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 De (NPI 1609895762)

Field	Value
Entity Type	Organization
Organization	State Of De
Address	809 N Washington St
City	Wilmington
State	DE
ZIP	19801
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 19, 2006

Payer Source	Total Paid
Medicaid	$13.1M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $13.1M in lifetime Medicaid revenue, making it effectively a Medicaid-focused operation rather than a dual-payer practice. The absence of Medicare activity suggests Medicaid enrollees are its primary payer population.

Medicaid revenue is highly concentrated: T2022 (Case management, per month) accounts for 100.0% of this provider's total Medicaid revenue, with 50.2K claims, an average paid amount of $261 per claim, and $13.1M in revenue reported for that code. No other Medicaid CPT/HCPCS codes appear in the top-line billing profile.

The dominance of T2022 indicates the provider’s service mix is centered on monthly case management rather than episodic procedures or facility-based services; this pattern is consistent with its taxonomy as a Mental Health Clinic/Center (including Community Mental Health Center). The code-level mix points to ongoing, longitudinal care coordination as the core revenue-generating activity.

Competitive standing within the state is top-ranked for this service: the provider ranks #1 of 2 providers in-state and is at the 100th percentile for T2022. However, the available descriptor notes this is a "typical, unremarkable volume for this code," so the top rank appears driven by a small peer set rather than unusually high per-provider intensity.

Because 100.0% of Medicaid revenue derives from a single monthly case-management code, the provider’s financial performance is tightly linked to payment rates and enrollment tied to T2022. Any changes in reimbursement policy, eligibility, or utilization for monthly case management would likely have an outsized impact on overall revenue.

The provider’s NPI was enumerated on 2006-07-19 (~20 years ago), indicating an established presence in the market; this tenure supports continuity in delivering Medicaid case management services over time.

The limited in-state peer set (only two providers reporting T2022) suggests a small competitive market for billed monthly case management in this state; the provider’s #1 rank should be interpreted in the context of that constrained competitive landscape.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	50,160	$260	$13.1M

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 De — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	1	10	40,610	$260	$10.6M

Nearby Providers

Other providers in the same ZIP code as State Of De, 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
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
The Life Center Complex, Inc	DE	Student Health Clinic/Center	$0	$2.7M

State Of De — Billing Profile & Reimbursement Data

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State Of De — 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

Nearby Providers

Frequently Asked Questions

References