Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Delaware for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Delaware only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Delaware (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Crestview Medical Center P A (NPI 1023147493)

Field	Value
Entity Type	Organization
Organization	Crestview Medical Center P A
Address	1800 N Broom St
City	Wilmington
State	DE
ZIP	19802
Taxonomy	Preferred Provider Organization
NPI Enumerated	March 3, 2007

Payer Source	Total Paid
Medicaid	$67.3K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	790	$40	$34.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	910	$30	$29.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	150	$20	$3.5K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.

Claims Volume vs. Delaware Distribution

Crestview Medical Center P A — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	274	500	1,130	$50	$235.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	295	540	1,100	$40	$185.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	96	180	180	$20	$24.4K

Nearby Providers

Other providers in the same ZIP code as Crestview Medical Center P A, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid-atlantic Dental Partners Delaware Ii Professional Associates	DE	General Practice Dentistry	$0	$21.8M
Greater Works Companion Care	DE	Home Health Agency	$0	$10.8M
Dr. Clyde A. Maxwell Jr, PA	DE	Dental Clinic/Center	$0	$10.2M
Opportunity Center Inc	DE	Intellectual & Developmental Disabilities Psychologist	$0	$3M
The Life Center Complex, Inc	DE	Community Health Clinic/Center	$0	$1.9M
Francis Mase M.d., P.A.	DE	Pediatrics Physician	$0	$1.8M
Precision Care & Wellness, LLC	DE	Primary Care Clinic/Center	$0	$1.8M
Bio-medical Applications Of Delaware, Inc.	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Bio-medical Applications Of Delaware, Inc.	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$487.1K
Connections Csp Brandywine Street Women's Residential Treatment Progra	DE	Substance Use Disorder Rehabilitation Clinic/Center	$0	$463.3K

Crestview Medical Center P A — Billing Profile & Reimbursement Data

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Crestview Medical Center P A — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References