Diamond, Marc

Diamond, Marc was paid $68K by Medicaid between Jan 2018 and Mar 2022, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoDIAMOND, MARC
JOHNSTON, RI 02919

33aNPI1487721148assigned 11/29/2006

33bProvider typePediatrics Physician

28Total paid$68K

24GClaims1,862

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#173 of 265

Median peer was paid$133K

This provider vs. median0.5×

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	821	$32K
2019	402	$15K
2020	196	$7K
2021	413	$13K
2022	30	$1K

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	69%	833	770	$47K
90460	Immunization administration through 18 years of age via any route, first or only component	16%	555	530	$11K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.2%	51	51	$4K
90461		5.4%	108	104	$4K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.7%	14	14	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.5%	13	13	$997.04
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	25	12	$345.32
90686		<1%	130	120	$65.00
S9451	Exercise classes, non-physician provider, per session	<1%	133	131	$1.33

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.