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.

Geriatric Medicine Consultants PA (NPI 1598031643)

Geriatric Medicine Consultants PA is a internal medicine physician provider located in Greenville, Delaware. This profile covers 0 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Geriatric Medicine Consultants PA
Address	3310 Breidablik Dr
City	Greenville
State	DE
ZIP	19807
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 22, 2012

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	49,510	$20	$940.8K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	3,840	$40	$149.9K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	3,110	$30	$96.5K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	3,090	$10	$43.3K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	940	$20	$16.9K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	280	$30	$7.6K
99318	Deleted code, effective Jan. 1, 2023	250	$20	$5.6K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	350	$10	$3.8K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	80	$30	$2.3K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	90	$20	$1.3K

Showing 1–10 of 19

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

Geriatric Medicine Consultants PA — 4 of 11 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1	30	460	$20	$68.7K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	16	30	440	$20	$39.1K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	1	10	20	$40	$36.9K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	2	10	220	$20	$35.9K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	4	30	340	$10	$15.1K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	3	10	280	$50	$14.9K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	1	10	710	$20	$13.3K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	5	10	130	$10	$2.9K
99318	Deleted code, effective Jan. 1, 2023	1	10	80	$20	$1.9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	30	60	$10	$1.8K

Showing 1–10 of 19

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ritu Rastogi	DE	Internal Medicine Physician	$517.2K	$0
Maxy Anamonye	DE	Family Nurse Practitioner	$201.1K	$0
Joseph Obasanya	DE	Psychiatric/Mental Health Nurse Practitioner	$133.5K	$0
David Maged	DE	Internal Medicine Physician	$87.1K	$0
Elizabeth Gichema	DE	Psychiatric/Mental Health Nurse Practitioner	$71.1K	$0
Akosua Obeng-aduasare	DE	Family Nurse Practitioner	$39K	$620

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care At Home Of Delaware, LLC	DE	Attendant Care Provider	$0	$19.2M
Christiana Care Health Services Inc	DE	Endocrinology, Diabetes & Metabolism Physician	$0	$1.1M
Christiana Care Health Services, Inc	DE	Endocrinology, Diabetes & Metabolism Physician	$4.9K	$199.8K
Charity Wamae-wanyoike	DE	Family Nurse Practitioner	$109.6K	$0
Christiana Care Health Services, Inc.	DE	Nurse Practitioner	$0	$109.4K
Asit Patel	DE	Anesthesiology Physician	$102.8K	$2.8K
Delaware Eye Associates PA	DE	Optometrist	$0	$94.8K
Victor Nippert	DE	Podiatrist	$79.2K	$0
Sonia Palermo	DE	Nurse Practitioner	$29K	$0
Margaret Mack	DE	Adult Psychiatric/Mental Health Clinical Nurse Specialist	$17.2K	$0

Geriatric Medicine Consultants PA — Billing Profile & Reimbursement Data

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Geriatric Medicine Consultants PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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