Physician
Delaware Primary Care LLC
Delaware Primary Care LLC was paid $912K by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoDELAWARE PRIMARY CARE LLC
DOVER, DE 19904
DOVER, DE 19904
33aNPI1104852300assigned 06/23/2006
33bProvider typeInternal Medicine Physician
28Total paid$912K
24GClaims26,629
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Delaware
Rank by total paid#11 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 | 3,888 | $23K | |
| 2019 | 4,464 | $68K | |
| 2020 | 3,677 | $184K | |
| 2021 | 4,037 | $186K | |
| 2022 | 4,610 | $207K | |
| 2023 | 3,918 | $169K | |
| 2024incomplete | 2,035 | $75K |
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 | 55% | 11,009 | 9,604 | $504K |
| 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 | 36% | 6,128 | 5,510 | $326K |
| 99442 | 2.3% | 539 | 474 | $21K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.2% | 122 | 121 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 105 | 103 | $10K |
| 90674 | <1% | 478 | 448 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 714 | 663 | $8K |
| 99490 | Ccm add 20min | <1% | 1,190 | 1,015 | $7K |
| 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% | 147 | 133 | $3K |
| 0012A | <1% | 76 | 76 | $3K | |
| 99496 | <1% | 108 | 99 | $2K | |
| 99487 | Ccm add 20min | <1% | 245 | 220 | $2K |
21 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 45 | $2K |
| 90686 | <1% | 328 | $2K | |
| 0011A | <1% | 84 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $1K |
| 99497 | <1% | 152 | $329.72 | |
| 90653 | <1% | 52 | $264.52 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 164 | $212.06 |
| 0013A | <1% | 19 | $200.00 | |
| 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% | 63 | $77.76 |
| 90694 | <1% | 15 | $66.43 | |
| 86580 | <1% | 12 | $27.35 | |
| 91301 | <1% | 120 | $0.23 | |
| 90662 | 0% | 15 | $0.00 | |
| 3078F | 0% | 1,660 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 71 | $0.00 |
| 3044F | 0% | 101 | $0.00 | |
| 3075F | 0% | 284 | $0.00 | |
| 3079F | 0% | 487 | $0.00 | |
| 3074F | 0% | 1,833 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 224 | $0.00 |
| 2023F | 0% | 14 | $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 officialPATRICKCOOKS, ALISHA (BILLING DEPARTMENT)