Physician
Complete Family Care, INC
Complete Family Care, INC was paid $989K by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoCOMPLETE FAMILY CARE, INC
WILMINGTON, DE 19805
WILMINGTON, DE 19805
33aNPI1477789261assigned 06/07/2009
33bProvider typeFamily Medicine Physician
28Total paid$989K
24GClaims41,120
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Delaware
Rank by total paid#14 of 97
Median peer was paid$101K
This provider vs. median9.8×
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 | 9,038 | $13K | |
| 2019 | 8,169 | $87K | |
| 2020 | 6,513 | $240K | |
| 2021 | 5,930 | $212K | |
| 2022 | 5,019 | $188K | |
| 2023 | 4,276 | $165K | |
| 2024incomplete | 2,175 | $84K |
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 | 48% | 8,470 | 7,576 | $470K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 8,551 | 7,587 | $384K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 425 | 409 | $33K |
| 90686 | 2.5% | 1,776 | 1,678 | $25K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 399 | 391 | $19K |
| 92551 | 1.9% | 2,554 | 2,312 | $18K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 789 | 707 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 303 | 282 | $6K |
| 99173 | <1% | 2,505 | 2,262 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 46 | 42 | $4K |
| 0012A | <1% | 121 | 119 | $4K | |
| 0011A | <1% | 110 | 107 | $3K |
24 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 299 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 39 | $2K |
| 0134A | <1% | 55 | $2K | |
| 81000 | <1% | 2,611 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 91 | $1K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 14 | $707.01 |
| 90685 | <1% | 41 | $618.90 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 15 | $244.20 |
| 90651 | <1% | 24 | $242.77 | |
| 96127 | <1% | 136 | $214.18 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 114 | $154.17 |
| 90688 | <1% | 176 | $149.57 | |
| 90662 | <1% | 131 | $126.89 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $102.74 |
| 91301 | <1% | 279 | $0.25 | |
| 91313 | <1% | 53 | $0.13 | |
| 90461 | 0% | 439 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 13 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 2,074 | $0.00 |
| 3078F | 0% | 30 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 23 | $0.00 |
| 3074F | 0% | 31 | $0.00 | |
| 3008F | 0% | 8,135 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 232 | $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 officialMELENDEZ, MAYDA (PRESIDENT)