Southern Delaware Foot & Ankle LLC
Southern Delaware Foot & Ankle LLC was paid $718K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoSOUTHERN DELAWARE FOOT & ANKLE LLC
SEAFORD, DE 19973
SEAFORD, DE 19973
33aNPI1548301005assigned 02/09/2007
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$718K
24GClaims36,245
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in Delaware
Rank by total paid#1 of 10
Median peer was paid$60K
This provider vs. median12×
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 | 4,697 | $14K | |
| 2019 | 7,860 | $56K | |
| 2020 | 5,427 | $146K | |
| 2021 | 5,366 | $135K | |
| 2022 | 5,782 | $159K | |
| 2023 | 4,574 | $127K | |
| 2024incomplete | 2,539 | $79K |
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 | 53% | 11,806 | 10,227 | $378K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 22% | 2,813 | 2,651 | $160K |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 6.7% | 687 | 226 | $48K |
| 73630 | 5.3% | 2,899 | 2,237 | $38K | |
| 11056 | 3.8% | 2,728 | 2,350 | $27K | |
| 11721 | 2.9% | 2,438 | 2,123 | $21K | |
| 11720 | 2.2% | 2,775 | 2,406 | $16K | |
| 11750 | <1% | 71 | 67 | $6K | |
| 11055 | <1% | 502 | 455 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 433 | 393 | $5K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 95 | 51 | $4K |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | <1% | 340 | 103 | $2K |
16 more codes
| 11719 | <1% | 625 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 30 | $2K |
| 17110 | <1% | 26 | $920.96 | |
| A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | <1% | 44 | $672.82 |
| 73610 | <1% | 64 | $594.29 | |
| 97760 | <1% | 14 | $482.35 | |
| K0903 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | <1% | 28 | $287.49 |
| A5514 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | <1% | 119 | $148.08 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 43 | $106.11 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 14 | $20.79 |
| G8410 | Footwear evaluation performed and documented | 0% | 1,643 | $0.00 |
| 1036F | 0% | 1,810 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,887 | $0.00 |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 1,216 | $0.00 |
| 99072 | 0% | 53 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 42 | $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 officialLEMON, BRADLEY (OWNER)