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 1184960924)

Field	Value
Entity Type	Organization
Organization	Christiana Care Health Services Inc
Address	4745 Ogletown Stanton Rd Ste 217
City	Newark
State	DE
ZIP	19713
Taxonomy	Neonatal-Perinatal Medicine Physician
NPI Enumerated	December 26, 2012

Payer Source	Total Paid
Medicaid	$8.9M
Medicare	$0

Key Findings

CHRISTIANA CARE HEALTH SERVICES INC is effectively a single-payer Medicaid provider for the time period represented: there is no Medicare billing on file while lifetime Medicaid revenue totals $8.9M, indicating Medicaid is the exclusive documented payer relationship in this dataset. Analysts should treat this profile as Medicaid-dominant when assessing payor risk and reimbursement exposure.

Revenue concentration is high: the top three Medicaid codes (99469, 99479, 99468) together account for 69.1% of the provider's total Medicaid revenue, signaling that a relatively small set of neonatal critical-care services drive the majority of billed dollars. This concentration suggests operational focus and financial dependence on neonatal intensive care and related newborn management activities.

The provider’s service mix is squarely neonatal intensive and critical care-focused. Highest-revenue codes are 99469 (subsequent neonatal critical care), 99479 (direction of care for recovering low birth weight infants 1500–2500g), and 99468 (initial neonatal critical care), which together reflect sustained inpatient NICU throughput and physician-directed management of low birth weight and critically ill newborns. These code patterns are consistent with a hospital-based neonatal-perinatal medicine practice embedded in an acute care setting.

On competitive standing within the state, CHRISTIANA CARE ranks as a top provider for multiple high-revenue neonatal codes: it is #1 of peers in-state for 99469, 99479, and 99468 (each at the 100th percentile), and #1 for several additional neonatal direction/initial care codes. These rankings indicate the provider is a leading Medicaid supplier of NICU physician services in Delaware rather than a marginal participant.

Volume characteristics vary by code: 99479 shows particularly high claim counts (22.9K claims) but lower average paid/claim ($70), producing $1.6M revenue, while 99468 has far fewer claims (2.3K) but a much higher avg paid/claim ($541) for $1.3M revenue. This mix—high-frequency lower-paid direction-of-care services combined with lower-frequency, higher-paid initial/inpatient evaluation codes—suggests billing patterns driven by both routine NICU follow-up management and intensive initial encounters.

Although the provider ranks highly for many neonatal Medicaid codes, not all code volumes are dominant: for follow-up inpatient care code 99472 the provider ranks #2 of 2 in-state (0th percentile) even though it still generates $948.6K (10.7% of Medicaid revenue). This indicates spots where competitors have comparable activity and that some NICU-related service lines are shared within the state market.

Tenure in the provider registry is long enough to be considered established: the NPI was enumerated in 2012-12-26 (~14 years ago). That tenure supports interpreting the observed code mix as a stable operational pattern rather than a transient billing artifact.

Several lower-revenue neonatal and newborn service codes appear across the top list (e.g., 99477, 99464, 99465), confirming a comprehensive scope of perinatal and immediate post-delivery stabilization services beyond the highest-revenue items. While individually smaller in dollar impact, these ancillary codes reinforce the profile of an integrated neonatal-perinatal service line that handles deliveries, stabilization, resuscitation, and inpatient NICU care.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	14,150	$230	$3.3M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	22,900	$70	$1.6M
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	2,320	$540	$1.3M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	15,320	$70	$1.1M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	3,350	$280	$948.6K
99477	The provider performs the initial day of inpatient hospital evaluation and management for a neonate, age 28 days or younger, who requires intensive care and observation as well as frequent…	1,770	$210	$367.2K
99464	The provider is present during the delivery, at the request of the delivering provider, and during the basic stabilization of the newborn immediately after birth, typically when fetal distress or…	3,470	$50	$163.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	3,170	$50	$142.7K
99465	The provider resuscitates a newborn in cardiopulmonary distress in the delivery room, providing ventilation, or breathing, and chest compressions.	310	$90	$27.4K
99478	The provider directs the care of a recovering low birthweight infant, whose current weight is less than 1500 grams.	220	$80	$16.8K

Showing 1–10 of 12

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 — 7 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	2	10	10,140	$620	$6.3M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	1	10	8,820	$300	$2.7M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	1	10	5,940	$100	$856K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	1	10	11,600	$70	$838.9K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	1	10	1,180	$540	$639.2K
99477	The provider performs the initial day of inpatient hospital evaluation and management for a neonate, age 28 days or younger, who requires intensive care and observation as well as frequent…	1	10	920	$230	$214.8K
99464	The provider is present during the delivery, at the request of the delivering provider, and during the basic stabilization of the newborn immediately after birth, typically when fetal distress or…	1	10	1,170	$110	$161K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	6	30	690	$50	$128.4K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	7	10	80	$90	$72.4K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	45	50	660	$20	$53.9K

Showing 1–10 of 12

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	General Acute Care Hospital	$0	$99.4M
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	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
Associated Retinal Consultants LLC	DE	Ophthalmology Physician	$0	$25.2M
Columbus Medical Services, LLC	DE	Case Management Agency	$0	$18.7M
Caritas Home Health Services, Inc	DE	Home Health Agency	$0	$11.2M
Delaware Center For Maternal Fetal Medicine Of Christiana Care	DE	Maternal & Fetal Medicine Physician	$0	$9.8M
Medical Oncology Hematology Consultants PA	DE	Hematology & Oncology Physician	$0	$7.7M
Christiana Care Quality Partners	DE	Urgent Care Clinic/Center	$0	$7M
Jamal Misleh	DE	Hematology & Oncology Physician	$6.8M	$0
Mid-atlantic Behavioral Health, LLC	DE	Intellectual & Developmental Disabilities Psychologist	$0	$6.5M
First State Orthopaedics, PA	DE	Orthopaedic Surgery Physician	$0	$6M
Autism Delaware	DE	Intellectual & Developmental Disabilities Psychologist	$0	$5.8M

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