20min | 1.6% | 538 | 456 | $20K |
| 99458 | 1.6% | 730 | 703 | $19K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 301 | 213 | $17K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 824 | 698 | $17K |
| 99408 | <1% | 960 | 755 | $12K |
44 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 575 | $12K |
| 90682 | <1% | 682 | $10K | |
| 96127 | <1% | 3,048 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 58 | $6K |
| 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) | <1% | 811 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 70 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,016 | $4K |
| 99487 | Ccm add 20min | <1% | 156 | $2K |
| 99453 | <1% | 95 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 120 | $1K |
| 96160 | <1% | 1,021 | $1K | |
| 92552 | <1% | 124 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 40 | $1K |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 84 | $887.42 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $798.93 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 106 | $689.34 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 259 | $621.75 |
| 0011A | <1% | 22 | $561.60 | |
| 96125 | <1% | 60 | $397.78 | |
| 81002 | <1% | 719 | $363.05 | |
| 0012A | <1% | 18 | $361.60 | |
| 99173 | <1% | 173 | $234.01 | |
| 0001A | <1% | 14 | $120.00 | |
| 99489 | Ccm add 20min | <1% | 36 | $81.30 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 14 | $71.84 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 127 | $70.12 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 172 | $50.82 |
| 93000 | <1% | 39 | $34.18 | |
| 91301 | <1% | 66 | $0.02 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 33 | $0.00 |
| 3078F | 0% | 1,117 | $0.00 | |
| 99072 | 0% | 1,566 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 23 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 32 | $0.00 |
| 91300 | 0% | 60 | $0.00 | |
| 3074F | 0% | 1,287 | $0.00 | |
| 1101F | 0% | 374 | $0.00 | |
| 3075F | 0% | 227 | $0.00 | |
| 3079F | 0% | 436 | $0.00 | |
| 1170F | 0% | 75 | $0.00 | |
| 99406 | 0% | 156 | $0.00 | |
| 90686 | 0% | 33 | $0.00 | |
| 1111F | 0% | 174 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 26 | $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.
From NPPES
Who's on the registration
Authorized officialSOBEL, EDWARD (PRESIDENT)