Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DIAMOND STATE PRIMARY CARE, LLC

NPI: 1386246940 · NEWARK, DE 19702 · Family Medicine Physician · NPI assigned 11/09/2020

$70K
Total Medicaid Paid
1,585
Total Claims
1,412
Beneficiaries
9
Codes Billed
2021-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLAHEY, IMELYN (OWNER)
NPI Enumeration Date11/09/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 76 $6K
2022 609 $30K
2023 685 $26K
2024 215 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 696 595 $36K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 220 201 $17K
99491 Ccm add 20min 156 147 $10K
99490 Ccm add 20min 114 97 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 16 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
3079F 87 78 $0.00
3074F 219 204 $0.00
3078F 65 62 $0.00