Physician
Regional Medical Group LLC
Regional Medical Group LLC was paid $249K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoREGIONAL MEDICAL GROUP LLC
WILMINGTON, DE 19808
WILMINGTON, DE 19808
33aNPI1891048179assigned 10/24/2012
33bProvider typeCardiovascular Disease Physician
28Total paid$249K
24GClaims14,389
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Delaware
Rank by total paid#8 of 21
Median peer was paid$185K
This provider vs. median1.3×
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 | 1,286 | $5K | |
| 2019 | 1,968 | $27K | |
| 2020 | 1,203 | $51K | |
| 2021 | 1,209 | $50K | |
| 2022 | 2,709 | $55K | |
| 2023 | 3,546 | $40K | |
| 2024incomplete | 2,468 | $22K |
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 | 74% | 5,775 | 4,390 | $184K |
| 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 | 24% | 1,540 | 1,205 | $59K |
| 93000 | 1.2% | 407 | 358 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | 12 | $1K |
| 0011A | <1% | 64 | 49 | $800.00 | |
| 0012A | <1% | 45 | 41 | $720.00 | |
| 90688 | <1% | 93 | 80 | $225.93 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 89 | 76 | $197.12 |
| 1159F | 0% | 1,606 | 1,434 | $0.00 | |
| 1160F | 0% | 1,617 | 1,444 | $0.00 | |
| 3077F | 0% | 235 | 217 | $0.00 | |
| 3078F | 0% | 634 | 579 | $0.00 |
6 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 officialCASSIDY, SUSAN (ADMINISTRATOR)