Physician
Medical Oncology Hematology Consultants PA
Medical Oncology Hematology Consultants PA was paid $7.67M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is J9271, Injection, pembrolizumab, 1 mg — 72% of everything it billed.
33Billing provider infoMEDICAL ONCOLOGY HEMATOLOGY CONSULTANTS PA
NEWARK, DE 19713
NEWARK, DE 19713
33aNPI1235199316assigned 03/24/2006
33bProvider typeHematology & Oncology Physician
28Total paid$7.67M
24GClaims50,845
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
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 | 5,376 | $131K | |
| 2019 | 4,622 | $125K | |
| 2020 | 8,253 | $535K | |
| 2021 | 6,243 | $1.26M | |
| 2022 | 8,520 | $2.88M | |
| 2023 | 10,434 | $2.16M | |
| 2024incomplete | 7,397 | $584K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 72% | 692 | 505 | $5.54M |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 7.0% | 8,039 | 3,895 | $540K |
| 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 | 5.0% | 7,549 | 5,717 | $384K |
| J1454 | Injection, fosnetupitant 235 mg and palonosetron 0.25 mg | 3.2% | 886 | 494 | $248K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 6,475 | 5,134 | $231K |
| J0897 | Injection, denosumab, 1 mg | 1.5% | 96 | 74 | $113K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 1,698 | 1,262 | $112K |
| J1437 | Injection, ferric derisomaltose, 10 mg | 1.3% | 105 | 73 | $97K |
| 96375 | Therapeutic injection; each additional sequential IV push | 1.2% | 5,892 | 2,586 | $91K |
| 96417 | 1.0% | 2,020 | 1,062 | $77K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 1,636 | 990 | $49K |
| 96367 | <1% | 2,576 | 1,343 | $42K |
21 more codes
| J1453 | Injection, fosaprepitant, 1 mg | <1% | 436 | $34K |
| J2469 | Injection, palonosetron hcl, 25 mcg | <1% | 1,393 | $23K |
| 96415 | <1% | 1,147 | $19K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 232 | $17K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,526 | $14K |
| 99205 | Prolong outpt/office vis | <1% | 72 | $9K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 218 | $7K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 131 | $5K |
| 99223 | Prolong inpt eval add15 m | <1% | 47 | $5K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 5,381 | $4K |
| 96411 | <1% | 89 | $3K | |
| 96401 | <1% | 76 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 31 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 22 | $2K |
| J9045 | Injection, carboplatin, 50 mg | <1% | 117 | $1K |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 1,798 | $748.37 |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 54 | $598.31 |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 52 | $593.03 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 216 | $410.49 |
| 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% | 43 | $155.03 |
| 36591 | <1% | 100 | $147.60 |
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 officialHIMELSTEIN, AMDREW (PRESIDENT)