Delapenha, Robert

Delapenha, Robert was paid $34K by Medicaid between Jan 2018 and Aug 2023, across 7 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 56% of everything it billed.

33Billing provider infoDELAPENHA, ROBERT
WASHINGTON, DC 20017

33aNPI1942351291assigned 01/15/2007

33bProvider typeInfectious Disease Physician

28Total paid$34K

24GClaims588

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other Infectious Disease Physician providers in District of Columbia

Rank by total paid#4 of 6

Median peer was paid$34K

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	476	$32K
2019	51	$925.23
2020	31	$564.17
2023	30	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	56%	132	34	$19K
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	22%	234	181	$8K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	14%	104	44	$5K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.9%	68	19	$1K
99292		2.8%	15	13	$956.36
99222	Initial hospital care, per day, moderate complexity	1.8%	23	16	$625.68
99490	Ccm add 20min	0%	12	12	$-37.78

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.