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.

Radiation Oncologists PA (NPI 1710917968)

Radiation Oncologists PA is a radiation oncology physician provider located in Newark, Delaware. This profile covers 0 Medicare and 14 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	Radiation Oncologists PA
Address	Radiation Oncologists PA
City	Newark
State	DE
ZIP	19713
Taxonomy	Radiation Oncology Physician
NPI Enumerated	July 4, 2006

Payer Source	Total Paid
Medicaid	$725.1K
Medicare	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	2,460	$100	$241.5K
77014	N/A	9,740	$20	$233.7K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	900	$90	$77.5K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	900	$60	$56.4K
77263	The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…	600	$90	$54.4K
77290	Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…	430	$50	$20.3K
99205	The provider sees a new 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 provider…	180	$100	$18.1K
77295	Computer–generated radiographic reconstruction and volumetric dose calculation are used to improve accuracy of external beam radiation administration. Documentation may include 3D volume…	100	$110	$10.6K
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…	140	$60	$8.2K
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…	30	$80	$2.4K

Showing 1–10 of 14

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

Radiation Oncologists PA — 5 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	386	500	1,130	$50	$235.1K
77014	N/A	1	10	9,740	$20	$231.8K
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…	120	150	230	$90	$110.4K
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…	173	180	220	$90	$101.5K
99205	The provider sees a new 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 provider…	24	50	80	$130	$77.7K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	1	10	150	$100	$68.4K
77263	The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…	1	10	600	$90	$54.5K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	1	10	580	$90	$45.5K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	1	10	520	$60	$30.4K
77290	Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…	1	10	280	$60	$17.3K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Retinal Consultants LLC	DE	Ophthalmology Physician	$0	$25.2M
Columbus Medical Services, LLC	DE	Case Management Agency	$0	$18.7M
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

Radiation Oncologists PA — Billing Profile & Reimbursement Data

Sign up for Radiation Oncologists PA — Billing Profile & Reimbursement Data policy alerts

Radiation Oncologists PA — Billing Profile & Reimbursement Data

Sign up for Radiation Oncologists PA — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adam Raben	DE	Radiation Oncology Physician	$472.5K	$0
Michael Dzeda	LA	Radiation Oncology Physician	$286K	$0
Gaurav Shukla	DE	Radiation Oncology Physician	$279.2K	$0
Timothy Kegelman	PA	Student in an Organized Health Care Education/Training Program	$257.8K	$0
Jon Strasser	DE	Radiation Oncology Physician	$256.9K	$0
Lindsay Romak	DE	Radiation Oncology Physician	$220.4K	$0
Sunjay Shah	DE	Radiation Oncology Physician	$191.2K	$0
Lana De Souza Lawrence	DE	Radiation Oncology Physician	$161K	$0