Physician
Diamond State Primary Care, LLC
Diamond State Primary Care, LLC was paid $70K by Medicaid between Jan 2021 and Oct 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoDIAMOND STATE PRIMARY CARE, LLC
NEWARK, DE 19702
NEWARK, DE 19702
33aNPI1386246940assigned 11/09/2020
33bProvider typeFamily Medicine Physician
28Total paid$70K
24GClaims1,585
24DCodes billed9
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Delaware
Rank by total paid#53 of 97
Median peer was paid$101K
This provider vs. median0.7×
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 | 76 | $6K | |
| 2022 | 609 | $30K | |
| 2023 | 685 | $26K | |
| 2024incomplete | 215 | $8K |
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 | 51% | 696 | 595 | $36K |
| 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 | 25% | 220 | 201 | $17K |
| 99491 | Ccm add 20min | 14% | 156 | 147 | $10K |
| 99490 | Ccm add 20min | 4.8% | 114 | 97 | $3K |
| 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 | 3.6% | 16 | 16 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 12 | 12 | $1K |
| 3079F | 0% | 87 | 78 | $0.00 | |
| 3074F | 0% | 219 | 204 | $0.00 | |
| 3078F | 0% | 65 | 62 | $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 officialLAHEY, IMELYN (OWNER)