Physician
Southern Delaware Medical Group, PA
Southern Delaware Medical Group, PA was paid $19K by Medicaid between Jan 2018 and May 2019, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 90% of everything it billed.
33Billing provider infoSOUTHERN DELAWARE MEDICAL GROUP, PA
MILFORD, DE 19963
MILFORD, DE 19963
33aNPI1386662054assigned 07/18/2006
33bProvider typeFamily Medicine Physician
28Total paid$19K
24GClaims4,643
24DCodes billed9
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Family Medicine Physician providers in Delaware
Rank by total paid#67 of 97
Median peer was paid$101K
This provider vs. median0.2×
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 | 3,318 | $14K | |
| 2019 | 1,325 | $5K |
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 | 90% | 3,039 | 1,980 | $17K |
| 99490 | Ccm add 20min | 4.2% | 441 | 238 | $803.50 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 196 | 126 | $560.45 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 71 | 51 | $370.36 |
| 99487 | Ccm add 20min | 1.1% | 87 | 59 | $205.37 |
| 99489 | Ccm add 20min | <1% | 21 | 12 | $27.90 |
| 1101F | 0% | 713 | 389 | $0.00 | |
| 1126F | 0% | 44 | 17 | $0.00 | |
| 1100F | 0% | 31 | 27 | $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 officialGONZALEZ, OLGA (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| My Angels Home Health Agency INC | Miami, FL | $4.20M |
| Enrique Griego M.D.P.A. | Mcallen, TX | $138K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.