Physician
A Radford Macfarlane MD
A Radford Macfarlane MD was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoA RADFORD MACFARLANE MD
WILMINGTON, DE 19808
WILMINGTON, DE 19808
33aNPI1922178920assigned 11/08/2006
33bProvider typePediatrics Physician
28Total paid$1.06M
24GClaims48,400
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Delaware
Rank by total paid#12 of 39
Median peer was paid$418K
This provider vs. median2.5×
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 | 8,938 | $12K | |
| 2019 | 8,331 | $97K | |
| 2020 | 6,220 | $240K | |
| 2021 | 6,245 | $248K | |
| 2022 | 7,105 | $204K | |
| 2023 | 5,610 | $142K | |
| 2024incomplete | 5,951 | $115K |
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 | 32% | 7,337 | 6,263 | $339K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 5,484 | 4,765 | $145K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 2,448 | 2,260 | $137K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10.0% | 1,848 | 1,726 | $106K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.5% | 1,750 | 1,606 | $101K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.9% | 1,268 | 1,170 | $73K |
| 90686 | 2.2% | 2,161 | 2,049 | $23K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 589 | 499 | $23K |
| 90698 | 1.6% | 1,365 | 1,284 | $17K | |
| 90670 | 1.6% | 1,278 | 1,209 | $17K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 1,266 | 1,141 | $14K |
| 96160 | 1.2% | 6,600 | 6,040 | $12K |
26 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 675 | $10K |
| 90680 | <1% | 552 | $7K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 429 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 571 | $5K |
| 90633 | <1% | 353 | $4K | |
| 90744 | <1% | 317 | $4K | |
| 90651 | <1% | 215 | $3K | |
| 90734 | <1% | 161 | $3K | |
| 90656 | <1% | 109 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 933 | $2K |
| 96127 | <1% | 685 | $2K | |
| 90715 | <1% | 28 | $573.82 | |
| 90621 | <1% | 24 | $419.33 | |
| 90696 | <1% | 26 | $331.05 | |
| 90710 | <1% | 45 | $331.05 | |
| 90716 | <1% | 31 | $286.91 | |
| 90707 | <1% | 31 | $286.91 | |
| 90685 | <1% | 240 | $220.70 | |
| 90619 | <1% | 15 | $142.35 | |
| 99381 | <1% | 13 | $111.03 | |
| 90677 | <1% | 56 | $44.14 | |
| 87807 | <1% | 32 | $38.52 | |
| 99000 | 0% | 43 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 6,276 | $0.00 |
| 90461 | 0% | 3,132 | $0.00 | |
| 99421 | 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 officialMACFARLANCE, ALBERT (OWNER)