Surgical Associates PA

Surgical Associates PA was paid $162K by Medicaid between Jan 2018 and Feb 2023, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoSURGICAL ASSOCIATES PA
DOVER, DE 19904

33aNPI1538115829assigned 05/26/2006

33bProvider typeSurgery Physician

28Total paid$162K

24GClaims3,221

24DCodes billed8

24AFirst – last monthJan 2018 – Feb 2023

Compared with peers

Next to other Surgery Physician providers in Delaware

Rank by total paid#3 of 13

Median peer was paid$2K

This provider vs. median90×

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	302	$17K
2019	633	$25K
2020	717	$45K
2021	633	$29K
2022	817	$39K
2023	119	$7K

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	50%	1,670	1,393	$81K
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	16%	298	262	$26K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	10%	502	414	$17K
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	9.1%	133	128	$15K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.8%	293	282	$14K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.5%	219	52	$7K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	48	37	$1K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	58	41	$968.58

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 officialMITCHELL, TINA (BUSINESS MANAGER)