Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rheumatology Center of Delaware, LLC

Rheumatology Center of Delaware, LLC was paid $4.94M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is J0129, Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) — 37% of everything it billed.

33Billing provider infoRHEUMATOLOGY CENTER OF DELAWARE, LLC
DOVER, DE 19904
33aNPI1447308168assigned 01/08/2007
33bProvider typeRheumatology Physician
28Total paid$4.94M
24GClaims31,453
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Rheumatology Physician providers in Delaware

Rank by total paid#1 of 8
Median peer was paid$175K
This provider vs. median28×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20185,883$248K
20194,825$199K
20204,590$1.04M
20214,811$827K
20225,332$1.01M
20234,156$1.06M
2024incomplete1,856$554K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 37% 752 658 $1.82M
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 19% 1,146 597 $931K
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 15% 443 340 $765K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.1% 8,448 7,870 $348K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 5.7% 4,057 3,584 $281K
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 5.1% 3,242 3,027 $252K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4.2% 1,958 1,823 $207K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 4.0% 244 153 $197K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) <1% 3,245 2,798 $36K
96401 <1% 401 341 $33K
96415 <1% 1,693 1,478 $29K
20610 <1% 515 334 $14K
13 more codes
J1030 Injection, methylprednisolone acetate, 40 mg <1% 997 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 447 $5K
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% 302 $3K
J7050 Infusion, normal saline solution, 250 cc <1% 2,862 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 171 $991.01
99442 <1% 15 $611.62
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 104 $565.87
99070 <1% 227 $29.97
M1003 Tb screening performed and results interpreted within twelve months prior to initiation of first-time biologic and/or immune response modifier therapy 0% 48 $0.00
1170F 0% 31 $0.00
0540F 0% 61 $0.00
M1007 >=50% of total number of a patient's outpatient ra encounters assessed 0% 30 $0.00
G2112 Patient receiving <=5 mg daily prednisone (or equivalent), or ra activity is worsening, or glucocorticoid use is for less than 6 months 0% 14 $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 officialSHOCKLEY, PENNY (OFFICE MANAGER)