Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › DE › Newark › NPI 1205904679
Physician

Infectious Disease Associates PA

Infectious Disease Associates PA was paid $1.80M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 47% of everything it billed.

33Billing provider infoINFECTIOUS DISEASE ASSOCIATES PA
NEWARK, DE 19713
33aNPI1205904679assigned 12/01/2006
28Total paid$1.80M
24GClaims53,361
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Infectious Disease Physician providers in Delaware

Rank by total paid#3 of 5
Median peer was paid$1.80M
This provider vs. median1.0×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20189,798$103K
20197,825$145K
20207,378$381K
20217,486$373K
20229,406$294K
20238,163$332K
2024incomplete3,305$173K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 47% 32,688 8,445 $840K
99223 Prolong inpt eval add15 m 20% 4,477 3,437 $368K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 15% 6,642 2,284 $274K
99222 Initial hospital care, per day, moderate complexity 13% 4,499 3,503 $225K
99231 Subsequent hospital care, per day, straightforward or low complexity 2.7% 3,373 1,849 $48K
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 1.4% 975 791 $25K
99442 <1% 158 139 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 316 256 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 233 169 $6K

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 officialBACON, ALFRED (PRACTICE OWNER)