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.

Doctors For Emergency Service (NPI 1750369674)

Key Findings

Field	Value
Entity Type	Organization
Organization	Doctors For Emergency Service
Address	4755 Ogletown Stanton Road
City	Newark
State	DE
ZIP	19718
Taxonomy	Emergency Medicine Physician
NPI Enumerated	January 3, 2006

Payer Source	Total Paid
Medicaid	$20.2M
Medicare	$0

This provider is effectively single-payer in the available data: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $20.2M, and the NPI was enumerated on 2006-01-03 (~20 years ago), indicating long-standing Medicaid activity without recorded Medicare billing. Analysts should treat Medicaid as the primary and sole billed payer in this profile.

Revenue is highly concentrated in a very small set of emergency department E/M codes: the precomputed top 3 Medicaid codes by revenue account for 93.5% of this provider's total Medicaid revenue. Those three are 99285 with $9.1M revenue (44.9% of total), 99284 with $7M revenue (34.7% of total), and 99283 with $2.8M revenue (13.9% of total).

The code mix identifies the operation as an emergency-department-focused practice that handles a broad acuity range: dominance of 99285, 99284, and 99283 shows the clinic delivers high, moderate, and low acuity ED evaluation-and-management services. The presence of 99291 (critical care), 93010 (ECG interpretation), and procedure codes such as 10061 (I&D), 31500 (intubation), and wound repair codes confirms on-site capability for both urgent airway/critical interventions and common ED procedures.

For its highest-revenue ED codes this provider is a statewide volume leader: 99285 ranks #1 of 31 providers in-state and is labeled an extreme outlier (100th percentile, far above typical state volume), and 99284 also ranks #1 of 35 providers and is an extreme outlier (100th percentile). By contrast, 99283 is more typical within the state (ranks #3 of 26 providers, 92th percentile) which suggests the provider’s dominance is concentrated at higher-acuity visit levels.

93010 (ECG interpretation) is another notable volume outlier: with 74.4K claims and $297.6K revenue it ranks #1 of 19 providers in-state and is characterized as an extreme outlier (100th percentile). This supports the interpretation that cardiac screening/ECG use is unusually intensive relative to other in-state ED providers.

Critical care activity is present but makes up a small share of Medicaid revenue: 99291 accounts for $625.3K (3.1% of Medicaid revenue) with 5.6K claims and ranks #5 of 24 providers in-state (83th percentile; labeled typical, unremarkable). That pattern implies some delivery of critical-care-level services in the ED setting, but the bulk of revenue comes from higher-volume E/M visits rather than prolonged critical care encounters.

The provider’s procedural mix—including 10061 (I&D, $150.4K), 31500 (intubation, $48.2K), 12001/12011 (simple wound repairs, $45.4K and $36.1K respectively), and multiple splinting codes—shows comprehensive point-of-care treatment capability typical of full-service emergency departments. Several of these procedure codes also rank at or near state #1 (e.g., 10061 and 31500 rank #1 of their peer sets), reinforcing that procedural throughput is materially above typical peers for certain services.

Because $20.2M of reported revenue is concentrated in a few ED E/M codes (top 3 account for 93.5%), the provider’s Medicaid revenue is exposed to changes in ED valuation, coding guidance, or utilization patterns for those specific codes. From a payer or competitive-analytics perspective, this profile signals both a dominant state-level presence for high-acuity ED encounters and a concentration risk that merits monitoring of coding mix and policy shifts affecting 99285/99284/99283 and associated ECG utilization.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	112,260	$80	$9.1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	115,270	$60	$7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	93,930	$30	$2.8M
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…	5,580	$110	$625.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	74,400	$1	$297.6K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	1,600	$90	$150.4K
31500	The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.	850	$60	$48.2K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	1,200	$40	$45.4K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2,000	$20	$38K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	770	$50	$36.1K

Showing 1–10 of 20

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

Doctors For Emergency Service — 7 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	3	30	11,180	$110	$3.4M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	1	40	770	$110	$1.9M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	1	30	1,350	$110	$1.5M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	10	20	4,570	$120	$1.4M
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…	5	20	1,350	$120	$348.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	1	20	10,220	$10	$95.4K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	1	10	490	$90	$60K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	4	10	740	$80	$45.6K
31500	The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.	1	10	380	$60	$24.2K
29515	The provider applies a short leg splint to treat injuries of the leg, including fractures, dislocations, and sprains of the lower leg, ankle, and foot. The splint covers and immobilizes the lower leg…	2	10	260	$50	$17.7K

Showing 1–10 of 20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services Inc	DE	Obstetrics & Gynecology Physician	$0	$9.9M
Christiana Care Emergency Physicians LLC	DE	Emergency Medicine Physician	$0	$2.8M
Christiana Care Health Services Inc	DE	Pediatrics Physician	$0	$1.9M
Christiana Care Health Services Inc	DE	Gastroenterology Physician	$0	$852.9K
Neil Gambill	DE	Diagnostic Radiology Physician	$735.4K	$0
Christiana Care Health Services, Inc	DE	Hospice and Palliative Medicine (Internal Medicine) Physician	$0	$578K
Kevin Copeland	DE	Internal Medicine Physician	$522.3K	$0
Delaware Clinical & Laboratory Physicians, PA	DE	Anatomic Pathology & Clinical Pathology Physician	$0	$520.7K
Jacqueline Holt	DE	Diagnostic Radiology Physician	$447.7K	$0
Minchul Shin	DE	Diagnostic Radiology Physician	$307.5K	$0

Doctors For Emergency Service — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicholas Colazzo	DE	Emergency Medicine Physician	$132.8K	$0
John Jesus	VA	Emergency Medicine Physician	$110.2K	$9.1K
Paul Cowan	DE	Emergency Medicine Physician	$107K	$0
Kyle Haniszewski	DE	Emergency Medicine Physician	$102.1K	$0
Salman Aziz	DE	Emergency Medicine Physician	$101.7K	$0
Kimberly Imbesi	OR	Emergency Medicine Physician	$100.8K	$0
Gordon Reed	DE	Emergency Medicine Physician	$92.1K	$0
Kathryn Crowley	DE	Emergency Medicine Physician	$85K	$0
J. Daniel Hess	DE	Internal Medicine Physician	$67.2K	$0
Jennifer Mink	DE	Emergency Medicine Physician	$50.4K	$0