Physician
Cardiovascular Consultants of Southern Delaware
Cardiovascular Consultants of Southern Delaware was paid $185K by Medicaid between Feb 2018 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoCARDIOVASCULAR CONSULTANTS OF SOUTHERN DELAWARE
LEWES, DE 19958
LEWES, DE 19958
33aNPI1851697908assigned 02/08/2011
33bProvider typeCardiovascular Disease Physician
28Total paid$185K
24GClaims7,745
24DCodes billed13
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Delaware
Rank by total paid#11 of 21
Median peer was paid$185K
This provider vs. median1.0×
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 | 598 | $2K | |
| 2019 | 1,392 | $17K | |
| 2020 | 793 | $30K | |
| 2021 | 1,003 | $28K | |
| 2022 | 1,472 | $39K | |
| 2023 | 1,592 | $44K | |
| 2024incomplete | 895 | $24K |
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 | 71% | 3,261 | 2,939 | $130K |
| 93000 | 9.7% | 2,837 | 2,605 | $18K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 398 | 352 | $16K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.8% | 113 | 106 | $7K |
| 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 | 1.9% | 55 | 48 | $4K |
| 93793 | 1.3% | 888 | 521 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 30 | 27 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 29 | 27 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 43 | 27 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 18 | 12 | $1K |
| 99442 | <1% | 22 | 21 | $1K | |
| 99443 | <1% | 18 | 18 | $216.60 |
1 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 33 | $45.45 |
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 officialSUNNEGREN, KENNETH (PHYSICIAN/OWNER)