Agency
Divergent Direct Primary Care
Divergent Direct Primary Care was paid $15K by Medicaid between May 2024 and Dec 2024, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 93% of everything it billed.
33Billing provider infoDIVERGENT DIRECT PRIMARY CARE
MILFORD, DE 19963
MILFORD, DE 19963
33aNPI1871249193assigned 02/24/2022
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$15K
24GClaims374
24DCodes billed5
24AFirst – last monthMay 2024 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Delaware
Rank by total paid#19 of 22
Median peer was paid$124K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 374 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 93% | 201 | 174 | $14K |
| 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 | 6.8% | 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) | <1% | 76 | 66 | $27.51 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 45 | 40 | $26.12 |
| 96127 | 0% | 13 | 12 | $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 officialTONWE, TETSOMA (OWNER)