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.

Christiana Care Health Services, Inc. (NPI 1134194038)

Field	Value
Entity Type	Organization
Organization	Christiana Care Health Services, Inc.
Address	501 W 14th St
City	Wilmington
State	DE
ZIP	19801
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 22, 2006

Payer Source	Total Paid
Medicaid	$99.4M
Medicare	$0

Key Findings

CHRISTIANA CARE HEALTH SERVICES, INC. shows no Medicare billing on file and $99.4M in Medicaid revenue, making Medicaid the effective sole payer in the available claims data. This provider should be treated as Medicaid-centric for revenue and utilization analyses rather than a mixed Medicare/Medicaid hospital in this dataset.

Revenue is highly concentrated in a small set of emergency department E/M codes: the top three Medicaid codes (99283, 99284, 99282) together account for 46.2% of the provider’s total Medicaid revenue. 99283 alone represents 25.3% of Medicaid revenue, with 99284 and 99282 contributing 11.6% and 9.3% respectively, indicating that a large share of dollars are driven by ED throughput and acuity-coded evaluation visits.

The mix of top revenue-driving codes indicates core operations are acute and emergency-focused. The leading codes 99283, 99284, and 99282 are all ED evaluation and management services of low-to-moderate complexity, which—combined with large claim counts for those codes—points to high ED volume as a primary service line.

Competitive standing in-state is strong for several high-volume services: 99283 ranks #1 of 26 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), 99282 ranks #1 of 16 providers (100th percentile; notably above typical state volume), and 99284 ranks #2 of 35 providers (97th percentile; notably above typical state volume). These rank and percentile positions characterize the provider as a dominant Medicaid ED supplier in Delaware for multiple ED codes.

Beyond ED care, the provider reports large Medicaid revenue for hospital dental and high-cost infusion services, suggesting additional inpatient or procedural specialties. Code 41899 generated $5.7M (8.3% of Medicaid revenue) and ranks #1 of 8 providers in-state (100th percentile; notably above typical state volume), while J1745 (infliximab) produced $2.8M (4.0%) and J2505 (pegfilgrastim) produced $1.3M (1.9%), indicating notable billed volume for high-cost biologic and supportive oncology medications.

Diagnostic, laboratory, and therapy services are also material components of the Medicaid business: 85025 (CBC) produced $1.4M (2.0%) and ranks #1 of 34 providers in-state (100th percentile; extreme outlier), 80048 (BMP) produced $1.1M (1.5%) and ranks #1 of 12 providers (100th percentile; notably above typical state volume), and imaging codes such as 93306 and 74177 together contribute meaningful revenue. This pattern is consistent with an in-house acute-care hospital that performs its own laboratory, imaging, and rehabilitation services rather than outsourcing them.

Several individual codes are flagged as statistical outliers in the peer data, underlining unusual scale in specific service lines: 99283 and 85025 are described as "extreme outlier, far above typical state volume" and multiple lab and ED codes are at the 100th percentile. Those outlier labels signal that the provider’s Medicaid activity for these services is well outside normal in-state distributions and warrants attention when comparing utilization or constructing peer-benchmark targets.

The provider’s NPI was enumerated on 2006-02-22 (~20 years ago), indicating a long tenure in the market. Combined with its statewide top ranks and large Medicaid revenue base, the data portray a long-established acute-care hospital with concentrated Medicaid-dependent ED throughput and broad in-hospital ancillary and infusion services, which should be considered when evaluating competitive positioning and payer exposure for Delaware Medicaid programs.

Medicaid: Complete Services Breakdown

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

556 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	183,440	$100	$17.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	100,840	$80	$8.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	63,080	$100	$6.4M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	2,740	$2,090	$5.7M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	42,150	$80	$3.3M
99281	The provider sees a patient for the lowest level emergency department visit.	33,940	$100	$3.3M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	580	$4,730	$2.8M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	5,970	$450	$2.7M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	32,860	$70	$2.4M
0241U	N/A	21,460	$100	$2.1M

Showing 1–10 of 556

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

Christiana Care Health Services, Inc. — 13 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

556 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	1	30	11,180	$110	$3.4M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	2	40	770	$110	$1.9M
S9128	Speech therapy, in the home, per diem	2	10	16,490	$110	$1.7M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	2	10	580	$2,340	$1.6M
G0378	Hospital observation service, per hour	3	10	6,600	$190	$1.5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	3	30	1,350	$110	$1.5M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	1	20	4,570	$120	$1.4M
J0585	Injection, onabotulinumtoxina, 1 unit	4	10	3,180	$480	$1.4M
J2505	Injection, pegfilgrastim, 6 mg	1	10	340	$3,820	$1.3M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1	10	350	$2,060	$1.2M

Showing 1–10 of 556

Related Providers

Other providers that share a Tax Identification Number (TIN) with Christiana Care Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Christiana Care Health Services Inc	DE	Obstetrics & Gynecology Physician	$0	$9.9M
Christiana Care Health Services Inc	DE	Neonatal-Perinatal Medicine Physician	$0	$8.9M
Christiana Care Health Services Inc	DE	Family Medicine Physician	$0	$5.6M
Christiana Care Health Services Inc	DE	Neurology Physician	$0	$5.1M
Christiana Care Health Services, Inc	DE	Family Medicine Physician	$0	$5.1M
Christiana Care Health Services Inc	DE	Student Health Clinic/Center	$0	$3.9M
Christiana Care Health Services, Inc	DE	Psychiatry Physician	$0	$2.9M
Jason Kaplan	DE	Ophthalmology Physician	$2.7M	$0

Nearby Providers

Other providers in the same ZIP code as Christiana Care Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Crescent Dental, LLC	DE	Dentist	$0	$5.1M
Steps Center LLC	DE	Home Health Agency	$0	$2.9M
The Life Center Complex, Inc	DE	Student Health Clinic/Center	$0	$2.7M
State Of Delaware	DE	Local Education Agency (LEA)	$0	$2.4M
Incredible Home Care Inc	DE	Home Health Agency	$0	$2.3M

Christiana Care Health Services, Inc. — Billing Profile & Reimbursement Data

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Christiana Care Health Services, Inc. — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References