Physician
Atlantic Adult and Pediatric Medicine, PA
Atlantic Adult and Pediatric Medicine, PA was paid $281K by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoATLANTIC ADULT AND PEDIATRIC MEDICINE, PA
LEWES, DE 19958
LEWES, DE 19958
33aNPI1801958863assigned 12/15/2006
33bProvider typeFamily Medicine Physician
28Total paid$281K
24GClaims15,890
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Delaware
Rank by total paid#30 of 97
Median peer was paid$101K
This provider vs. median2.8×
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 | 1,404 | $8K | |
| 2019 | 900 | $13K | |
| 2020 | 1,071 | $49K | |
| 2021 | 3,309 | $49K | |
| 2022 | 2,729 | $55K | |
| 2023 | 3,834 | $60K | |
| 2024incomplete | 2,643 | $45K |
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 | 64% | 2,868 | 2,451 | $179K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 2,276 | 1,894 | $92K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 100 | 66 | $3K |
| 90686 | <1% | 158 | 141 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 12 | $1K |
| 0001A | <1% | 88 | 63 | $1K | |
| 0002A | <1% | 84 | 61 | $1K | |
| 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% | 14 | 13 | $884.60 |
| 99441 | <1% | 26 | 18 | $494.09 | |
| 96127 | <1% | 77 | 61 | $262.68 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | 15 | $195.26 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | 14 | $130.54 |
17 more codes
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 56 | $112.43 |
| 81002 | <1% | 84 | $3.41 | |
| 1036F | 0% | 1,969 | $0.00 | |
| 3075F | 0% | 349 | $0.00 | |
| 3074F | 0% | 1,693 | $0.00 | |
| 3008F | 0% | 2,921 | $0.00 | |
| 3079F | 0% | 554 | $0.00 | |
| 1034F | 0% | 97 | $0.00 | |
| 3080F | 0% | 38 | $0.00 | |
| 2000F | 0% | 47 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 478 | $0.00 |
| 3078F | 0% | 1,633 | $0.00 | |
| 91300 | 0% | 92 | $0.00 | |
| 3077F | 0% | 29 | $0.00 | |
| 99072 | 0% | 43 | $0.00 | |
| 99173 | 0% | 47 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 14 | $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 officialSTANISLAV, CHARLES (PHYSICIAN)