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 1245474329)

Field	Value
Entity Type	Organization
Organization	Christiana Care Health Services Inc
Address	200 Hygeia Dr
City	Newark
State	DE
ZIP	19713
Taxonomy	Hospitalist Physician
NPI Enumerated	April 21, 2009

Payer Source	Total Paid
Medicaid	$13.6M
Medicare	$0

Key Findings

CHRISTIANA CARE HEALTH SERVICES INC has no Medicare billing on file (Total Medicare revenue: none) and reports Total Medicaid revenue of $13.6M, indicating the provider’s publicly reported payer activity is effectively concentrated in Medicaid rather than split across traditional Medicare/Medicaid lines. Analysts should treat this profile as single-payer (Medicaid) for comparison and risk assessment purposes.

Revenue is highly concentrated in a small set of inpatient E/M codes: the precomputed top three Medicaid codes (99232, 99233, 99223) account for 71.3% of the provider's total Medicaid revenue. Those three codes individually report $6.2M (45.7%), $1.8M (12.9%), and $1.7M (12.6%) respectively, showing that most dollars come from subsequent and initial hospital inpatient/observation E/M services.

The code mix and descriptions (99232, 99233, 99223, 99222, 99239, 99238, 99231) point to hospitalist-style inpatient care as the core service line: frequent subsequent hospital inpatient/observation visits, initial inpatient evaluations, and discharge-day management dominate billing. This pattern suggests operations centered on inpatient throughput, daily inpatient management, and discharge workflows rather than outpatient clinic visits or ambulatory surgical services.

Competitive standing in-state is dominant for several high-volume inpatient E/M codes: 99232 ranks #1 of 77 providers in-state (100th percentile; extreme outlier) and 99223 ranks #1 of 60 providers in-state (100th percentile; extreme outlier), while 99233 ranks #3 of 53 providers (96th percentile; extreme outlier). These rank and percentile positions indicate the provider is a major, statewide leader in billed volume for core hospitalist E/M services.

Multiple individual codes are flagged as statistical outliers or notably above typical state volume, reinforcing an unusually high utilization footprint: examples include 99232 (extreme outlier), 99223 (extreme outlier), 99222 (100th percentile; extreme outlier), 99239 (100th percentile; notably above typical state volume), and 99231 (100th percentile; extreme outlier). The absolute claim volumes reported — for example, 99232 at 207.6K claims — confirm substantial throughput for inpatient E/M encounters.

Despite very large inpatient E/M volumes, critical care billing appears limited in scale relative to total Medicaid revenue: 99291 shows 279 claims and $24.3K revenue (0.2% of this provider's total Medicaid revenue) and ranks #17 of 24 providers in-state (30th percentile). This suggests the provider’s case mix and billing focus are concentrated in general inpatient management rather than extensive critical care services.

The provider’s long tenure in the NPI registry (enumerated 2009-04-21, ~17 years ago) indicates an established presence and sustained participation in the state Medicaid program, which may reflect embedded operational relationships with inpatient facilities and payers. Longevity combined with dominant in-state ranking for core codes supports interpreting these volumes as persistent service patterns rather than transient spikes.

Beyond the top three, several other inpatient E/M and discharge codes contribute materially to revenue (for example, 99222 at $1.1M revenue (7.9%), 99239 at $956.1K revenue (7.0%), and 99238 at $505.2K revenue (3.7%)), indicating a broad inpatient E/M portfolio that spans low, moderate, and high complexity visits as well as discharge management. For payer or network strategy, this profile signals a concentrated Medicaid-revenue operating model centered on comprehensive inpatient hospitalist activities.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	207,600	$30	$6.2M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	39,140	$50	$1.8M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20,930	$80	$1.7M
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	18,760	$60	$1.1M
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	20,340	$50	$956.1K
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…	16,300	$30	$505.2K
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…	24,070	$10	$336.9K
99219	N/A	5,360	$60	$295K
99220	N/A	3,630	$70	$264.8K
99217	N/A	4,600	$30	$142.6K

Showing 1–10 of 19

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 — 12 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	17	20	1,350	$120	$348.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3	50	1,030	$60	$292.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1	80	940	$30	$277.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	1	10	900	$50	$192.6K
99220	N/A	2	10	1,070	$70	$150.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1	60	240	$80	$148.4K
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…	2	30	690	$50	$128.4K
99235	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	2	10	290	$160	$124K
99225	N/A	2	10	5,000	$20	$104.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1	70	260	$60	$96.7K

Showing 1–10 of 19

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
Bayhealth Medical Center, Inc.	DE	General Acute Care Hospital	$0	$79.3M
Bayhealth Medical Center, Inc.	DE	General Acute Care Hospital	$0	$39.5M
Long Island Community Hospital At Nyu Langone Health	NY	General Acute Care Hospital	$0	$27.6M
Auburn Community Hospital	NY	General Acute Care Hospital	$0	$26.2M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Bayhealth Medical Center, Inc	DE	Colon & Rectal Surgery Physician	$0	$12.4M
Christiana Care Health Services Inc	DE	Obstetrics & Gynecology Physician	$0	$9.9M
Christiana Care Health Services Inc	DE	Neonatal-Perinatal Medicine Physician	$0	$8.9M
Apogee Medical Group, Delaware, Inc	DE	Internal Medicine Physician	$0	$7.9M

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