Physician
Endocrinology Consultant PA
Endocrinology Consultant PA was paid $141K by Medicaid between Jan 2018 and Oct 2024, across 16 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 51% of everything it billed.
33Billing provider infoENDOCRINOLOGY CONSULTANT PA
DOVER, DE 19901
DOVER, DE 19901
33aNPI1659488468assigned 08/25/2006
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$141K
24GClaims3,855
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2024
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 | 1,357 | $4K | |
| 2019 | 453 | $11K | |
| 2020 | 464 | $41K | |
| 2021 | 342 | $26K | |
| 2022 | 553 | $27K | |
| 2023 | 490 | $28K | |
| 2024incomplete | 196 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 51% | 1,374 | 1,239 | $72K |
| 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 | 47% | 1,489 | 1,308 | $66K |
| 95251 | 2.0% | 196 | 181 | $3K | |
| 1036F | 0% | 129 | 96 | $0.00 | |
| 3044F | 0% | 18 | 13 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 55 | 40 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 19 | 13 | $0.00 |
| 3061F | 0% | 20 | 16 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 153 | 116 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 36 | 29 | $0.00 |
| 4004F | 0% | 151 | 115 | $0.00 | |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 41 | 32 | $0.00 |
4 more codes
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 officialREYNOLDS, JUDY (CLIENT MANAGER)