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.

Columbus Medical Services, LLC (NPI 1659805141)

Field	Value
Entity Type	Organization
Organization	Columbus Medical Services, LLC
Address	200 Continental Dr Ste 401
City	Newark
State	DE
ZIP	19713
Taxonomy	Case Management Agency
NPI Enumerated	April 12, 2017

Payer Source	Total Paid
Medicaid	$18.7M
Medicare	$0

Key Findings

COLUMBUS MEDICAL SERVICES, LLC’s billing profile is consistent with a dedicated case management operator: its listed taxonomy is Case Management Agency and its entire reported Medicaid revenue is tied to T2023 (Targeted case management; per month), indicating the business model is centered on recurring, monthly care coordination services rather than episodic clinical procedures. This alignment between taxonomy and code mix suggests operations focused on care management workflows, client outreach, and monthly service delivery.

Revenue is highly concentrated in a single service line: T2023 accounts for $18.7M and represents 100.0% of this provider's total Medicaid revenue, and the precomputed top-3-codes metric also totals 100.0% of Medicaid revenue. That degree of concentration indicates the provider’s financial performance is effectively synonymous with reimbursement changes to this one code.

The provider reported 243.3K claims for T2023 with an average paid per claim of $77, which signals a high-volume, relatively low-unit-dollar payment model typical of monthly case management billing. This combination of large claim volume and modest per-claim reimbursement is consistent with ongoing service delivery to a population of managed beneficiaries rather than infrequent high-cost interventions.

Payer mix is effectively single-payer Medicaid: there is no Medicare billing on file for this NPI, so Medicaid ($18.7M) constitutes the provider’s reported public-payor revenue base. As a result, the organization’s exposure to Medicare payment policy and market dynamics appears negligible in the available data.

Competitive standing within the state is nuanced: the provider ranks #1 of 2 providers in-state for T2023 and sits at the 100th percentile, but the available characterization for the code is "typical, unremarkable volume for this code." In plain terms, COLUMBUS MEDICAL SERVICES is the largest reported biller among a very small in-state peer set, yet its utilization pattern for T2023 does not appear anomalous relative to expected norms.

The NPI was enumerated on 2017-04-12 (about 9 years ago), indicating the provider has an established billing history spanning multiple years; that tenure supports the plausibility of the sustained, concentrated billing shown in the Medicaid data. A near-decade of activity combined with large cumulative claims suggests operational continuity in the case management service line.

The dependence on a single Medicaid code and a single public payer creates strategic sensitivity: any state-level rate changes, program eligibility shifts, or policy clarifications affecting T2023 would likely have an outsized impact on this provider. From a competitive and risk-assessment perspective, the lack of diversification in codes and payers increases operational and revenue vulnerability despite the provider’s current top rank in a small in-state market.

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
T2023	Targeted case management; per month	243,280	$80	$18.7M

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

Columbus Medical Services, LLC — 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
T2023	Targeted case management; per month	1	10	152,700	$90	$13.9M

Nearby Providers

Other providers in the same ZIP code as Columbus Medical Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Retinal Consultants LLC	DE	Ophthalmology Physician	$0	$25.2M
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Caritas Home Health Services, Inc	DE	Home Health Agency	$0	$11.2M
Delaware Center For Maternal Fetal Medicine Of Christiana Care	DE	Maternal & Fetal Medicine Physician	$0	$9.8M
Christiana Care Health Services Inc	DE	Neonatal-Perinatal Medicine Physician	$0	$8.9M
Medical Oncology Hematology Consultants PA	DE	Hematology & Oncology Physician	$0	$7.7M
Christiana Care Quality Partners	DE	Urgent Care Clinic/Center	$0	$7M
Jamal Misleh	DE	Hematology & Oncology Physician	$6.8M	$0
Mid-atlantic Behavioral Health, LLC	DE	Intellectual & Developmental Disabilities Psychologist	$0	$6.5M
First State Orthopaedics, PA	DE	Orthopaedic Surgery Physician	$0	$6M

Columbus Medical Services, LLC — Billing Profile & Reimbursement Data

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Columbus Medical Services, LLC — 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