Physician
Reliance Healthcare, LLC
Reliance Healthcare, LLC was paid $3.25M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoRELIANCE HEALTHCARE, LLC
BEAR, DE 19701
BEAR, DE 19701
33aNPI1073043824assigned 06/14/2017
33bProvider typePediatrics Physician
28Total paid$3.25M
24GClaims59,157
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Delaware
Rank by total paid#5 of 39
Median peer was paid$418K
This provider vs. median7.8×
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 | 1,789 | $6K | |
| 2019 | 4,261 | $94K | |
| 2020 | 8,156 | $491K | |
| 2021 | 9,936 | $616K | |
| 2022 | 13,018 | $821K | |
| 2023 | 15,141 | $803K | |
| 2024incomplete | 6,856 | $420K |
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 | 58% | 30,120 | 22,188 | $1.89M |
| 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 | 21% | 9,384 | 8,191 | $689K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.1% | 1,491 | 1,351 | $132K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.2% | 1,094 | 999 | $104K |
| 86328 | 3.1% | 3,130 | 2,658 | $100K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 1,101 | 1,017 | $77K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.4% | 769 | 728 | $46K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 369 | 338 | $36K |
| 99385 | 1.1% | 317 | 280 | $34K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 742 | 636 | $28K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 239 | 214 | $23K |
| 80305 | <1% | 1,765 | 1,180 | $18K |
40 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 556 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 117 | $11K |
| 90686 | <1% | 676 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 623 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 82 | $7K |
| 99386 | <1% | 35 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 462 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 27 | $3K |
| G2086 | Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month | <1% | 16 | $2K |
| 99401 | <1% | 409 | $2K | |
| 99384 | <1% | 14 | $2K | |
| 0001A | <1% | 29 | $1K | |
| 90756 | <1% | 49 | $806.24 | |
| 0002A | <1% | 18 | $720.00 | |
| 0011A | <1% | 18 | $640.00 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 17 | $502.21 |
| 90716 | <1% | 15 | $367.17 | |
| 87400 | <1% | 38 | $302.03 | |
| 99173 | <1% | 190 | $288.59 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 32 | $282.75 |
| 90707 | <1% | 13 | $264.84 | |
| 87276 | <1% | 147 | $248.99 | |
| 87275 | <1% | 166 | $211.52 | |
| 90688 | <1% | 13 | $180.00 | |
| 99000 | <1% | 922 | $160.57 | |
| 96127 | <1% | 33 | $150.78 | |
| 0012A | <1% | 12 | $140.81 | |
| 69210 | <1% | 15 | $96.44 | |
| 99072 | <1% | 1,325 | $36.15 | |
| 81025 | <1% | 13 | $35.50 | |
| 81003 | <1% | 42 | $35.19 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $11.96 |
| 81002 | <1% | 14 | $8.76 | |
| 91301 | <1% | 46 | $0.01 | |
| 3078F | 0% | 618 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 737 | $0.00 |
| 90461 | 0% | 159 | $0.00 | |
| 91300 | 0% | 58 | $0.00 | |
| 3074F | 0% | 735 | $0.00 | |
| 3079F | 0% | 132 | $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 officialNISA, ZEBUN (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Enzol Alliance Lab, LLC | North East, MD | $151K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.