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.

Planned Parenthood Of Delaware, Inc. (NPI 1124033865)

Field	Value
Entity Type	Organization
Organization	Planned Parenthood Of Delaware, Inc.
Address	625 N Shipley St.
City	Wilmington
State	DE
ZIP	19801
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	July 30, 2006

Payer Source	Total Paid
Medicaid	$762.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 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…	4,880	$50	$229.2K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	330	$470	$155.9K
J1050	Injection, medroxyprogesterone acetate, 1 mg	3,130	$30	$103.4K
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…	960	$80	$78.7K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	3,400	$10	$40.7K
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…	530	$70	$35K
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…	880	$40	$33.3K
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,…	1,030	$30	$30.8K
11981	The provider inserts a bioresorbable, biodegradable, or non–biodegradable implant, such as a capsule or pellet, containing a drug for long–term delivery.	210	$80	$16.7K
99201	Deleted code, effective Jan. 1, 2021	960	$20	$16.3K

Showing 1–10 of 22

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

Planned Parenthood Of Delaware, Inc. — 1 of 20 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

22 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…	306	500	1,130	$50	$235.1K
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…	198	240	700	$60	$205.6K
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…	119	540	1,100	$40	$185.3K
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…	118	180	220	$90	$101.5K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	2	10	110	$540	$96.5K
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…	46	190	240	$60	$90.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	24	40	1,650	$1	$60.7K
S0612	Annual gynecological examination, established patient	22	20	290	$50	$50.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	13	60	350	$20	$35.5K
J1050	Injection, medroxyprogesterone acetate, 1 mg	1	10	410	$30	$33.8K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Planned Parenthood Of Delaware, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emily Nardone	DE	Medical Physician Assistant	$48.3K	$0
Stefanie Marshall	DE	Obstetrics & Gynecology Physician	$28.5K	$0
Tiffany Hill	DE	Family Nurse Practitioner	$6.6K	$0

Nearby Providers

Other providers in the same ZIP code as Planned Parenthood Of Delaware, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services, Inc.	DE	General Acute Care Hospital	$0	$99.4M
Connections Csp, Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$28.5M
Neighborly Home Care	DE	In Home Supportive Care Agency	$0	$21.5M
Caring Angels Homecare Agency, Inc.	DE	Home Health Agency	$0	$21M
Delaware Guidance Services For Children & Youth, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.4M
State Of De	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.1M
Christiana Care Health Services Inc	DE	Family Medicine Physician	$0	$5.6M
Crescent Dental, LLC	DE	Dentist	$0	$5.1M
Christiana Care Health Services, Inc	DE	Psychiatry Physician	$0	$2.9M
Steps Center LLC	DE	Home Health Agency	$0	$2.9M

Planned Parenthood Of Delaware, Inc. — Billing Profile & Reimbursement Data

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Planned Parenthood Of Delaware, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References