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.

State Of Delaware (NPI 1487798351)

Field	Value
Entity Type	Organization
Organization	State Of Delaware
Address	16359 Sussex Hwy
City	Bridgeville
State	DE
ZIP	19933
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	February 16, 2007

Payer Source	Total Paid
Medicaid	$283.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	6,460	$20	$129.3K
V5008	Hearing screening	2,380	$20	$50K
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	2,470	$20	$49.4K
T1001	Nursing assessment / evaluation	2,290	$20	$39K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	340	$20	$7.1K
S5190	Wellness assessment, performed by non-physician	300	$20	$6.7K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	110	$20	$1.9K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	20	$20	$400

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

State Of Delaware — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1001	Nursing assessment / evaluation	21	50	1,950	$50	$294K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	21	30	2,960	$40	$284.3K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	12	20	7,820	$20	$244K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	79	80	2,590	$20	$181.1K
V5008	Hearing screening	14	40	540	$20	$51.5K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	18	20	1,420	$20	$46.9K
S5190	Wellness assessment, performed by non-physician	18	30	570	$20	$46.4K
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	32	90	800	$10	$30.6K

Nearby Providers

Other providers in the same ZIP code as State Of Delaware, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harrison Family Practice Inc	DE	Health Service Clinic/Center	$0	$803.9K
Kenneth Smith	DE	Internal Medicine Physician	$274.2K	$20.3K
Internal Medicine Of Bridgeville	DE	Internal Medicine Physician	$0	$154.9K
Fresenius Medical Care Southern Delaware, LLC	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$126K
Keenon White	DE	Family Medicine Physician	$45.5K	$0

State Of Delaware — Billing Profile & Reimbursement Data

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State Of Delaware — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References