Physician
Infectious Disease Consultants PA
Infectious Disease Consultants PA was paid $2.71M by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 35% of everything it billed.
33Billing provider infoINFECTIOUS DISEASE CONSULTANTS PA
NEWARK, DE 19713
NEWARK, DE 19713
33aNPI1801905849assigned 08/30/2006
33bProvider typeInfectious Disease Physician
28Total paid$2.71M
24GClaims60,897
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Infectious Disease Physician providers in Delaware
Rank by total paid#1 of 5
Median peer was paid$1.80M
This provider vs. median1.5×
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 | 12,539 | $216K | |
| 2019 | 9,069 | $219K | |
| 2020 | 9,364 | $528K | |
| 2021 | 10,123 | $508K | |
| 2022 | 8,651 | $486K | |
| 2023 | 7,101 | $459K | |
| 2024incomplete | 4,050 | $290K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 35% | 28,118 | 7,673 | $954K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 33% | 17,703 | 5,873 | $881K |
| 99223 | Prolong inpt eval add15 m | 18% | 5,567 | 4,332 | $489K |
| 99222 | Initial hospital care, per day, moderate complexity | 9.2% | 4,015 | 3,314 | $248K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.8% | 3,225 | 1,387 | $49K |
| 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 | 1.6% | 832 | 722 | $43K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 1,424 | 1,058 | $42K |
| 99221 | <1% | 13 | 12 | $855.56 |
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 officialWILLIAMS, MARSHALL (PRESIDENT)