Physician
Delaware Modern Pediatrics
Delaware Modern Pediatrics was paid $418K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoDELAWARE MODERN PEDIATRICS
NEWARK, DE 19702
NEWARK, DE 19702
33aNPI1578608592assigned 02/20/2007
33bProvider typePediatrics Physician
28Total paid$418K
24GClaims17,321
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Delaware
Rank by total paid#20 of 39
Median peer was paid$418K
This provider vs. median1.0×
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 | 3,088 | $2K | |
| 2019 | 3,547 | $29K | |
| 2020 | 2,310 | $80K | |
| 2021 | 2,192 | $82K | |
| 2022 | 3,281 | $111K | |
| 2023 | 2,163 | $83K | |
| 2024incomplete | 740 | $30K |
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 | 45% | 3,250 | 2,631 | $190K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 2,483 | 2,018 | $105K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.7% | 299 | 284 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 374 | 346 | $20K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 4.3% | 1,396 | 1,278 | $18K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.5% | 132 | 105 | $15K |
| 99058 | 3.4% | 1,621 | 1,335 | $14K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 280 | 226 | $12K |
| 90686 | 2.8% | 976 | 916 | $12K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 32 | 29 | $3K |
| 90670 | <1% | 145 | 126 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 411 | 370 | $1K |
15 more codes
| 87400 | <1% | 102 | $538.98 | |
| 69210 | <1% | 14 | $452.80 | |
| 99401 | <1% | 1,379 | $442.33 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 28 | $304.43 |
| 90688 | <1% | 15 | $233.26 | |
| 90647 | <1% | 16 | $176.56 | |
| 94760 | <1% | 423 | $114.97 | |
| 90633 | <1% | 16 | $30.07 | |
| 99000 | <1% | 289 | $4.20 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 2,373 | $0.00 |
| 90461 | 0% | 1,064 | $0.00 | |
| 90648 | 0% | 27 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 147 | $0.00 |
| 91307 | 0% | 17 | $0.00 | |
| 90723 | 0% | 12 | $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 officialMACOLLEY, MELISSA (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Associates, PA | Newark, DE | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.