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.

State Of Delaware Dscyf (NPI 1144309394)

Field	Value
Entity Type	Organization
Organization	State Of Delaware Dscyf
Address	1825 Faulkland Rd
City	Wilmington
State	DE
ZIP	19805
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	November 6, 2006

Payer Source	Total Paid
Medicaid	$36.5M
Medicare	$0

Key Findings

This entity reports no Medicare billing on file and $36.5M in lifetime Medicaid revenue, making its financial footprint effectively single-payer (Medicaid) in the available claims data. Analysts should treat Medicaid as the primary and essentially exclusive payer when assessing scale and service mix.

Revenue is highly concentrated: the provider’s top three Medicaid codes (H0036, H0018, H2011) together account for 97.9% of its total Medicaid revenue. Individually, H0036 represents $22.2M (60.9% of Medicaid revenue), H0018 represents $8.8M (24.2%), and H2011 represents $4.7M (12.8%).

The code mix indicates a behavioral-health operation focused on intensive community and residential services rather than typical office-based primary care. High-volume H0036 (community psychiatric supportive treatment, per 15 minutes), substantial short-term residential per-diem billing under H0018, and material crisis-intervention billing via H2011 point to a program offering face-to-face community supports, short-term residential placements, and crisis response for children and adolescents.

H0036 is a statewide outlier: with 115.8K claims, $192 avg paid/claim, and $22.2M in revenue the provider ranks #1 of 21 in-state (100th percentile) and is described as an "extreme outlier, far above typical state volume for this code." This indicates market dominance in community psychiatric supportive treatment services within the state.

H0018 (short-term residential, per diem) accounts for $8.8M from 3.5K claims at a $2498 avg paid/claim and is reported as #1 of 1 providers in-state, with no peer-volume comparison available. Being the sole in-state reporting provider for H0018 suggests a unique or centralized role in short-term residential behavioral health placements for the state Medicaid population.

H2011 (crisis intervention, per 15 minutes) contributes $4.7M from 7.5K claims at a $623 avg paid/claim and ranks #2 of 2 in-state; its standing is characterized as unremarkable compared with peers. This implies the provider is an active but not singular crisis-intervention provider within the state ecosystem.

Smaller billing lines—examples include H0004 ($209.6K, 0.6%), H2033 ($188.3K, 0.5%), and H0038 ($156.5K, 0.4%)—represent only a sliver of Medicaid revenue compared with the top three codes. The low revenue share for traditional counseling/therapy and multisystemic therapy codes suggests the provider’s operations and revenue are concentrated in community support, residential, and crisis services rather than routine outpatient psychotherapy or office-based E/M services.

The provider has a long-tenured NPI (enumerated 2006-11-06, ~20 years ago), which likely facilitated building the high-volume community and residential service footprint seen in the Medicaid claims data. Longevity combined with the concentrated code mix helps explain its prominent statewide position for several high-revenue behavioral-health services.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	115,770	$190	$22.2M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	3,530	$2,500	$8.8M
H2011	Crisis intervention service, per 15 minutes	7,490	$620	$4.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	1,860	$110	$209.6K
H2033	Multisystemic therapy for juveniles, per 15 minutes	750	$250	$188.3K
H0038	Self‑help/peer services, per 15 minutes	1,440	$110	$156.5K
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…	840	$90	$76.5K
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…	1,190	$60	$66.6K
H2017	Psychosocial rehabilitation services, per 15 minutes	610	$80	$50.9K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	60	$80	$4.8K

Showing 1–10 of 11

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

State Of Delaware Dscyf — 1 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1	10	3,530	$2,500	$8.8M
H2011	Crisis intervention service, per 15 minutes	2	10	8,280	$620	$5.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1	20	2,510	$160	$2M
H2033	Multisystemic therapy for juveniles, per 15 minutes	2	10	2,910	$390	$1.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	5	10	860	$40	$316.4K
H0038	Self‑help/peer services, per 15 minutes	12	20	2,780	$50	$261.8K
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…	113	240	700	$60	$205.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	15	20	280	$50	$188.3K
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…	261	540	1,100	$40	$185.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	73	80	790	$40	$180.4K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as State Of Delaware Dscyf, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$56.8M
St. Francis Hospital Inc.	DE	General Acute Care Hospital	$0	$43.2M
Always Best Care Of Delaware	DE	Home Health Agency	$0	$38.1M
Westside Family Healthcare, Inc.	DE	Federally Qualified Health Center (FQHC)	$0	$34.3M
Brandywine Counseling & Community Services, Inc.	DE	Adult Mental Health Clinic/Center	$170.8K	$23.9M
Connections Community Support Programs, Inc.	DE	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.4M
St Anthony's Community Center Inc	DE	Meals Provider	$0	$4.6M
Emergency Physician Associates Of Delaware PC	DE	Emergency Medicine Physician	$0	$4.2M
Horizon House Delaware Inc	DE	Case Management Agency	$0	$3.8M
Children's Dental Health Of Delaware, LLC	DE	Pediatric Dentistry	$0	$3.8M

State Of Delaware Dscyf — 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