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.

Reliance Healthcare, LLC (NPI 1073043824)

Reliance Healthcare, LLC is a family medicine physician provider located in Bear, Delaware. This profile covers 0 Medicare and 52 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Reliance Healthcare, LLC
Address	1993 Pulaski Hwy
City	Bear
State	DE
ZIP	19701
Taxonomy	Family Medicine Physician
NPI Enumerated	June 14, 2017

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	30,120	$60	$1.9M
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…	9,380	$70	$685K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,490	$90	$132.7K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	1,090	$100	$103.9K
86328	The lab analyst performs a single–step immunoassay to qualitatively or semiquantitatively evaluate the patient’s specimen for antibodies to the severe acute respiratory syndrome coronavirus 2…	3,130	$30	$100.2K
99203	The provider sees a new 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 provider…	1,100	$70	$77.1K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	770	$60	$45.4K
99204	The provider sees a new 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 provider…	370	$100	$35.8K
99385	The provider performs a well–patient visit for a patient who is between the ages of 18 and 39.	320	$110	$34.2K
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,…	740	$40	$28.2K

Showing 1–10 of 52

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

Reliance Healthcare, LLC — 2 of 25 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

52 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…	62	500	1,130	$50	$235.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	45	50	1,070	$70	$226.6K
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…	15	540	1,100	$40	$185.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	43	50	800	$70	$170.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	37	50	470	$80	$126.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	72	150	230	$90	$110.4K
99204	The provider sees a new 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 provider…	76	180	220	$90	$101.5K
99203	The provider sees a new 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 provider…	45	190	240	$60	$90.8K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	12	30	460	$20	$68.7K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	9	50	160	$70	$51.1K

Showing 1–10 of 52

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Qayyum Nazar	DE	Internal Medicine Physician	$31.4K	$425.1K
Yasmin Chaudhry	DE	Family Medicine Physician	$55.8K	$55.4K
Hassan Bangash	DE	Family Nurse Practitioner	$18.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chesapeake Rehab Equipment Inc.	DE	Customized Equipment (DME)	$0	$4.1M
United Medical Clinic, LLC	DE	Internal Medicine Physician	$0	$2.7M
Aquila Of Delaware, Inc.	DE	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.9M
Kool Koala Pediatric & Adolescent Dentistry LLC	DE	Pediatric Dentistry	$0	$1.6M
Mark Wieczorek	DE	Dentist	$0	$1.4M
Messiahs Angel Foundation Center	DE	Adult Day Care Clinic/Center	$0	$1.2M
Aquila Of Delaware, Inc.	DE	Substance Use Disorder Rehabilitation Clinic/Center	$0	$735.1K
Wasif Qureshi	DE	Cardiovascular Disease Physician	$683.6K	$0
Mark Zweben	DE	Cardiovascular Disease Physician	$586.6K	$0
Brigida Rodriguez	DE	Mental Health Counselor	$0	$521.2K

Reliance Healthcare, LLC — Billing Profile & Reimbursement Data

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Reliance Healthcare, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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