Physician
Sussex Medical Center, INC
Sussex Medical Center, INC was paid $163K by Medicaid between Mar 2021 and Dec 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.
33Billing provider infoSUSSEX MEDICAL CENTER, INC
BLADES, DE 19973
BLADES, DE 19973
33aNPI1568008423assigned 11/25/2019
33bProvider typeFamily Medicine Physician
28Total paid$163K
24GClaims3,532
24DCodes billed4
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Delaware
Rank by total paid#43 of 97
Median peer was paid$101K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2021 | 484 | $26K | |
| 2022 | 1,005 | $48K | |
| 2023 | 1,312 | $59K | |
| 2024incomplete | 731 | $30K |
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 | 91% | 3,008 | 2,423 | $148K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.8% | 340 | 300 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 29 | 28 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 155 | 124 | $2K |
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 officialAGUILLON, PAUL (OWNER/MANAGING PHYSICIAN)