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.

Aquila Of Delaware, Inc. (NPI 1780733170)

Aquila Of Delaware, Inc. is a substance use disorder rehabilitation clinic/center provider located in Bear, Delaware. This profile covers 0 Medicare and 17 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	Aquila Of Delaware, Inc.
Address	4185 Kirkwood St Georges Rd
City	Bear
State	DE
ZIP	19701
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	January 9, 2007

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	9,890	$80	$761.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	6,380	$60	$376.1K
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…	3,350	$60	$207.6K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,740	$60	$156.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	3,360	$30	$107.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,250	$80	$98.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	950	$70	$65.3K
H0038	Self‑help/peer services, per 15 minutes	1,890	$20	$34K
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…	480	$60	$27.9K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	2,220	$10	$15.5K

Showing 1–10 of 17

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

Aquila Of Delaware, Inc. — 0 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	21	20	2,510	$160	$2M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	3	20	1,500	$90	$361K
H0004	Behavioral health counseling and therapy, per 15 minutes	8	10	860	$40	$316.4K
H2034	Alcohol and/or drug abuse halfway house services, per diem	4	10	750	$450	$297K
H0038	Self‑help/peer services, per 15 minutes	10	20	2,780	$50	$261.8K
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…	150	500	1,130	$50	$235.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	31	240	700	$60	$205.6K
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…	339	540	1,100	$40	$185.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	39	80	790	$40	$180.4K
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…	97	150	230	$90	$110.4K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chesapeake Rehab Equipment Inc.	DE	Customized Equipment (DME)	$0	$4.1M
Reliance Healthcare, LLC	DE	Family Medicine Physician	$0	$3.3M
United Medical Clinic, LLC	DE	Internal Medicine Physician	$0	$2.7M
Kool Koala Pediatric & Adolescent Dentistry LLC	DE	Pediatric Dentistry	$0	$1.6M
Mark Wieczorek	DE	Dentist	$0	$1.4M
Messiahs Angel Foundation Center	DE	Adult Day Care Clinic/Center	$0	$1.2M
Aquila Of Delaware, Inc.	DE	Substance Use Disorder Rehabilitation Clinic/Center	$0	$735.1K
Wasif Qureshi	DE	Cardiovascular Disease Physician	$683.6K	$0
Mark Zweben	DE	Cardiovascular Disease Physician	$586.6K	$0
Brigida Rodriguez	DE	Mental Health Counselor	$0	$521.2K

Aquila Of Delaware, Inc. — Billing Profile & Reimbursement Data

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Aquila Of Delaware, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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