Physician
Mid-Atlantic Family Practice
Mid-Atlantic Family Practice was paid $454K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoMID-ATLANTIC FAMILY PRACTICE
LEWES, DE 19958
LEWES, DE 19958
33aNPI1205839164assigned 05/24/2005
33bProvider typeFamily Medicine Physician
28Total paid$454K
24GClaims21,036
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Delaware
Rank by total paid#23 of 97
Median peer was paid$101K
This provider vs. median4.5×
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 | 7,477 | $20K | |
| 2019 | 5,117 | $77K | |
| 2020 | 3,869 | $223K | |
| 2021 | 1,187 | $71K | |
| 2022 | 681 | $42K | |
| 2023 | 1,822 | $15K | |
| 2024incomplete | 883 | $6K |
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 | 51% | 8,013 | 5,899 | $234K |
| 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% | 7,273 | 5,117 | $167K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.0% | 309 | 280 | $23K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.4% | 153 | 140 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 76 | 72 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 139 | 108 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 216 | 138 | $3K |
| 96127 | <1% | 1,381 | 1,114 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56 | 51 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 80 | 39 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 31 | 26 | $747.65 |
| 90688 | <1% | 150 | 113 | $616.37 |
18 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 52 | $211.68 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31 | $161.74 |
| 93000 | <1% | 44 | $139.90 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 44 | $25.80 |
| 90686 | <1% | 14 | $22.07 | |
| 81002 | <1% | 55 | $19.94 | |
| G0008 | Administration of influenza virus vaccine | <1% | 116 | $2.60 |
| 1159F | 0% | 349 | $0.00 | |
| 1160F | 0% | 350 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 113 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 395 | $0.00 |
| 3078F | 0% | 224 | $0.00 | |
| 90461 | 0% | 12 | $0.00 | |
| 1036F | 0% | 437 | $0.00 | |
| 3008F | 0% | 516 | $0.00 | |
| 3074F | 0% | 345 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| 3079F | 0% | 50 | $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 officialHECKERT, JEFFREY (PRESIDENT)