Stephen Diamantoni & Associates Family Practice PC

Stephen Diamantoni & Associates Family Practice PC was paid $1.10M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoSTEPHEN DIAMANTONI & ASSOCIATES FAMILY PRACTICE PC
LANCASTER, PA 17602

33aNPI1528132610assigned 11/20/2006

33bProvider typeFamily Medicine Physician

28Total paid$1.10M

24GClaims67,113

24DCodes billed50

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#57 of 2,756

Median peer was paid$19K

This provider vs. median57×

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	716	$17K
2019	448	$14K
2020	4,012	$13K
2021	27,033	$154K
2022	14,168	$394K
2023	12,225	$298K
2024incomplete	8,511	$208K

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	46%	11,473	10,518	$505K
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	33%	6,081	5,774	$366K
99051		4.4%	2,211	2,142	$49K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.4%	461	451	$37K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.0%	506	503	$33K
90686		1.5%	1,572	1,562	$17K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	223	222	$10K
92551		<1%	918	908	$9K
3074F		<1%	494	478	$6K
3079F		<1%	508	493	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	159	151	$5K
99173		<1%	762	752	$5K

38 more codes

3078F		<1%	446	$5K
90651		<1%	328	$5K
36415	Collection of venous blood by venipuncture	<1%	3,565	$5K
3077F		<1%	344	$4K
90715		<1%	294	$3K
99499		<1%	199	$3K
90670		<1%	383	$3K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	68	$3K
3075F		<1%	283	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	177	$3K
90734		<1%	285	$2K
90648		<1%	351	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	40	$2K
3080F		<1%	74	$1K
90633		<1%	132	$820.00
81003		<1%	294	$743.36
90723		<1%	147	$700.00
99490	Ccm add 20min	<1%	143	$674.43
90680		<1%	137	$640.00
96127		<1%	124	$539.40
90696		<1%	42	$410.00
99188		<1%	25	$405.00
90710		<1%	41	$400.00
90620		<1%	17	$170.00
93000		<1%	13	$148.97
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	18	$117.24
96160		<1%	15	$49.59
85018		<1%	14	$41.99
90461		<1%	14	$39.55
3725F		<1%	496	$20.00
G0008	Administration of influenza virus vaccine	<1%	18	$10.00
1159F		0%	11,516	$0.00
90700		0%	13	$0.00
3008F		0%	9,643	$0.00
1031F		0%	11,825	$0.00
3351F		0%	140	$0.00
36416		0%	68	$0.00
3352F		0%	13	$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 officialDIAMANTONI, STEPHEN (PRESIDENT)