Physician
Delaware Pediatrics
Delaware Pediatrics was paid $1.74M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoDELAWARE PEDIATRICS
WILMINGTON, DE 19803
WILMINGTON, DE 19803
33aNPI1588717409assigned 01/22/2007
33bProvider typePediatrics Physician
28Total paid$1.74M
24GClaims75,294
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Delaware
Rank by total paid#9 of 39
Median peer was paid$418K
This provider vs. median4.2×
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 | 9,102 | $18K | |
| 2019 | 10,439 | $105K | |
| 2020 | 10,756 | $330K | |
| 2021 | 9,785 | $399K | |
| 2022 | 12,224 | $434K | |
| 2023 | 15,495 | $274K | |
| 2024incomplete | 7,493 | $180K |
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 | 21% | 10,453 | 7,849 | $369K |
| 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 | 15% | 6,024 | 4,580 | $268K |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | 15% | 1,074 | 794 | $264K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 3,379 | 2,608 | $179K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 2,895 | 2,436 | $168K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 2,332 | 1,926 | $138K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.9% | 1,800 | 1,501 | $119K |
| 90686 | 2.6% | 3,640 | 3,153 | $45K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.5% | 4,886 | 3,478 | $43K |
| 90670 | 1.1% | 1,566 | 1,240 | $19K | |
| 96160 | <1% | 7,891 | 6,446 | $16K | |
| 90723 | <1% | 1,124 | 946 | $15K |
32 more codes
| 90647 | <1% | 1,185 | $14K | |
| 90680 | <1% | 858 | $13K | |
| 92551 | <1% | 2,003 | $12K | |
| 96127 | <1% | 2,687 | $10K | |
| 90651 | <1% | 485 | $8K | |
| 90633 | <1% | 486 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,784 | $5K |
| 99173 | <1% | 3,716 | $5K | |
| 92583 | <1% | 192 | $4K | |
| 90656 | <1% | 161 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 32 | $2K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 28 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 88 | $2K |
| 90734 | <1% | 133 | $2K | |
| 87081 | <1% | 1,234 | $2K | |
| 90671 | <1% | 85 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 96 | $992.50 |
| 90677 | <1% | 12 | $765.42 | |
| 90672 | <1% | 34 | $640.03 | |
| 0071A | <1% | 12 | $480.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 108 | $373.62 |
| 90715 | <1% | 13 | $264.84 | |
| 90700 | <1% | 16 | $242.77 | |
| 99050 | <1% | 122 | $120.00 | |
| 81002 | <1% | 13 | $13.26 | |
| 36416 | <1% | 315 | $4.09 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 8,178 | $0.00 |
| 90461 | 0% | 3,285 | $0.00 | |
| 83655 | 0% | 228 | $0.00 | |
| 90681 | 0% | 30 | $0.00 | |
| 3008F | 0% | 593 | $0.00 | |
| 91307 | 0% | 18 | $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 officialLAMBETH, DIANA (OFFICE MANAGER)