DIVERGENT DIRECT PRIMARY CARE
NPI: 1871249193
· MILFORD, DE 19963
· Community/Behavioral Health Agency
· NPI assigned 02/24/2022
Provider Details
| Authorized Official | TONWE, TETSOMA (OWNER) |
| NPI Enumeration Date | 02/24/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
374 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
201 |
174 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
36 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
76 |
66 |
$27.51 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
40 |
$26.12 |
| 96127 |
|
13 |
12 |
$0.00 |