Clinic
Governors Family Practice P.A
Governors Family Practice P.A was paid $449K by Medicaid between Jan 2018 and Sep 2023, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoGOVERNORS FAMILY PRACTICE P.A
DOVER, DE 19904
DOVER, DE 19904
33aNPI1780080770assigned 11/18/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$449K
24GClaims15,194
24DCodes billed17
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in Delaware
Rank by total paid#3 of 9
Median peer was paid$321K
This provider vs. median1.4×
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 | 3,791 | $6K | |
| 2019 | 4,007 | $51K | |
| 2020 | 2,299 | $130K | |
| 2021 | 2,201 | $98K | |
| 2022 | 1,707 | $101K | |
| 2023 | 1,189 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58% | 7,680 | 5,004 | $260K |
| 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 | 32% | 2,804 | 2,573 | $143K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.1% | 258 | 240 | $23K |
| 99442 | 2.1% | 279 | 182 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 32 | 32 | $4K |
| 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 | <1% | 234 | 214 | $3K |
| 80306 | <1% | 2,579 | 1,486 | $3K | |
| 80305 | <1% | 715 | 397 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 200 | 178 | $1K |
| 90658 | <1% | 173 | 157 | $1K | |
| 99443 | <1% | 89 | 81 | $903.46 | |
| 99422 | <1% | 24 | 24 | $725.15 |
5 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 officialAYE, THUYA (DIRECTOR)