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.

Beebe Physician Network Inc. (NPI 1730133992)

Key Findings

Field	Value
Entity Type	Organization
Organization	Beebe Physician Network Inc.
Address	1515 Savannah Rd
City	Lewes
State	DE
ZIP	19958
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$19.7M
Medicare	$0

This entity effectively operates as a Medicaid provider in scale: there is no Medicare billing on file while total Medicaid revenue is $19.7M, so Medicaid accounts for the entirety of reported programmatic revenue. That concentration makes the practice financially dependent on Medicaid volume and reimbursement policy rather than a mixed Medicare/Medicaid payer mix.

Revenue is highly concentrated in a few outpatient evaluation-and-management and urgent-care codes: the top three Medicaid codes (99213, 99214, S9083) account for 61.4% of the provider's Medicaid revenue. Specifically, 99213 alone contributes $5.9M (32.2%), 99214 contributes $3.1M (16.9%), and S9083 contributes $2.3M (12.3%), indicating that a small set of services drive most receipts.

The code mix points to a large ambulatory primary-care footprint: 99213 appears on 97.2K claims and 99214 on 52.9K claims, demonstrating enormous volume of established-patient office visits consistent with a high-volume primary care panel or multi-site clinic model. The predominance of lower- and mid-level E/M office visit codes (described as 20+ minute and 30+ minute encounters) suggests routine chronic care and follow-up management as core service lines.

S9083 (global fee urgent care centers) registers 32.9K claims and $2.3M revenue and ranks #3 of 24 in-state at the 91th percentile (notably above typical state volume), signaling that urgent care services or an urgent-care-like operational model are a material component of the business. The combination of high-volume primary care E/M codes with a major urgent care code implies a blended ambulatory strategy that captures both scheduled primary care and walk-in/urgent access.

The provider also bills substantial inpatient/observation E/M activity, indicating hospital-facing services in addition to clinic care: 99232 appears on 31.8K claims ($826.2K, 4.5% of Medicaid revenue) and related hospital codes such as 99223, 99233, 99222, 99239/99238 are present across the top codes. These inpatient/observation volumes point to operational involvement in hospital care pathways or embedded hospitalist/coverage arrangements alongside outpatient work.

There is notable procedural and specialty activity beyond core E/M visits: 97597 (wound debridement) is $179.9K and ranks #1 of 8 in-state (100th percentile; notably above typical state volume), and 43239 (endoscopic biopsy) contributes $161.6K. Maternity delivery code 59409 also appears with $297.2K, indicating the provider’s Medicaid mix includes minor surgical/procedural work, endoscopy, wound care, and obstetric services in addition to primary care.

On competitive standing, the provider is a dominant high-volume statewide player for core ambulatory E/M—99213 ranks #3 of 543 (100th percentile; extreme outlier) and 99214 ranks #5 of 504 (99th percentile; extreme outlier). Multiple other codes show top-state percentiles (for example, 99204 at the 98th, 99396 at the 98th, 99212 at the 95th), reflecting consistently above-typical volumes across preventive, new-patient, and mid-level visit types.

The NPI was enumerated on 2006-05-20 (~20 years ago), indicating long tenure in the Medicare/Medicaid system. Combined with the very high aggregate claim volumes across core codes, this tenure supports characterization of an established, large-scale Medicaid-focused practice with deep patient throughput and diversified ambulatory and hospital service lines.

Medicaid: Complete Services Breakdown

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

157 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	97,240	$60	$5.9M
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…	52,870	$60	$3.1M
S9083	Global fee urgent care centers	32,940	$70	$2.3M
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	12,340	$80	$962.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	31,780	$30	$826.2K
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…	7,430	$90	$683.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,850	$80	$392.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	9,150	$40	$375.1K
T1015	Clinic visit/encounter, all-inclusive	5,790	$60	$370.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	6,710	$60	$368.9K

Showing 1–10 of 157

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

Beebe Physician Network Inc. — 10 of 25 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

157 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9083	Global fee urgent care centers	3	20	1,320	$80	$576.2K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	4	10	420	$420	$392.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	11	20	1,350	$120	$348.4K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	6	10	220	$410	$340.8K
T1015	Clinic visit/encounter, all-inclusive	10	50	1,490	$80	$340.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	6	50	1,030	$60	$292.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	6	80	940	$30	$277.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	7	20	930	$50	$250K
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…	5	500	1,130	$50	$235.1K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	8	20	940	$40	$230.8K

Showing 1–10 of 157

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rajinder Prasad	DE	Cardiovascular Disease Physician	$1.1M	$0
Ehtasham Qureshi	DE	Cardiovascular Disease Physician	$975.7K	$0
Mouhanad Freih	DE	Cardiovascular Disease Physician	$796K	$0
Georges Dahr	DE	Cardiovascular Disease Physician	$763.7K	$0
Gene Myers	DE	Cardiovascular Disease Physician	$650.7K	$0
Ramon Rosa	DE	Cardiovascular Disease Physician	$556.1K	$0
Ajith Kumar	DE	Cardiovascular Disease Physician	$549.4K	$0
Kenneth Sunnergren	DE	Cardiovascular Disease Physician	$448.4K	$0
Carlos Neves	DE	Vascular Surgery Physician	$389.4K	$0
Maria Pia Del Corral	DE	Clinical Cardiac Electrophysiology Physician	$372.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beebe Medical Center, Inc.	DE	General Acute Care Hospital	$0	$29.2M
Juliano Senior Care, Inc.	DE	In Home Supportive Care Agency	$0	$5.9M
Sussex Emergency Associates LLC	DE	Emergency Medicine Physician	$0	$4.3M
Lourdes Aponte	DE	Rheumatology Physician	$3.6M	$0
Jose Pando	DE	Rheumatology Physician	$3.2M	$0
Delaware Psychological Services LLC	DE	Mental Health Counselor	$0	$3M
The Pediatric & Adolescent Center	DE	Specialist	$0	$2.9M
Sea Haven Home Care, LLC	DE	In Home Supportive Care Agency	$0	$2.3M
Southern Delaware Imaging Assoc	DE	Diagnostic Radiology Physician	$0	$2.3M
Egnm LLC	DE	Ambulatory Surgical Clinic/Center	$2.2M	$13.6K

Beebe Physician Network Inc. — Billing Profile & Reimbursement Data

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Beebe Physician Network Inc. — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References