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.

The Children's Secret Garden (NPI 1073665345)

Field	Value
Entity Type	Organization
Organization	The Children's Secret Garden
Address	717 Hatchery Rd
City	Dover
State	DE
ZIP	19901
Taxonomy	Medically Fragile Infants and Children Day Care
NPI Enumerated	January 17, 2007

Payer Source	Total Paid
Medicaid	$8.1M
Medicare	$0

Key Findings

THE CHILDREN'S SECRET GARDEN in DOVER, DE is effectively a Medicaid-focused provider with total Medicaid revenue of $8.1M and no Medicare billing on file. The absence of Medicare revenue makes Medicaid the sole reported payer-driving revenue for this entity, concentrating financial exposure and strategic emphasis on state program reimbursement and policy changes.

Revenue is highly concentrated in a very small set of codes: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with a single code dominating. T1025 alone accounts for $7.9M (98.0% of the provider's total Medicaid revenue) while T1026 contributes $164.7K (2.0% of the provider's total Medicaid revenue), indicating extreme dependence on a primary service line.

The code mix and code descriptions indicate the operation is centered on intensive, multidisciplinary clinic-style services for medically complex children. T1025 (Intensive, extended multidisciplinary services, per diem) and T1026 (the per-hour variant) align closely with the provider's listed taxonomy of Medically Fragile Infants and Children Day Care, suggesting the organization runs full-day or per-diem clinical/daycare programs rather than primarily episodic or procedure-based services.

The provider’s billing pattern shows a strong preference for per-diem billing: T1025 (per diem) comprises the vast majority of revenue while the hourly T1026 represents only a nominal share. This suggests the business model is structured around extended-stay or day-program care (captured by per-diem reimbursement) rather than short, hourly interventions.

Competitive standing within the state is modest. For the dominant code T1025 this provider ranks #2 of 3 in-state (50th percentile; typical, unremarkable volume for this code), indicating it is a middle-tier participant among a tiny competitive set; for T1026 it ranks #3 of 3 (0th percentile; typical, unremarkable volume for this code), reflecting low relative activity for the hourly service.

The provider has been enumerated for an extended period (NPI enumerated 2007-01-17 (~19 years ago)), which supports an interpretation of operational longevity and sustained participation in Medicaid programs. This tenure likely underpins the established per-diem program model reflected in billing.

Heavy reliance on a single code for 98.0% of Medicaid revenue creates concentrated reimbursement risk and makes the provider sensitive to changes in state policy, rate-setting, or audit focus specific to T1025. Given that the top-3 codes together represent 100.0% of revenue, any adjustment to eligibility, coverage, or payment methodology for these services could materially affect the provider's financial position.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	27,950	$280	$7.9M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	2,290	$70	$164.7K

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

The Children's Secret Garden — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	2	10	27,950	$330	$10.3M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	3	10	2,820	$60	$392K

Nearby Providers

Other providers in the same ZIP code as The Children's Secret Garden, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayhealth Medical Center, Inc.	DE	General Acute Care Hospital	$0	$79.3M
Bayhealth Emergency Physicians LLC	DE	Emergency Medicine Physician	$0	$16.7M
Ahl And O'connor Orthodontics, LLC	DE	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$12.5M
Bayhealth Medical Center, Inc	DE	Colon & Rectal Surgery Physician	$0	$12.4M
State Of Delaware	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.2M
Apogee Medical Group, Delaware, Inc	DE	Internal Medicine Physician	$0	$7.9M
First State Oral And Maxillofacial Surgery Corp	DE	Oral and Maxillofacial Surgery (Dentist)	$0	$5M
Jamie Ahl	DE	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.9M
Kent Diagnostic Radiology Associates PA	DE	Diagnostic Radiology Physician	$0	$4.6M
The Mind And Body Consortium, LLC.	DE	Psychiatry Physician	$0	$3.9M

The Children's Secret Garden — Billing Profile & Reimbursement Data

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The Children's Secret Garden — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References