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.

Sea Care LLC (NPI 1164008017)

Field	Value
Entity Type	Organization
Organization	Sea Care LLC
Address	25184 Leroy Dr
City	Georgetown
State	DE
ZIP	19947
Taxonomy	Intellectual & Developmental Disabilities Psychologist
NPI Enumerated	March 22, 2021

Payer Source	Total Paid
Medicaid	$10.1M
Medicare	$0

Key Findings

SEA CARE LLC is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the practice reports $10.1M in lifetime Medicaid revenue, indicating its operations are focused exclusively on Medicaid-funded services rather than Medicare populations.

Revenue concentration is extremely high and centered on a single service line: the precomputed top-3 Medicaid codes account for 100.0% of total Medicaid revenue, and T2025 alone represents the entirety of reported Medicaid revenue ($10.1M). This indicates almost all billed activity is categorized under waiver services not otherwise specified.

The dominant billed code is T2025 (Waiver services; not otherwise specified (nos)), which accounts for 1K claims at an average paid per claim of $9,690 and $10.1M in revenue. That code mix suggests the provider’s business is organized around delivering waiver-based intellectual and developmental disabilities services rather than discrete, procedure-based outpatient care.

On competitive standing within Delaware for T2025, SEA CARE LLC ranks #9 of 10 providers in-state and sits in the 11th percentile. That rank signals the provider is a modest participant for this specific waiver service in-state rather than a market leader or high-volume specialist.

The provider’s NPI was enumerated on 2021-03-22 (~5 years ago), so SEA CARE LLC has a relatively recent tenure compared with longer-established providers. This shorter operating window may partly explain concentrated programmatic billing and limited market share to date.

Given that T2025 is an aggregated waiver descriptor ("not otherwise specified"), SEA CARE LLC’s revenue profile implies a programmatic approach where services are billed under broad waiver categories rather than a diversified mix of specific Medicaid procedure codes. That billing pattern can reflect service models that bundle multiple supports under waiver claims.

Because the entire Medicaid revenue stream is attributed to a single code line (100.0% from the top codes, with T2025 representing all reported Medicaid revenue), the provider is exposed to single-code reimbursement risk: changes to waiver policy, rates, or auditing for T2025 could materially affect revenue.

Analysts comparing this entity to peers should interpret its in-state rank with caution: despite a substantial $10.1M Medicaid lifetime revenue figure, the rank of #9/10 for T2025 indicates other in-state providers may either specialize differently or have more diversified billing, leaving SEA CARE LLC as a niche or specialized waiver services participant rather than a broadly dominant competitor.

Medicaid: Complete Services Breakdown

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
T2025	Waiver services; not otherwise specified (nos)	1,050	$9,690	$10.1M

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

Sea Care LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	9	10	37,650	$670	$43M

Nearby Providers

Other providers in the same ZIP code as Sea Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Packd LLC	DE	In Home Supportive Care Agency	$0	$31M
La Red Health Center Inc	DE	Federally Qualified Health Center (FQHC)	$0	$7.3M
Cheer, Inc.	DE	Home Health Agency	$0	$7.3M
Rainbow Pediatrics	DE	Pediatrics Physician	$0	$5.6M
Wilmington Orthodontic Center	DE	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.8M
Horizon House Delaware Inc.	DE	Case Management Agency	$0	$3.3M
La Red Health Center Inc	DE	Federally Qualified Health Center (FQHC)	$0	$3.1M
Fellowship Health Resources, Inc	DE	Community/Behavioral Health Agency	$0	$2.8M
Nutrihealth LLC	DE	Internal Medicine Physician	$0	$994.6K
Sussex Pain Relief Center LLC	DE	Pain Medicine Physician	$0	$948.5K

Sea Care LLC — Billing Profile & Reimbursement Data

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Sea Care LLC — 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