Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CTM MEDICAL ASSOCIATES LLC

NPI: 1336637792 · MILLSBORO, DE 19966 · Anatomic Pathology & Clinical Pathology Physician · NPI assigned 05/01/2018

$1.88M
Total Medicaid Paid
50,857
Total Claims
36,404
Beneficiaries
43
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABBOUD, SEMAAN (CEO)
NPI Enumeration Date05/01/2018

Related Entities

Other providers sharing the same authorized official: ABBOUD, SEMAAN

ProviderCityStateTotal Paid
LEWES SURGICAL & MEDICAL ASSOCIATES, P.A. MILLSBORO DE $99K
CTS SURGICAL ASSOCIATES LLC MILLSBORO DE $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 4,065 $107K
2020 6,284 $403K
2021 15,169 $673K
2022 12,102 $507K
2023 8,420 $133K
2024 4,817 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 18,565 9,009 $849K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,012 6,113 $448K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,041 6,813 $324K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,182 1,127 $108K
88342 816 778 $47K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 237 192 $29K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 313 270 $23K
88341 176 171 $16K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 113 73 $9K
88313 138 128 $6K
96127 1,867 1,671 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 185 110 $4K
17000 124 100 $3K
88307 27 27 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28 24 $2K
17110 15 14 $788.77
93000 92 77 $693.19
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 19 14 $652.47
71046 Radiologic examination, chest; 2 views 32 26 $487.45
99406 74 44 $407.10
88304 12 12 $337.49
72100 16 14 $257.92
80053 Comprehensive metabolic panel 23 19 $102.87
80061 Lipid panel 16 12 $100.72
85025 Blood count; complete (CBC), automated, and automated differential WBC count 20 14 $77.21
1036F 170 159 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 363 329 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,410 1,951 $0.00
1101F 1,955 1,548 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 255 223 $0.00
3017F 214 185 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 14 12 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 2,481 2,003 $0.00
4004F 418 400 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,917 2,310 $0.00
1124F 226 202 $0.00
M1170 Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period 26 20 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 103 99 $0.00
91300 18 12 $0.00
87631 82 59 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 26 12 $0.00
M1168 Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period 16 13 $0.00
M1176 Patient did not receive two doses of the herpes zoster recombinant vaccine (at least 28 days apart) on october 20, 2017, through the end of the measurement period 20 15 $0.00