Clinic
Diamond Edge Healthcare, LLC
Diamond Edge Healthcare, LLC was paid $24K by Medicaid between Aug 2021 and Oct 2024, across 2 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 99% of everything it billed.
33Billing provider infoDIAMOND EDGE HEALTHCARE, LLC
NORTH CHELMSFORD, MA 01863
NORTH CHELMSFORD, MA 01863
33aNPI1265049514assigned 09/29/2020
33bProvider typeHealth Service Clinic/Center
28Total paid$24K
24GClaims657
24DCodes billed2
24AFirst – last monthAug 2021 – Oct 2024
Compared with peers
Next to other Health Service Clinic/Center providers in Massachusetts
Rank by total paid#9 of 13
Median peer was paid$29K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2021 | 67 | $3K | |
| 2022 | 234 | $10K | |
| 2023 | 188 | $6K | |
| 2024incomplete | 168 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 99% | 643 | 418 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 14 | 13 | $246.91 |
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 officialWENTZELL, LISA (MEMBER)