Physician
Adolescent Medicine General Pediatrics & Allergy
Adolescent Medicine General Pediatrics & Allergy was paid $373K by Medicaid between Jan 2018 and Feb 2022, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoADOLESCENT MEDICINE GENERAL PEDIATRICS & ALLERGY
DOVER, DE 19904
DOVER, DE 19904
33aNPI1053450981assigned 02/06/2007
33bProvider typePediatrics Physician
28Total paid$373K
24GClaims23,810
24DCodes billed30
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Pediatrics Physician providers in Delaware
Rank by total paid#21 of 39
Median peer was paid$418K
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 | 8,976 | $7K | |
| 2019 | 7,417 | $72K | |
| 2020 | 4,263 | $167K | |
| 2021 | 2,991 | $119K | |
| 2022 | 163 | $8K |
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 | 38% | 5,364 | 4,444 | $143K |
| 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% | 2,980 | 2,546 | $112K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.9% | 762 | 729 | $33K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 469 | 451 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 620 | 576 | $24K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 453 | 418 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.3% | 1,471 | 1,371 | $9K |
| 90686 | 1.9% | 622 | 585 | $7K | |
| 92552 | <1% | 416 | 396 | $2K | |
| 90670 | <1% | 289 | 257 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 271 | 254 | $2K |
| 90685 | <1% | 124 | 118 | $1K |
18 more codes
| 96160 | <1% | 2,195 | $400.03 | |
| 81002 | <1% | 1,522 | $379.35 | |
| 90633 | <1% | 45 | $308.98 | |
| 87430 | <1% | 661 | $296.06 | |
| 90698 | <1% | 114 | $286.91 | |
| 90680 | <1% | 68 | $286.91 | |
| 90734 | <1% | 57 | $245.77 | |
| 87807 | <1% | 25 | $67.70 | |
| 90651 | <1% | 30 | $44.14 | |
| 94760 | <1% | 878 | $28.74 | |
| 90744 | <1% | 12 | $22.07 | |
| 99173 | <1% | 1,747 | $4.60 | |
| 85018 | <1% | 14 | $1.76 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 2,510 | $0.00 |
| 90461 | 0% | 55 | $0.00 | |
| 83655 | 0% | 12 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90716 | 0% | 12 | $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 officialBACCHUS, FIZUL (OWNER)