Physician
Delguercio, Paul
Delguercio, Paul was paid $42K by Medicaid between Jan 2018 and Dec 2019, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoDELGUERCIO, PAUL
MIDDLETOWN, RI 02842
MIDDLETOWN, RI 02842
33aNPI1942298674assigned 10/06/2005
33bProvider typeFamily Medicine Physician
28Total paid$42K
24GClaims498
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Family Medicine Physician providers in Rhode Island
Rank by total paid#98 of 220
Median peer was paid$33K
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 | 233 | $18K | |
| 2019 | 265 | $24K |
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 | 72% | 396 | 354 | $30K |
| 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 | 28% | 102 | 98 | $12K |
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.