Physician
Ephphatha Medical Care Services LLC
Ephphatha Medical Care Services LLC was paid $78K by Medicaid between Nov 2021 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.
33Billing provider infoEPHPHATHA MEDICAL CARE SERVICES LLC
SEAFORD, DE 19973
SEAFORD, DE 19973
33aNPI1245884048assigned 07/30/2019
33bProvider typeInternal Medicine Physician
28Total paid$78K
24GClaims2,357
24DCodes billed5
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Delaware
Rank by total paid#30 of 59
Median peer was paid$78K
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
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 | 45 | $790.27 | |
| 2022 | 733 | $19K | |
| 2023 | 863 | $30K | |
| 2024incomplete | 716 | $28K |
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 | 92% | 2,115 | 962 | $72K |
| 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 | 4.3% | 44 | 21 | $3K |
| 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 | 2.2% | 22 | 12 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 45 | 29 | $790.27 |
| 36415 | Collection of venous blood by venipuncture | <1% | 131 | 81 | $239.00 |
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 officialDORIVAL, EMANIE (NURSE PRACTITIONER)