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 1376528729)

Key Findings

Field	Value
Entity Type	Organization
Organization	Christiana Care Health Services Inc
Address	4755 Ogletown Stanton Rd Ste 1900
City	Newark
State	DE
ZIP	19718
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	December 8, 2005

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

CHRISTIANA CARE HEALTH SERVICES INC (Obstetrics & Gynecology) in NEWARK, DE shows no Medicare billing on file and $9.9M in lifetime Medicaid revenue, indicating it is effectively single-payer (Medicaid) in the available claims dataset. The provider’s NPI has been enumerated since 2005-12-08 (~21 years ago), demonstrating long-term presence in its market.

Revenue is heavily concentrated in a few high-value codes: 59409 ($2.8M, 29.6% of Medicaid revenue), 99213 ($1.6M, 16.4%), and 59514 ($1.5M, 15.2%), with the top three codes together accounting for 61.1% of this provider’s total Medicaid revenue. This concentration means a majority of Medicaid dollars are driven by delivery and routine outpatient E/M services as reported.

The code mix is consistent with a high-volume obstetrics practice that also maintains substantial ambulatory gynecology throughput: 59409 and 59514 are delivery codes (vaginal and cesarean deliveries respectively), 59430 captures postpartum outpatient care, and codes such as 58300, J7297, and J7307 reflect contraceptive device services. Together these codes suggest integrated inpatient maternity services paired with a busy outpatient women’s health clinic.

This provider is a statewide leader on core delivery services: 59409 ranks #1 of 13 providers in-state (100th percentile; extreme outlier) and 59514 ranks #1 of 6 providers in-state (100th percentile; notably above typical state volume). The large rank and percentile placements for these delivery codes indicate market dominance in obstetric delivery volume within Delaware.

CHRISTIANA CARE also shows exceptionally high outpatient visit volumes: 99213 has 52.5K claims and $1.6M revenue (rank #7 of 543 in-state, 99th percentile; extreme outlier) and 99214 contributes $834.5K (19.4K claims). Emergency/urgent E/M activity is nontrivial as well (e.g., 99283 with 26.5K claims and $636.6K revenue), indicating the provider’s Medicaid billing spans routine office care and higher-throughput acute/ED-type encounters.

Beyond deliveries and E/M, the provider reports notable procedural and preventive services at elevated state ranks: 54150 (circumcision) generated $195.3K and ranks #1 of 8 (100th percentile; notably above typical state volume), G0101 (cervical/vaginal cancer screening) generated $72.2K and ranks #1 of 4 (100th percentile), and 11981 (implant drug delivery) generated $51.1K and ranks #1 of 8 (100th percentile). These entries indicate a diversified women’s and newborn procedural mix in addition to core obstetrics.

The combination of a single-payer Medicaid footprint and heavy revenue concentration in delivery and routine E/M codes presents both commercial clarity and operational risk: with no Medicare revenue on file, the provider’s payer exposure is skewed toward Medicaid populations, and the fact that the top three codes drive 61.1% of Medicaid revenue suggests that shifts in maternity volumes or outpatient visit patterns would materially affect overall revenue. Analysts should therefore treat maternity throughput and Medicaid policy changes as primary drivers of financial and utilization variability for this entity.

Medicaid: Complete Services Breakdown

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

72 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	7,350	$390	$2.8M
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…	52,460	$30	$1.6M
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	3,790	$390	$1.5M
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…	19,410	$40	$834.5K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	26,530	$20	$636.6K
59430	For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…	4,150	$90	$369K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	11,400	$20	$228K
S0612	Annual gynecological examination, established patient	6,080	$40	$212.7K
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.	3,910	$50	$195.3K
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…	2,820	$70	$183.4K

Showing 1–10 of 72

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 — 14 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

72 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	11	30	11,180	$110	$3.4M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	16	40	770	$110	$1.9M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	9	20	4,570	$120	$1.4M
99281	The provider sees a patient for the lowest level emergency department visit.	9	10	110	$130	$1M
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	1	10	420	$420	$392.6K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	1	10	220	$410	$340.8K
T1001	Nursing assessment / evaluation	25	50	1,950	$50	$294K
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…	35	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…	32	80	940	$30	$277.8K
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…	27	500	1,130	$50	$235.1K

Showing 1–10 of 72

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
Delaware Center For Maternal Fetal Medicine Of Christiana Care	DE	Maternal & Fetal Medicine Physician	$0	$9.8M
Christiana Care Health Services Inc	DE	Neonatal-Perinatal Medicine Physician	$0	$8.9M
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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Doctors For Emergency Service	DE	Emergency Medicine Physician	$0	$20.2M
Christiana Care Emergency Physicians LLC	DE	Emergency Medicine Physician	$0	$2.8M
Christiana Care Health Services Inc	DE	Pediatrics Physician	$0	$1.9M
Christiana Care Health Services Inc	DE	Gastroenterology Physician	$0	$852.9K
Neil Gambill	DE	Diagnostic Radiology Physician	$735.4K	$0
Christiana Care Health Services, Inc	DE	Hospice and Palliative Medicine (Internal Medicine) Physician	$0	$578K
Kevin Copeland	DE	Internal Medicine Physician	$522.3K	$0
Delaware Clinical & Laboratory Physicians, PA	DE	Anatomic Pathology & Clinical Pathology Physician	$0	$520.7K
Jacqueline Holt	DE	Diagnostic Radiology Physician	$447.7K	$0
Minchul Shin	DE	Diagnostic Radiology Physician	$307.5K	$0

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