Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › DE › Wilmington › NPI 1699806257
Physician

First State Medical Associates

First State Medical Associates was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoFIRST STATE MEDICAL ASSOCIATES
WILMINGTON, DE 19808
33aNPI1699806257assigned 03/07/2007
28Total paid$1.27M
24GClaims36,657
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Delaware

Rank by total paid#8 of 59
Median peer was paid$78K
This provider vs. median16×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20187,353$21K
20196,025$102K
20205,426$294K
20214,422$260K
20224,848$231K
20235,850$235K
2024incomplete2,733$123K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60% 21,046 18,050 $766K
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 21% 6,029 5,362 $262K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 11% 1,713 1,469 $134K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5.5% 905 796 $70K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,339 1,218 $7K
90686 <1% 1,153 1,064 $7K
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% 109 94 $4K
99386 <1% 125 120 $4K
99442 <1% 101 91 $4K
99496 <1% 27 25 $3K
99385 <1% 88 83 $2K
99441 <1% 44 42 $1K
20 more codes
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 233 $903.32
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 33 $552.60
90674 <1% 70 $503.75
93000 <1% 44 $261.38
90472 Immunization administration, each additional vaccine (list separately) <1% 30 $178.99
99406 <1% 159 $150.30
90662 <1% 70 $135.29
G0008 Administration of influenza virus vaccine <1% 232 $52.50
82962 <1% 303 $3.22
3078F 0% 1,064 $0.00
3288F 0% 33 $0.00
83037 0% 99 $0.00
3077F 0% 31 $0.00
99072 0% 25 $0.00
3074F 0% 1,234 $0.00
3079F 0% 112 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 156 $0.00
3044F 0% 17 $0.00
3075F 0% 20 $0.00
3080F 0% 13 $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 officialCASTRO, JOSE (PRESIDENT)
Same official

Other billing entities under CASTRO, JOSE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.