Angela M Madariaga, CNM

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Christiana Hospital Hospital · Newark, DE · listed as Christiana Care Hospital

Colleagues at Christiana Care Health Services Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1481 clinicians in the practice; 12 are shown here.

• Beth Fisher, DO Family Medicine Physician · Middletown, DE
• Darryl B. Floyd, MD Internal Medicine Physician · Willingboro, NJ
• Melissa Hoffman Guarino, PA-C Surgical Physician Assistant · Newark, DE
• Phoebe Jeanette Holmes, MD Anatomic Pathology & Clinical Pathology Physician · Newark, DE
• Dr. Mary Virginia Iacocca, MD Anatomic Pathology & Clinical Pathology Physician · Newark, DE
• Jennifer Kielhorn, PA-C Physician Assistant · Newark, DE
• Vera Kishta, NP Family Nurse Practitioner · Newark, DE
• Mr. Jonathan D Miller, PA-C Surgical Physician Assistant · Newark, DE
• Julie Murray, PHD Clinical Psychologist · Baltimore, MD
• Sheelmohan S Sachdev, MD Family Medicine Physician · Elkton, MD
• Alaina Jacobi Vincent, PA-C Physician Assistant · Media, PA
• Dr. Gregory K. Wanner, DO, PA-C Physician Assistant · Newark, DE

Other providers in Newark

• Mrs. Esther Louise Cragg, CNM

  Individual Advanced Practice Midwife · NPI 1619844040

  620 Churchmans Rd, Newark, DE 19702-1946 · (302) 658-2229

• Barbara J Fleck, CNM, IBCLC

  Individual Advanced Practice Midwife · NPI 1356381396

  620 Churchmans Rd Ste 101, Newark, DE 19702-1945 · (302) 658-2229

• Shanica McIntosh

  Individual Advanced Practice Midwife · NPI 1588518708

  620 Churchmans Rd Ste 101, Newark, DE 19702-1945 · (302) 658-2229

• Melissa D Meredith, CNM

  Individual Advanced Practice Midwife · NPI 1427090745

  4745 Ogletown Stanton Rd Ste 106, Newark, DE 19713-1339 · (302) 454-9800

• Dawn Moore, CNM

  Individual Advanced Practice Midwife · NPI 1336654128

  620 Churchmans Rd, Newark, DE 19702-1946 · (302) 658-2229

• Dr. Julia Maree Beach Paulus, DNP, CNM

  Individual Advanced Practice Midwife · NPI 1386149318

  620 Churchmans Rd Ste 101, Newark, DE 19702-1945 · (302) 658-2229