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 Family Healthcare Alliance, Inc. (NPI 1437371093)

Field	Value
Entity Type	Organization
Organization	Delaware Family Healthcare Alliance, Inc.
Address	2114 S Dupont Hwy Ste 1
City	Camden
State	DE
ZIP	19934
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	May 3, 2007

Payer Source	Total Paid
Medicaid	$505.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 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…	4,470	$80	$335.2K
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…	2,770	$30	$88.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	1,850	$10	$24.1K
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…	310	$70	$22.6K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	120	$90	$10.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	4,280	$1	$8.6K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	150	$40	$6.4K
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.	2,180	$1	$4.4K
90756	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…	70	$20	$1.4K
99441	N/A	40	$30	$1.1K

Showing 1–10 of 23

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 Family Healthcare Alliance, Inc. — 0 of 17 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

23 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…	132	500	1,130	$50	$235.1K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	14	20	5,800	$30	$198.6K
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…	165	540	1,100	$40	$185.3K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	14	20	5,790	$20	$174.9K
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…	62	150	230	$90	$110.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	10	70	180	$20	$66.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	10	40	1,650	$1	$60.7K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	29	50	160	$70	$51.1K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	31	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…	48	60	350	$20	$35.5K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Delaware Family Healthcare Alliance, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Galicano Inguito	DE	Family Medicine Physician	$107.1K	$0

Nearby Providers

Other providers in the same ZIP code as Delaware Family Healthcare Alliance, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Empire Medical LLC	DE	Specialist	$0	$7M
Responsive Health LLC	DE	General Practice Physician	$0	$6M
Senior Home Help LLC	DE	In Home Supportive Care Agency	$0	$5.7M
Rrw Inc.	DE	In Home Supportive Care Agency	$0	$3.8M
State Of Delaware	DE	Local Education Agency (LEA)	$0	$1.1M
Prakash Vaidy	DE	Family Medicine Physician	$89K	$724K
Integrity Nursing LLC	DE	Intellectual & Developmental Disabilities Psychologist	$0	$745.1K
Camden-wyoming Fire Company	DE	Land Ambulance	$342.9K	$205.3K
Delaware Walk-in Medical, LLC	DE	Urgent Care Clinic/Center	$0	$395.5K
Hien Nguyen	DE	Family Medicine Physician	$0	$343.5K

Delaware Family Healthcare Alliance, Inc. — Billing Profile & Reimbursement Data

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Delaware Family Healthcare Alliance, Inc. — 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