Physician
Georgetown Medical Associates, LLC
Georgetown Medical Associates, LLC was paid $903K by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoGEORGETOWN MEDICAL ASSOCIATES, LLC
GEORGETOWN, DE 19947
GEORGETOWN, DE 19947
33aNPI1053513127assigned 06/01/2007
33bProvider typeInternal Medicine Physician
28Total paid$903K
24GClaims38,358
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Delaware
Rank by total paid#12 of 59
Median peer was paid$78K
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 | 7,363 | $37K | |
| 2019 | 4,850 | $83K | |
| 2020 | 4,594 | $155K | |
| 2021 | 5,157 | $185K | |
| 2022 | 6,410 | $190K | |
| 2023 | 6,604 | $159K | |
| 2024incomplete | 3,380 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 9,067 | 6,947 | $424K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 8,665 | 6,566 | $322K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.1% | 516 | 427 | $46K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 4.2% | 501 | 331 | $38K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.8% | 168 | 146 | $16K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.2% | 3,506 | 2,757 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,321 | 736 | $7K |
| 90674 | <1% | 836 | 376 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 288 | 179 | $5K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 55 | 51 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 592 | 467 | $4K |
| 90756 | <1% | 521 | 281 | $3K |
47 more codes
| 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% | 410 | $3K |
| 99499 | <1% | 252 | $2K | |
| 90686 | <1% | 197 | $2K | |
| 0011A | <1% | 186 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 57 | $2K |
| 0012A | <1% | 162 | $2K | |
| 99495 | <1% | 18 | $2K | |
| 0013A | <1% | 85 | $1K | |
| 99441 | <1% | 32 | $920.28 | |
| 0134A | <1% | 40 | $760.00 | |
| 90661 | <1% | 32 | $672.53 | |
| 82948 | <1% | 4,157 | $551.32 | |
| 99497 | <1% | 85 | $446.04 | |
| 81002 | <1% | 292 | $172.42 | |
| 90662 | <1% | 65 | $135.29 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 105 | $109.92 |
| 96127 | <1% | 13 | $63.76 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 91 | $51.71 |
| 82962 | <1% | 59 | $45.60 | |
| G0008 | Administration of influenza virus vaccine | <1% | 313 | $34.20 |
| 91301 | <1% | 327 | $0.11 | |
| 91313 | <1% | 40 | $0.09 | |
| 3044F | 0% | 692 | $0.00 | |
| 1126F | 0% | 192 | $0.00 | |
| 3074F | 0% | 456 | $0.00 | |
| 1170F | 0% | 197 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 178 | $0.00 |
| 3017F | 0% | 429 | $0.00 | |
| 3008F | 0% | 169 | $0.00 | |
| 3014F | 0% | 13 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 94 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 43 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 14 | $0.00 |
| 1036F | 0% | 12 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 983 | $0.00 |
| 1159F | 0% | 172 | $0.00 | |
| 3078F | 0% | 329 | $0.00 | |
| 1160F | 0% | 172 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 124 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 325 | $0.00 |
| 91300 | 0% | 25 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 300 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 88 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 160 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 77 | $0.00 |
| 4013F | 0% | 33 | $0.00 | |
| 99072 | 0% | 27 | $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 officialHELOU, BESHARA (MEMEBER)
| Provider | Location | Paid |
|---|---|---|
| Nutrihealth LLC | Georgetown, DE | $995K |
| Georgetown Medical Elder Care LLC | Georgetown, DE | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.