Physician
Delaware Medical Care Associates LLC
Delaware Medical Care Associates LLC was paid $477K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.
33Billing provider infoDELAWARE MEDICAL CARE ASSOCIATES LLC
NEWARK, DE 19713
NEWARK, DE 19713
33aNPI1740230309assigned 05/12/2006
33bProvider typePulmonary Disease Physician
28Total paid$477K
24GClaims11,439
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Delaware
Rank by total paid#2 of 11
Median peer was paid$68K
This provider vs. median7.0×
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
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 | 1,814 | $6K | |
| 2019 | 2,124 | $28K | |
| 2020 | 1,579 | $88K | |
| 2021 | 1,367 | $85K | |
| 2022 | 1,962 | $113K | |
| 2023 | 1,626 | $97K | |
| 2024incomplete | 967 | $59K |
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 | 72% | 7,026 | 6,088 | $342K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.3% | 760 | 671 | $35K |
| 99454 | 2.7% | 353 | 346 | $13K | |
| 99457 | 2.5% | 435 | 428 | $12K | |
| 95806 | 2.5% | 224 | 185 | $12K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.4% | 220 | 27 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 223 | 195 | $10K |
| 94060 | 1.9% | 354 | 317 | $9K | |
| 94726 | 1.8% | 354 | 317 | $9K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.8% | 518 | 64 | $8K |
| 94729 | 1.7% | 341 | 305 | $8K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.1% | 13 | 12 | $5K |
4 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 112 | $1K |
| 94010 | <1% | 439 | $896.34 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 31 | $292.18 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 36 | $50.70 |
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 officialISMAIL, HUMMAYUN (CEO)