Providers

DELAWARE WALK-IN MEDICAL, LLC

NPI 1386153211, organization, Camden, DE, Clinic/Center, Urgent Care

1
Evidence tier
documented action, then payment
  • Listed on the Medicare revocation list since July 31, 2020.
  • Medicaid still paid claims in 9 later months, $114,389 in total.
score 95 of 100, rank 143, $114K at stake

Public list actions

Medicare revocation effective July 31, 2020, barred from re-enrolling until July 31, 2030
424.535(a)(3) felonies, Part B Supplier - Clinic/Group Practice, DE

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
Medicare revocation list
424.535(a)(3) felonies
Exact NPI, name verifiedJul 31, 2020Jul 31, 20309Aug 2020Apr 2021$114K$201K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameDELAWARE WALK-IN MEDICAL, LLC
TypeOrganization
StatusActive
NPI issuedSeptember 22, 2017, last updated November 12, 2020
Practice location379 WALMART DR, Camden, DE 19934-1365, 302-698-4441
Mailing address18 BOULDEN CIR STE 18, New Castle, DE 19720-3494
Authorized officialHIEN NGUYEN (Managing Member)
Specialties
Clinic/Center, Urgent Care (261QU0200X, primary)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$89K70%$91$60 (top 5% from $133)83rd percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$28K22%$71$44 (top 5% from $110)83rd percentile
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more$8K6%$98$67 (top 5% from $121)too few months to rank
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$2K1%$126$95 (top 5% from $171)too few months to rank
86328Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative$6651%$44$21 (top 5% from $50)too few months to rank
S9088Medicaid service code$00%$0.00$9.82 (top 5% from $44)too few months to rank
S9083Medicaid service code$00%$0.00$113 (top 5% from $163)too few months to rank

In this area

5 providers in Kent County, DE carry an indicator in the public record, with $3.0M at stake between them. The most common is more hours than a day holds, on 2 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1EMPIRE MEDICAL LLC
Camden, DE, ranked 1
$2.4M
  • Listed on the Medicare revocation list since July 31, 2020.
  • Medicaid still paid claims in 9 later months, $2,389,353 in total.
  • and 1 more
3CENTER AT EDEN HILL LLC
Dover, DE, ranked 1913
$0
  • Part of provider network D1-00140, ranked 140 nationally.
3NIHAR GALA
Harrington, DE, ranked 5994
$0
  • Charged (complaint) per a Department of Justice release dated June 30, 2026, not adjudicated.
4PRAKASH VAIDY
Camden, DE, ranked 7924
$540K
  • Hours beyond a day in 12 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
5HIEN NGUYEN
Camden, DE, ranked 11696
$71K

Recent enforcement in DE

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJPleaded guiltyJul 2, 2026
South Dakota Man Pleads Guilty to Aggravated Identity Theft and Obtaining Drugs by Fraud
Mauldin used his access as a medical biller and credentialer to steal medical professionals' licensure information to order thousands of opioid pills, falsified his own electronic medical records to pose as a cancer patient and obtain pain management services paid by his private health insurer, and held himself out as a licensed nurse to perform Transcranial Magnetic Stimulation therapy and submit false claims to Medicaid.
DOJComplaint filedJun 30, 2026
Civil Complaint Filed Over False Laboratory Claims
The United States alleges the defendants violated the False Claims Act by submitting thousands of claims to government health care programs for laboratory diagnostic tests that lacked a valid medical purpose, were conducted in violation of laboratory clinical standards, and in numerous cases were not conducted at all.
DOJCivil settlementApr 29, 2026
Former Delaware Physician to Pay $180,000 to Resolve Allegations of Genetic Testing Fraud
A physician agreed to pay $180,000 to resolve False Claims Act allegations that she ordered medically unnecessary genetic tests for more than 100 Medicare beneficiaries with whom she had no established physician-patient relationship, often based only on brief telemedicine consultations or none at all.
DOJIndictedDec 15, 2025
Medical Biller Charged with Diverting Opioids and Federal Health Care Fraud
A medical biller and credentialer used stolen identities and licensure information of medical professionals to order and prescribe himself thousands of opioid pills, falsified his own medical records to obtain pain management treatment paid by a private insurer, and submitted false claims to Medicaid for Transcranial Magnetic Stimulation therapy he performed while posing as a nurse.
DOJComplaint filedJul 7, 2025
United States Files False Claim Act Complaint Against Delaware Medical Provider
The United States alleges that Dr. Mufti referred more than 100 Medicare beneficiaries for medically unnecessary genetic laboratory tests based on brief telemedicine consultations or no consultation, causing false claims to Medicare.

Referral packet

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