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.

Delaware Center For Maternal Fetal Medicine Of Christiana Care (NPI 1356487854)

Key Findings

Field	Value
Entity Type	Organization
Organization	Delaware Center For Maternal Fetal Medicine Of Christiana Care
Address	1 Centurian Dr Ste 312
City	Newark
State	DE
ZIP	19713
Taxonomy	Maternal & Fetal Medicine Physician
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicaid	$9.8M
Medicare	$0

This provider effectively operates as a Medicaid-focused specialty center: there is no Medicare billing on file and total Medicaid revenue is $9.8M, indicating Medicaid is the sole reported public payer in the dataset. The absence of Medicare volume makes the provider effectively single‑payer from the public data perspective, which concentrates reimbursement exposure and strategic negotiations on Medicaid.

Revenue is highly concentrated in a small set of fetal imaging codes: the precomputed top three codes (76816, 76819, 76811) account for 57.1% of the provider's Medicaid revenue. Those three codes individually report $2.3M (76816, 24.0%), $2M (76819, 20.2%), and $1.3M (76811, 12.9%) of Medicaid revenue, showing a narrow set of services driving the majority of cash flow.

The code mix signals a core business of advanced prenatal imaging and fetal assessment rather than general ambulatory care: 76816 (follow-up transabdominal fetal ultrasound), 76819 (biophysical profile by ultrasound), and 76811 (detailed transabdominal fetal anatomy ultrasound) dominate claims and revenue. Subspecialty imaging lines are further supported by presence of fetal echocardiography codes (76825 at $280.5K) and Doppler surveillance codes, which together point to a practice structured around high-volume diagnostic imaging for high‑risk pregnancies.

On statewide competitive standing, this entity is a clear leader for multiple imaging codes: 76816 and 76819 both rank #1 in-state at the 100th percentile with the dataset labeling them as an "extreme outlier, far above typical state volume," and 76811 also ranks #1 at the 100th percentile. These rank and percentile indicators show the provider is not just a major participant but in many imaging categories an outlier in volume relative to other Delaware providers, implying regional dominance in fetal imaging services.

Non-imaging evaluation-and-management (E/M) codes are present but represent much smaller shares of Medicaid revenue: 99214 ($433.2K, 4.4%) and 99213 ($418.4K, 4.3%) appear with typical, unremarkable state volumes (99214 at the 80th percentile and 99213 at the 89th percentile). This contrast between high-volume imaging codes and modest E/M revenue suggests clinical operations are weighted toward diagnostic procedures rather than extended office-based management.

Beyond the top three, several specialized ultrasound and fetal monitoring codes rank at or near the state top (for example, 76817 $547.1K ranks #1 of 18, 76813 $407.5K ranks #1 of 5, and 76825 $280.5K ranks #1 of 3), with those listings described as "notably above typical" or "typical, unremarkable" depending on the code. The breadth of high-ranked ultrasound codes indicates capability across first‑trimester screening, detailed anatomy scans, biophysical profiles, and fetal cardiac assessments, consistent with a Maternal & Fetal Medicine practice delivering comprehensive perinatal imaging.

The provider has an established operational history with an NPI enumerated on 2007-01-30 (~19 years ago), which aligns with the observed high volumes and statewide market position for fetal imaging; long tenure supports both referral relationships and the infrastructure needed for high-throughput diagnostic services. Given this longevity and the concentration in Medicaid imaging, the organization likely has embedded workflows and capacity tailored to sustained high-volume ultrasound and fetal monitoring demand.

From a payer strategy and operational risk perspective, the combination of $9.8M in Medicaid revenue, no Medicare billing on file, and 57.1% of Medicaid revenue tied to three ultrasound codes highlights both negotiating leverage and vulnerability: the provider is well positioned to demonstrate value in Medicaid contracting as a major statewide imaging provider, but it also carries single‑payer concentration risk if Medicaid reimbursement or referral patterns change. Analysts should prioritize review of Medicaid managed‑care relationships, capacity planning for imaging throughput, and the sustainability of revenue if code-level reimbursement or referral volumes shift.

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	37,730	$60	$2.3M
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	41,810	$50	$2M
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	13,400	$90	$1.3M
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	10,520	$50	$547.1K
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…	6,370	$70	$433.2K
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	6,500	$70	$422.4K
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…	9,510	$40	$418.4K
76813	The provider uses either a transabdominal or transvaginal ultrasound to measure the fetal nuchal translucency, or the clear, fluid–filled space at the back of the neck, of the first or a single…	7,030	$60	$407.4K
76825	The provider performs real–time fetal echocardiography, with or without M–mode recording, for complete evaluation of a fetal cardiovascular system.	1,720	$160	$280.5K
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…	4,010	$60	$256.6K

Showing 1–10 of 36

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

Delaware Center For Maternal Fetal Medicine Of Christiana Care — 9 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	3	10	1,020	$130	$481.7K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	1	20	930	$50	$250K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	1	10	850	$80	$246.1K
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…	100	500	1,130	$50	$235.1K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	1	20	940	$40	$230.8K
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…	60	540	1,100	$40	$185.3K
76825	The provider performs real–time fetal echocardiography, with or without M–mode recording, for complete evaluation of a fetal cardiovascular system.	1	10	320	$170	$124.9K
93976	The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…	7	10	890	$100	$118.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	103	150	230	$90	$110.4K
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	2	20	540	$70	$102.1K

Showing 1–10 of 36

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services Inc	DE	Obstetrics & Gynecology Physician	$0	$9.9M
Amanda Wardwell	DE	Nurse Practitioner	$37.9K	$0

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
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Caritas Home Health Services, Inc	DE	Home Health Agency	$0	$11.2M
Christiana Care Health Services Inc	DE	Neonatal-Perinatal Medicine Physician	$0	$8.9M
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

Delaware Center For Maternal Fetal Medicine Of Christiana Care — Billing Profile & Reimbursement Data

Sign up for Delaware Center For Maternal Fetal Medicine Of Christiana Care — Billing Profile & Reimbursement Data policy alerts

Delaware Center For Maternal Fetal Medicine Of Christiana Care — Billing Profile & Reimbursement Data

Sign up for Delaware Center For Maternal Fetal Medicine Of Christiana Care — Billing Profile & Reimbursement Data policy alerts

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