Physician
Tucker, Wayne
Tucker, Wayne was paid $158K by Medicaid between Jan 2018 and Mar 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.
33Billing provider infoTUCKER, WAYNE
BEAR, DE 19701
BEAR, DE 19701
33aNPI1356430821assigned 10/12/2006
33bProvider typeFamily Medicine Physician
28Total paid$158K
24GClaims2,642
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Family Medicine Physician providers in Delaware
Rank by total paid#44 of 97
Median peer was paid$101K
This provider vs. median1.6×
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 | 252 | $63.90 | |
| 2019 | 380 | $7K | |
| 2020 | 286 | $29K | |
| 2021 | 316 | $32K | |
| 2022 | 505 | $39K | |
| 2023 | 727 | $44K | |
| 2024incomplete | 176 | $8K |
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 | 96% | 2,073 | 1,837 | $151K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 92 | 87 | $7K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 41 | 34 | $488.49 |
| 3074F | 0% | 209 | 203 | $0.00 | |
| 3079F | 0% | 75 | 74 | $0.00 | |
| 3078F | 0% | 152 | 145 | $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.