Physician
Premier Medical Associates
Premier Medical Associates was paid $130K by Medicaid between Jun 2021 and Oct 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoPREMIER MEDICAL ASSOCIATES
NEWARK, DE 19713
NEWARK, DE 19713
33aNPI1154836500assigned 12/07/2017
33bProvider typePulmonary Disease Physician
28Total paid$130K
24GClaims2,835
24DCodes billed6
24AFirst – last monthJun 2021 – Oct 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Delaware
Rank by total paid#3 of 11
Median peer was paid$68K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2021 | 641 | $31K | |
| 2022 | 1,134 | $54K | |
| 2023 | 998 | $41K | |
| 2024incomplete | 62 | $4K |
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 | 60% | 1,219 | 1,063 | $78K |
| 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 | 37% | 612 | 515 | $48K |
| 96127 | 1.9% | 376 | 336 | $3K | |
| 96160 | <1% | 363 | 310 | $982.31 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 250 | 214 | $554.43 |
| 94010 | <1% | 15 | 15 | $376.69 |
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 officialDEPUTY, LYRON (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Delaware Sleep Disorder Centers, LLC | Newark, DE | $960K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.