Laurel Medical Group, LLC

Laurel Medical Group, LLC was paid $127K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoLAUREL MEDICAL GROUP, LLC
LAUREL, DE 19956

33aNPI1477640696assigned 10/09/2006

33bProvider typeNephrology Physician

28Total paid$127K

24GClaims4,028

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Delaware

Rank by total paid#4 of 5

Median peer was paid$822K

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	696	$5K
2019	796	$12K
2020	752	$34K
2021	437	$17K
2022	579	$27K
2023	543	$22K
2024incomplete	225	$9K

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	58%	2,401	1,851	$74K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	22%	884	757	$28K
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	19%	743	627	$25K

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 officialPEDRO, ANTONIO (CO-OWNER)