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NPI 1114112133 · Apo, AE · Clinical Social Worker
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Delila Donaldson is a clinical social worker provider located in Apo, Armed Forces Europe. This profile covers 1 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Delila Donaldson |
| Address | 48 Mdg / Raf Lakenheath |
| City | Apo |
| State | AE (Armed Forces Europe) |
| ZIP | 09461 |
| Taxonomy | Clinical Social Worker |
| NPI Enumerated | September 12, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $36.4K |
| Medicare | $18.2K |
This provider is a Clinical Social Worker practicing in APO, AE and appears to operate primarily as a psychotherapy practice: the only billed code shown for both payers is 90837, which is described as psychotherapy sessions of 53 minutes or more, indicating a focus on long-form individual therapy encounters. The profile data show 90837 as the revenue engine across payers, consistent with the provider’s listed taxonomy.
Revenue concentration is extreme: the precomputed top-3 share for both payers is 100.0%, and the available data list 90837 as accounting for $18.2K (100.0% of this provider's total Medicare revenue) and $36.4K (100.0% of this provider's total Medicaid revenue). This indicates the provider’s entire reported Medicare and Medicaid billing is concentrated in a single service line.
The payer mix is Medicaid-weighted in scale: reported Medicaid revenue is $36.4K versus Medicare revenue of $18.2K. Claim counts are similar across payers (268 Medicaid claims vs. 249 Medicare claims), but the $136 avg paid/claim on Medicaid versus $73 avg paid/claim on Medicare drives the larger Medicaid revenue total.
On Medicare competitive standing the provider is a modest, typical participant for 90837: the code ranks #5124 of 15257 providers nationally (66th percentile; typical, unremarkable volume for this code). This positioning signals neither dominance nor unusually low activity at the national level for long psychotherapy sessions billed to Medicare.
On Medicaid there is no meaningful in-state peer comparison: 90837 is listed as $36.4K and ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available). That reporting pattern suggests the dataset has no other comparable in-state Medicaid reporters for this code, so competitive conclusions within the state are limited.
Payment pattern differences between payers are notable and operationally relevant: the profile shows $73 avg paid/claim for Medicare 90837 claims and $136 avg paid/claim for Medicaid 90837 claims. Given near-equal claim volumes (249 Medicare vs. 268 Medicaid), the higher Medicaid unit payment explains why total Medicaid revenue exceeds Medicare revenue despite similar utilization.
The provider has an established NPI tenure: NPI enumerated 2007-09-12 (~19 years ago), indicating a long-standing presence in the billing dataset. That duration, combined with single-code concentration, suggests an experienced clinician whose billing footprint is narrowly focused on psychotherapy services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 250 | $70 | $18.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.
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Full comparison — all codes billed, vs. state median
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| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 90837 | 35 | 0 | N/A | $N/A | $N/A |
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 270 | $140 | $36.4K |
How this provider's Medicaid billing volume and revenue compare to other Armed Forces Europe providers billing the same CPT/HCPCS codes. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.
Full comparison — all codes billed, vs. Armed Forces Europe median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 1 | 10 | 270 | $140 | $36.4K |
Other providers in the same ZIP code as Delila Donaldson, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mark Heino | AE (Armed Forces Europe) | Family Medicine Physician | $31.3K | $136.8K |
| Joshua Latham | AE (Armed Forces Europe) | Family Medicine Physician | $84.3K | $0 |
| Immacula Nezier | AE (Armed Forces Europe) | Women's Health Nurse Practitioner | $68.4K | $0 |
| Eric Butters | AE (Armed Forces Europe) | Family Nurse Practitioner | $2.6K | $18.5K |
| Linda Schemm | AE (Armed Forces Europe) | Physical Therapist | $19.5K | $0 |
| Hilary Stamp | AE (Armed Forces Europe) | Pediatrics Physician | $0 | $19.1K |
| Samuel Kjome | AE (Armed Forces Europe) | Family Medicine Physician | $16.2K | $0 |
| Michelle Sanger | AE (Armed Forces Europe) | Physician Assistant | $13.9K | $0 |
| Claire Schmidt | AE (Armed Forces Europe) | Optometrist | $13.8K | $0 |
| Jennifer Chow | AE (Armed Forces Europe) | Child & Adolescent Psychiatry Physician | $10.7K | $0 |
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