Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1730355678assigned 04/30/2008
28Total paid$179K
24GClaims7,726
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
20181,504$5K
20191,379$14K
20201,229$40K
20211,953$50K
2022849$32K
2023590$27K
2024incomplete222$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)