DIAMOND EDGE HEALTHCARE, LLC
NPI: 1265049514
· NORTH CHELMSFORD, MA 01863
· Health Service Clinic/Center
· NPI assigned 09/29/2020
Provider Details
| Authorized Official | WENTZELL, LISA (MEMBER) |
| NPI Enumeration Date | 09/29/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
67 |
$3K |
| 2022 |
234 |
$10K |
| 2023 |
188 |
$6K |
| 2024 |
168 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
643 |
418 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$246.91 |