Physician
Sussex Pulmonary and Endocrine Consultants, PA
Sussex Pulmonary and Endocrine Consultants, PA was paid $179K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoSUSSEX PULMONARY AND ENDOCRINE CONSULTANTS, PA
REHOBOTH BEACH, DE 19971
REHOBOTH BEACH, DE 19971
33aNPI1730355678assigned 04/30/2008
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$179K
24GClaims7,726
24DCodes billed11
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 | 1,504 | $5K | |
| 2019 | 1,379 | $14K | |
| 2020 | 1,229 | $40K | |
| 2021 | 1,953 | $50K | |
| 2022 | 849 | $32K | |
| 2023 | 590 | $27K | |
| 2024incomplete | 222 | $12K |
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 | 70% | 2,678 | 2,244 | $125K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 1,601 | 1,311 | $48K |
| 95251 | 2.0% | 181 | 164 | $4K | |
| 94060 | <1% | 141 | 125 | $1K | |
| 94729 | <1% | 40 | 36 | $463.32 | |
| 0012A | <1% | 12 | 12 | $400.80 | |
| 82962 | <1% | 1,180 | 891 | $253.83 | |
| 36416 | <1% | 1,188 | 896 | $40.50 | |
| 91301 | <1% | 30 | 29 | $0.03 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 15 | 12 | $0.00 |
| 99072 | 0% | 660 | 566 | $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 officialSINGH, REETU (VICE PRESIDENT)