Delaware Neurosurgical Group, P.A.
Delaware Neurosurgical Group, P.A. was paid $1.52M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99205, Prolong outpt/office vis — 21% of everything it billed.
33Billing provider infoDELAWARE NEUROSURGICAL GROUP, P.A.
NEWARK, DE 19713
NEWARK, DE 19713
33aNPI1770676629assigned 10/02/2006
33bProvider typeSpecialist
28Total paid$1.52M
24GClaims14,856
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Delaware
Rank by total paid#7 of 27
Median peer was paid$103K
This provider vs. median15×
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 | 1,524 | $198K | |
| 2019 | 2,064 | $170K | |
| 2020 | 1,899 | $248K | |
| 2021 | 2,454 | $271K | |
| 2022 | 2,266 | $281K | |
| 2023 | 2,707 | $208K | |
| 2024incomplete | 1,942 | $141K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99205 | Prolong outpt/office vis | 21% | 2,100 | 1,850 | $317K |
| 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 | 18% | 3,292 | 2,761 | $273K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 4,275 | 3,742 | $265K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 16% | 2,027 | 1,734 | $246K |
| 99223 | Prolong inpt eval add15 m | 13% | 1,088 | 971 | $198K |
| 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 | 8.8% | 995 | 916 | $133K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.7% | 662 | 562 | $41K |
| 22614 | <1% | 24 | 13 | $9K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 110 | 50 | $9K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 160 | 84 | $9K |
| 22842 | <1% | 24 | 13 | $8K | |
| 22551 | <1% | 26 | 14 | $7K |
4 more codes
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 officialEPPLEY, MATTHEW (PRESIDENT)