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.

Delmarva Pain & Spine Center, LLC (NPI 1750810305)

Field	Value
Entity Type	Organization
Organization	Delmarva Pain & Spine Center, LLC
Address	1 Centurian Dr Ste 110
City	Newark
State	DE
ZIP	19713
Taxonomy	Pain Medicine Physician
NPI Enumerated	June 7, 2017

Payer Source	Total Paid
Medicaid	$129.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	2,470	$50	$116.2K
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…	330	$20	$7.8K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	690	$1	$2.1K
20553	Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…	110	$20	$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…	40	$20	$900
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	70	$1	$220
G0444	Annual depression screening, 5 to 15 minutes	20	$10	$140
J1885	Injection, ketorolac tromethamine, per 15 mg	30	$1	$30
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	20	$0	$0

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

Delmarva Pain & Spine Center, LLC — 0 of 8 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

9 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…	186	500	1,130	$50	$235.1K
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…	363	540	1,100	$40	$185.3K
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…	136	180	220	$90	$101.5K
J1885	Injection, ketorolac tromethamine, per 15 mg	14	20	810	$1	$21.5K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	80	110	270	$1	$11.4K
20553	Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…	4	10	520	$10	$5.3K
G0444	Annual depression screening, 5 to 15 minutes	14	20	60	$10	$2.3K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	8	20	260	$1	$2.2K
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	8	10	220	$1	$370

Related Providers

Other providers that share a Tax Identification Number (TIN) with Delmarva Pain & Spine Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shachi Patel	DE	Pain Medicine (Anesthesiology) Physician	$203K	$0
Molly Winkler	DE	Physician Assistant	$115.6K	$0
Obinna Orji	IL	Anesthesiology Physician	$27.3K	$35.3K

Delmarva Pain & Spine Center, LLC — Billing Profile & Reimbursement Data

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Delmarva Pain & Spine Center, LLC — Billing Profile & Reimbursement Data

Sign up for Delmarva Pain & Spine Center, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References