Physician
Middletown Familycare Associates LLC
Middletown Familycare Associates LLC was paid $723K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoMIDDLETOWN FAMILYCARE ASSOCIATES LLC
MIDDLETOWN, DE 19709
MIDDLETOWN, DE 19709
33aNPI1831202100assigned 08/17/2006
33bProvider typeInternal Medicine Physician
28Total paid$723K
24GClaims31,132
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Delaware
Rank by total paid#15 of 59
Median peer was paid$78K
This provider vs. median9.3×
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 | 5,709 | $10K | |
| 2019 | 5,743 | $42K | |
| 2020 | 4,200 | $146K | |
| 2021 | 4,657 | $140K | |
| 2022 | 4,066 | $138K | |
| 2023 | 3,445 | $141K | |
| 2024incomplete | 3,312 | $105K |
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 | 45% | 6,340 | 5,355 | $326K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 6,898 | 5,857 | $263K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 7.7% | 678 | 615 | $55K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.5% | 436 | 388 | $32K |
| 99442 | 1.1% | 196 | 176 | $8K | |
| 96127 | 1.1% | 2,673 | 2,449 | $8K | |
| 90682 | <1% | 219 | 200 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,454 | 1,245 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 583 | 520 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 91 | 88 | $3K |
| 99490 | Ccm add 20min | <1% | 363 | 294 | $2K |
| 99408 | <1% | 650 | 590 | $2K |
26 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 212 | $2K |
| 90688 | <1% | 288 | $2K | |
| 0011A | <1% | 36 | $1K | |
| 0012A | <1% | 25 | $920.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $691.05 |
| 90658 | <1% | 35 | $332.12 | |
| 0001A | <1% | 12 | $325.00 | |
| 81003 | <1% | 764 | $287.08 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $114.36 |
| 82570 | <1% | 78 | $83.83 | |
| 90662 | <1% | 103 | $72.62 | |
| 82044 | <1% | 91 | $39.30 | |
| 91301 | <1% | 68 | $0.22 | |
| 91300 | <1% | 32 | $0.07 | |
| 3078F | 0% | 253 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 89 | $0.00 |
| 3077F | 0% | 67 | $0.00 | |
| 3008F | 0% | 6,927 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 128 | $0.00 |
| 3044F | 0% | 232 | $0.00 | |
| 3074F | 0% | 497 | $0.00 | |
| 3080F | 0% | 83 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13 | $0.00 |
| 3075F | 0% | 104 | $0.00 | |
| 3079F | 0% | 321 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 48 | $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 officialDEDHIA, GUNI (OFFICE MANAGER)