Physician
Peninsula Health LLC
Peninsula Health LLC was paid $406K by Medicaid between Jan 2018 and Oct 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoPENINSULA HEALTH LLC
MILLSBORO, DE 19966
MILLSBORO, DE 19966
33aNPI1316198062assigned 09/30/2008
33bProvider typeInternal Medicine Physician
28Total paid$406K
24GClaims14,595
24DCodes billed34
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Delaware
Rank by total paid#18 of 59
Median peer was paid$78K
This provider vs. median5.2×
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 | 4,519 | $30K | |
| 2019 | 2,927 | $51K | |
| 2020 | 1,672 | $84K | |
| 2021 | 1,450 | $83K | |
| 2022 | 1,916 | $74K | |
| 2023 | 1,614 | $59K | |
| 2024incomplete | 497 | $24K |
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 | 56% | 4,817 | 3,665 | $228K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 4,814 | 3,491 | $162K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.8% | 103 | 84 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 339 | 188 | $3K |
| 90686 | <1% | 197 | 144 | $2K | |
| 99442 | <1% | 31 | 28 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 341 | 276 | $895.44 |
| 0002A | <1% | 18 | 18 | $726.40 | |
| 90674 | <1% | 34 | 30 | $457.71 | |
| 0001A | <1% | 14 | 13 | $402.40 | |
| 90756 | <1% | 60 | 36 | $330.24 | |
| 99497 | <1% | 22 | 14 | $52.44 |
22 more codes
| 91300 | <1% | 46 | $0.11 | |
| 3078F | 0% | 468 | $0.00 | |
| 3288F | 0% | 257 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,679 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 141 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 143 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 156 | $0.00 |
| 4004F | 0% | 88 | $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% | 42 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 72 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 28 | $0.00 |
| 1160F | 0% | 17 | $0.00 | |
| 1159F | 0% | 17 | $0.00 | |
| 3074F | 0% | 355 | $0.00 | |
| 3079F | 0% | 117 | $0.00 | |
| 4010F | 0% | 25 | $0.00 | |
| 3044F | 0% | 13 | $0.00 | |
| 3008F | 0% | 13 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 36 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 20 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 24 | $0.00 |
| 3075F | 0% | 48 | $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 officialHASTINGS, TERRI (OFFICE MANAGER)