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.

Total Care Physicians, P.A. (NPI 1164477451)

Field	Value
Entity Type	Organization
Organization	Total Care Physicians, P.A.
Address	405 Silverside Rd Ste 111
City	Wilmington
State	DE
ZIP	19809
Taxonomy	Family Medicine Physician
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

51 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	25,490	$40	$1.1M
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…	7,940	$30	$269.9K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	640	$60	$38.6K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	560	$60	$31K
99442	N/A	460	$40	$19.4K
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.	8,290	$1	$16.6K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	2,140	$10	$12.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	2,300	$10	$11.5K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	1,260	$10	$11.3K
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…	270	$40	$9.7K

Showing 1–10 of 51

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

Total Care Physicians, P.A. — 3 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

51 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…	13	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…	76	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…	85	180	220	$90	$101.5K
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…	73	190	240	$60	$90.8K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	16	50	160	$70	$51.1K
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…	7	10	170	$40	$47K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	14	50	170	$70	$41.4K
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…	32	60	350	$20	$35.5K
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	55	90	800	$10	$30.6K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	22	40	910	$10	$27.5K

Showing 1–10 of 51

Related Providers

Other providers that share a Tax Identification Number (TIN) with Total Care Physicians, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexia Moutsatsos	DE	Internal Medicine Physician	$270.9K	$0
Matthew Jacobson	DE	Internal Medicine Physician	$189.6K	$0
Robert Palandjian	DE	Family Medicine Physician	$176.4K	$0
Anthony Curci	DE	Internal Medicine Physician	$124.8K	$0
Samantha Gray	DE	Family Nurse Practitioner	$103.7K	$0
Melissa Sheehan	DE	Family Medicine Physician	$90.8K	$0
Kelsey Fryberger	DE	Family Nurse Practitioner	$73.9K	$0

Nearby Providers

Other providers in the same ZIP code as Total Care Physicians, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brandywine Center For Autism, LLC	DE	Community/Behavioral Health Agency	$0	$5.5M
Your Center, LLC	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.2M
Chee Woo	DE	Pain Medicine Physician	$913.5K	$140
Phoenix Center For Health And Wellness LLC	DE	Substance Use Disorder Rehabilitation Clinic/Center	$0	$589.2K
Brandywine Hundred Fire Co. No. 1	DE	Land Ambulance	$283K	$243.3K
Manny Lai	DE	Pain Medicine Physician	$288.6K	$0
Alexander Matz	DE	Pain Medicine Physician	$282.5K	$2.2K
Faye Dube	DE	Mental Health Counselor	$0	$275.4K
Ashley Leddy	DE	Family Nurse Practitioner	$166.3K	$0
Sriniketh Sundar	DE	Pain Medicine Physician	$164.7K	$0

Total Care Physicians, P.A. — Billing Profile & Reimbursement Data

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Total Care Physicians, P.A. — 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