Physician
Regional Medical Associates, PA
Regional Medical Associates, PA was paid $792K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoREGIONAL MEDICAL ASSOCIATES, PA
DOVER, DE 19904
DOVER, DE 19904
33aNPI1689772576assigned 09/21/2006
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$792K
24GClaims18,836
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 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 | 1,646 | $17K | |
| 2019 | 4,327 | $108K | |
| 2020 | 5,242 | $240K | |
| 2021 | 3,265 | $161K | |
| 2022 | 2,445 | $147K | |
| 2023 | 1,259 | $81K | |
| 2024incomplete | 652 | $38K |
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 | 35% | 4,708 | 3,476 | $275K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 3,486 | 2,019 | $179K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 15% | 3,123 | 1,698 | $119K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 7.4% | 1,863 | 913 | $58K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.4% | 766 | 476 | $35K |
| 97124 | 3.6% | 1,179 | 602 | $29K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.8% | 241 | 201 | $22K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 2.2% | 865 | 434 | $18K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.0% | 286 | 190 | $15K |
| G2086 | Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month | <1% | 74 | 60 | $8K |
| G2087 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month | <1% | 50 | 45 | $7K |
| 97012 | <1% | 833 | 403 | $6K |
14 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 136 | $6K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 127 | $6K |
| 97014 | <1% | 396 | $3K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 88 | $3K |
| 01992 | <1% | 19 | $1K | |
| 76942 | <1% | 21 | $612.32 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 52 | $601.88 |
| 80305 | <1% | 64 | $414.73 | |
| 97010 | <1% | 156 | $290.35 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 182 | $149.38 |
| 99406 | <1% | 39 | $102.54 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 19 | $75.76 |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) | <1% | 34 | $48.78 |
| 77003 | 0% | 29 | $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 officialBALU, GANESH (PRESIDENT)