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.

Guilford Hurst (NPI 1467779256)

Field	Value
Entity Type	Individual
Organization	Guilford Hurst
Address	500 W 10th St
City	Wilmington
State	DE
ZIP	19801
Taxonomy	Adult Psychiatric/Mental Health Clinical Nurse Specialist
NPI Enumerated	May 3, 2010

Payer Source	Total Paid
Medicare	$231K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 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…	1,480	$80	$113.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	960	$90	$90.5K
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…	150	$90	$14K
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…	80	$60	$4.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	40	$100	$4K
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…	40	$100	$3.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Guilford Hurst — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	49	1,830	150	$80	$25.5K
90837	1	120	190	$90	$19.7K
99213	1,055	1,810	120	$60	$13.6K
99215	75	570	40	$120	$11K
90791	13	60	20	$120	$6.6K
99204	434	950	30	$110	$6.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Guilford Hurst, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fellowship Health Resources, Inc	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$49.1M
Focus Behavioral Health At The Beach LP	DE	Counseling Psychologist	$0	$2.2M
Nathan Strahl	NC	Psychiatry Physician	$35.4K	$637.7K
Susan Corey	DE	Psychiatric/Mental Health Nurse Practitioner	$134K	$347.4K
Fellowship Health Resources, Inc	DE	Mental Illness Community Based Residential Treatment Facility	$0	$132K
Ben Boswell	PA	Psychiatry Physician	$119.6K	$0
Ada Morris	DE	Addiction (Substance Use Disorder) Counselor	$56K	$0

Nearby Providers

Other providers in the same ZIP code as Guilford Hurst, 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
Connections Csp, Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$28.5M
Neighborly Home Care	DE	In Home Supportive Care Agency	$0	$21.5M
Caring Angels Homecare Agency, Inc.	DE	Home Health Agency	$0	$21M
Delaware Guidance Services For Children & Youth, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.4M
State Of De	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.1M
Christiana Care Health Services Inc	DE	Family Medicine Physician	$0	$5.6M
Crescent Dental, LLC	DE	Dentist	$0	$5.1M
Christiana Care Health Services, Inc	DE	Psychiatry Physician	$0	$2.9M
Steps Center LLC	DE	Home Health Agency	$0	$2.9M

Guilford Hurst — Billing Profile & Reimbursement Data

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Guilford Hurst — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References