Physician
Atlantic Family Physicians, LLC
Atlantic Family Physicians, LLC was paid $352K by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoATLANTIC FAMILY PHYSICIANS, LLC
GEORGETOWN, DE 19947
GEORGETOWN, DE 19947
33aNPI1346668886assigned 04/02/2014
33bProvider typeFamily Medicine Physician
28Total paid$352K
24GClaims18,188
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Delaware
Rank by total paid#28 of 97
Median peer was paid$101K
This provider vs. median3.5×
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 | 2,040 | $8K | |
| 2019 | 3,146 | $32K | |
| 2020 | 1,579 | $68K | |
| 2021 | 1,700 | $58K | |
| 2022 | 2,054 | $89K | |
| 2023 | 4,048 | $62K | |
| 2024incomplete | 3,621 | $34K |
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 | 55% | 6,180 | 4,288 | $192K |
| 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 | 30% | 3,306 | 2,184 | $105K |
| 99442 | 5.9% | 503 | 422 | $21K | |
| 99336 | 5.3% | 447 | 281 | $19K | |
| 99348 | 1.6% | 325 | 209 | $5K | |
| 80305 | 1.0% | 1,236 | 824 | $4K | |
| 99490 | Ccm add 20min | <1% | 472 | 359 | $3K |
| 99337 | <1% | 13 | 12 | $575.46 | |
| 99443 | <1% | 16 | 12 | $531.15 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 100 | 80 | $367.42 |
| 0012A | <1% | 15 | 14 | $320.00 | |
| 0011A | <1% | 16 | 13 | $200.00 |
19 more codes
| 90756 | <1% | 80 | $172.45 | |
| H0049 | Alcohol and/or drug screening | <1% | 35 | $165.42 |
| 99406 | <1% | 18 | $163.44 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $129.08 |
| 93000 | <1% | 32 | $59.76 | |
| 91301 | <1% | 28 | $0.07 | |
| 1101F | 0% | 286 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 42 | $0.00 |
| 3008F | 0% | 1,092 | $0.00 | |
| 3074F | 0% | 833 | $0.00 | |
| 3079F | 0% | 66 | $0.00 | |
| 3075F | 0% | 28 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 144 | $0.00 |
| 3078F | 0% | 858 | $0.00 | |
| 1160F | 0% | 898 | $0.00 | |
| 3288F | 0% | 133 | $0.00 | |
| 1159F | 0% | 899 | $0.00 | |
| 1100F | 0% | 37 | $0.00 | |
| 0518F | 0% | 38 | $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 officialALARCON, FABRICIO (OWNER)