Physician
Del Pilar Medical & Urgent Care PC
Del Pilar Medical & Urgent Care PC was paid $3.63M by Medicaid between Jan 2018 and Dec 2024, across 80 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoDEL PILAR MEDICAL & URGENT CARE PC
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
33aNPI1417031907assigned 10/24/2006
33bProvider typeFamily Medicine Physician
28Total paid$3.63M
24GClaims124,908
24DCodes billed80
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#20 of 408
Median peer was paid$81K
This provider vs. median45×
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 | 16,454 | $214K | |
| 2019 | 17,346 | $396K | |
| 2020 | 16,388 | $430K | |
| 2021 | 16,477 | $618K | |
| 2022 | 23,620 | $705K | |
| 2023 | 21,808 | $698K | |
| 2024incomplete | 12,815 | $572K |
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 | 39% | 20,025 | 14,702 | $1.42M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 20,006 | 14,615 | $1.00M |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 5.9% | 1,811 | 1,540 | $215K |
| 98927 | 3.5% | 3,186 | 1,901 | $126K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 2,437 | 2,033 | $87K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 843 | 763 | $73K |
| 94060 | 1.5% | 2,013 | 1,520 | $55K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 620 | 536 | $54K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 1,167 | 1,006 | $53K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 564 | 507 | $51K |
| 98928 | 1.2% | 976 | 536 | $45K | |
| 92552 | 1.2% | 3,996 | 3,512 | $43K |
68 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 3,911 | $38K |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 13,485 | $38K |
| 76536 | 1.0% | 631 | $38K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,983 | $36K |
| 74022 | <1% | 1,087 | $24K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 284 | $23K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 399 | $23K |
| 93000 | <1% | 2,505 | $22K | |
| 80305 | <1% | 2,016 | $20K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,534 | $19K |
| 90756 | <1% | 1,014 | $17K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 379 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 644 | $13K |
| 81025 | <1% | 1,735 | $12K | |
| 82962 | <1% | 6,826 | $11K | |
| 81003 | <1% | 6,618 | $10K | |
| 94010 | <1% | 388 | $8K | |
| 90674 | <1% | 312 | $7K | |
| 96127 | <1% | 1,495 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 859 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 43 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 25 | $3K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 396 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 576 | $2K |
| 80061 | Lipid panel | <1% | 335 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 493 | $2K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,031 | $2K |
| 87807 | <1% | 175 | $2K | |
| 72110 | <1% | 69 | $2K | |
| 20611 | <1% | 23 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 15 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 198 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $957.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $772.06 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 13 | $674.28 |
| 87905 | <1% | 75 | $495.13 | |
| 90661 | <1% | 40 | $455.57 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 31 | $453.93 |
| 99406 | <1% | 14 | $340.10 | |
| 3044F | <1% | 159 | $340.00 | |
| 90694 | <1% | 14 | $242.12 | |
| 74019 | <1% | 17 | $238.17 | |
| 90686 | <1% | 16 | $217.56 | |
| 92551 | <1% | 36 | $198.71 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 21 | $137.59 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 2,027 | $132.08 |
| 99401 | <1% | 28 | $125.45 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 86 | $119.76 |
| 99000 | <1% | 46 | $107.50 | |
| 86318 | <1% | 14 | $72.36 | |
| 36416 | <1% | 49 | $71.10 | |
| 87210 | <1% | 44 | $58.17 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 19 | $40.31 |
| 3078F | 0% | 2,311 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 38 | $0.00 |
| 3077F | 0% | 606 | $0.00 | |
| 99442 | 0% | 24 | $0.00 | |
| 99497 | 0% | 18 | $0.00 | |
| 3050F | 0% | 16 | $0.00 | |
| 3079F | 0% | 2,455 | $0.00 | |
| 3074F | 0% | 3,808 | $0.00 | |
| 3075F | 0% | 922 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 207 | $0.00 |
| 3080F | 0% | 510 | $0.00 | |
| 3048F | 0% | 21 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 21 | $0.00 |
| 85027 | 0% | 34 | $0.00 | |
| 99385 | 0% | 13 | $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 officialSLUSSER, CANDACE (CEO)