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.

Premier Medical Associates (NPI 1154836500)

Field	Value
Entity Type	Organization
Organization	Premier Medical Associates
Address	620 Stanton Christiana Rd Ste 101
City	Newark
State	DE
ZIP	19713
Taxonomy	Family Nurse Practitioner
NPI Enumerated	December 7, 2017

Payer Source	Total Paid
Medicaid	$130.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 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…	1,220	$60	$78K
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…	610	$80	$47.7K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	380	$10	$2.6K
96160	The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…	360	$1	$1.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	250	$1	$500
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	20	$30	$380

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

Premier Medical Associates — 0 of 6 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

6 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…	293	500	1,130	$50	$235.1K
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…	257	540	1,100	$40	$185.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	23	40	1,650	$1	$60.7K
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	13	10	170	$40	$47K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	48	110	270	$1	$11.4K
96160	The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…	17	30	1,110	$1	$8.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Premier Medical Associates, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vikas Batra	DE	Pulmonary Disease Physician	$656.4K	$0
Ercilia Arias	DE	Pulmonary Disease Physician	$263.8K	$0
John Coll	DE	Sleep Medicine (Internal Medicine) Physician	$234.9K	$0
Anthony Vasile	DE	Sleep Medicine (Internal Medicine) Physician	$163.4K	$68.2K
Naveed Hasan	DE	Pulmonary Disease Physician	$153.6K	$0
Masood Siddiqui	DE	Pulmonary Disease Physician	$117.5K	$0
Amy Hitchens	DE	Family Nurse Practitioner	$82.5K	$0
Kyle Lambert	DE	Family Nurse Practitioner	$81.3K	$0
Felistas Gatune	DE	Family Nurse Practitioner	$44.7K	$0

Premier Medical Associates — Billing Profile & Reimbursement Data

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Premier Medical Associates — 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

Frequently Asked Questions

References