Physician
CTM Medical Associates LLC
CTM Medical Associates LLC was paid $1.88M by Medicaid between Jan 2019 and Dec 2024, across 43 billing codes. Its largest line is 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 — 45% of everything it billed.
33Billing provider infoCTM MEDICAL ASSOCIATES LLC
MILLSBORO, DE 19966
MILLSBORO, DE 19966
33aNPI1336637792assigned 05/01/2018
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$1.88M
24GClaims50,857
24DCodes billed43
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Delaware
Rank by total paid#1 of 6
Median peer was paid$505K
This provider vs. median3.7×
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 | |
|---|---|---|---|
| 2019 | 4,065 | $107K | |
| 2020 | 6,284 | $403K | |
| 2021 | 15,169 | $673K | |
| 2022 | 12,102 | $507K | |
| 2023 | 8,420 | $133K | |
| 2024incomplete | 4,817 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | 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 | 45% | 18,565 | 9,009 | $849K |
| 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 | 24% | 7,012 | 6,113 | $448K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 8,041 | 6,813 | $324K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 5.8% | 1,182 | 1,127 | $108K |
| 88342 | 2.5% | 816 | 778 | $47K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 1.6% | 237 | 192 | $29K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 313 | 270 | $23K |
| 88341 | <1% | 176 | 171 | $16K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 113 | 73 | $9K |
| 88313 | <1% | 138 | 128 | $6K | |
| 96127 | <1% | 1,867 | 1,671 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 185 | 110 | $4K |
31 more codes
| 17000 | <1% | 124 | $3K | |
| 88307 | <1% | 27 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 28 | $2K |
| 17110 | <1% | 15 | $788.77 | |
| 93000 | <1% | 92 | $693.19 | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 19 | $652.47 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 32 | $487.45 |
| 99406 | <1% | 74 | $407.10 | |
| 88304 | <1% | 12 | $337.49 | |
| 72100 | <1% | 16 | $257.92 | |
| 80053 | Comprehensive metabolic panel | <1% | 23 | $102.87 |
| 80061 | Lipid panel | <1% | 16 | $100.72 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 20 | $77.21 |
| 1036F | 0% | 170 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 363 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,410 | $0.00 |
| 1101F | 0% | 1,955 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 255 | $0.00 |
| 3017F | 0% | 214 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 14 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 2,481 | $0.00 |
| 4004F | 0% | 418 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,917 | $0.00 |
| 1124F | 0% | 226 | $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 | 0% | 26 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 103 | $0.00 |
| 91300 | 0% | 18 | $0.00 | |
| 87631 | 0% | 82 | $0.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 26 | $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 | 0% | 16 | $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 | 0% | 20 | $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 |
|---|---|---|
| Lewes Surgical & Medical Associates, P.A. | Millsboro, DE | $99K |
| 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.