Physician
Lewes Surgical & Medical Associates, P.A.
Lewes Surgical & Medical Associates, P.A. was paid $99K by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 25% of everything it billed.
33Billing provider infoLEWES SURGICAL & MEDICAL ASSOCIATES, P.A.
MILLSBORO, DE 19966
MILLSBORO, DE 19966
33aNPI1265461263assigned 07/02/2006
33bProvider typeInternal Medicine Physician
28Total paid$99K
24GClaims11,810
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Delaware
Rank by total paid#27 of 59
Median peer was paid$78K
This provider vs. median1.3×
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 | 9,221 | $29K | |
| 2019 | 1,773 | $47K | |
| 2023 | 562 | $15K | |
| 2024incomplete | 254 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 25% | 1,224 | 1,047 | $25K |
| 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 | 25% | 1,489 | 1,139 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 5,353 | 3,789 | $21K |
| 88342 | 15% | 585 | 493 | $15K | |
| 88341 | 5.9% | 61 | 54 | $6K | |
| 88313 | 3.8% | 161 | 124 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.1% | 30 | 26 | $3K |
| 88304 | <1% | 27 | 27 | $287.07 | |
| 88312 | <1% | 133 | 122 | $273.78 | |
| 17000 | <1% | 45 | 41 | $214.10 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 218 | 158 | $153.87 |
| 80061 | Lipid panel | <1% | 328 | 247 | $97.02 |
33 more codes
| 90756 | <1% | 371 | $91.16 | |
| 80050 | General health panel | <1% | 79 | $87.34 |
| 84439 | <1% | 87 | $36.72 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 52 | $33.00 |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 14 | $14.46 |
| 80053 | Comprehensive metabolic panel | <1% | 224 | $9.34 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 21 | $3.92 |
| 81001 | <1% | 19 | $2.34 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 315 | $1.92 |
| 80361 | 0% | 13 | $0.00 | |
| 80354 | 0% | 14 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 54 | $0.00 |
| 82570 | 0% | 35 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 14 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 121 | $0.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 43 | $0.00 |
| 81002 | 0% | 29 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 26 | $0.00 |
| 99071 | 0% | 14 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 16 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 41 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 212 | $0.00 |
| 3017F | 0% | 106 | $0.00 | |
| 82607 | 0% | 14 | $0.00 | |
| 3008F | 0% | 84 | $0.00 | |
| 4010F | 0% | 13 | $0.00 | |
| 3072F | 0% | 27 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 19 | $0.00 |
| 1036F | 0% | 21 | $0.00 | |
| 80363 | 0% | 13 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| 3351F | 0% | 21 | $0.00 | |
| 80353 | 0% | 12 | $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 officialABBOUD, SEMAAN (CEO)
| Provider | Location | Paid |
|---|---|---|
| CTM Medical Associates LLC | Millsboro, DE | $1.88M |
| CTS Surgical Associates LLC | Millsboro, DE | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.