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.

Friends & Family Practice, PA (NPI 1790878049)

Field	Value
Entity Type	Organization
Organization	Friends & Family Practice, PA
Address	35141 Atlantic Ave
City	Millville
State	DE
ZIP	19967
Taxonomy	Family Medicine Physician
NPI Enumerated	October 1, 2006

Payer Source	Total Paid
Medicaid	$188.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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
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…	2,470	$40	$91.2K
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…	1,540	$60	$90.8K
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…	30	$50	$1.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	160	$10	$1.1K
0011A	N/A	50	$20	$1K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	60	$10	$830
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	140	$10	$820
0012A	N/A	20	$30	$650
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	40	$10	$340
94760	The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.	120	$1	$120

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

Friends & Family Practice, PA — 0 of 10 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
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…	229	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…	176	540	1,100	$40	$185.3K
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…	125	150	230	$90	$110.4K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	75	110	340	$10	$20.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	56	100	230	$1	$6.7K
94760	The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.	28	30	620	$1	$4.4K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	9	10	110	$10	$4.1K
0012A	N/A	24	30	30	$10	$970
0011A	N/A	13	30	30	$10	$840
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	14	50	40	$1	$560

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Friends & Family Practice, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kimberly Gallagher	DE	Family Medicine Physician	$412.3K	$0
Amanda Marr	DE	Adult Health Nurse Practitioner	$107.2K	$0

Nearby Providers

Other providers in the same ZIP code as Friends & Family Practice, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Syracuse Physical Therapy Partners	DE	Rehabilitation Practitioner	$0	$759.9K
Coastal Kid Watch	DE	Medical Specialty Clinic/Center	$0	$595.2K
Millville Volunteer Fire Company Inc	DE	Land Ambulance	$393.4K	$23.3K
Rite Aid Of Delaware Inc	DE	Community/Retail Pharmacy	$171K	$0
Bryan Ford	DE	Physical Therapist	$159K	$0
Shanon Moyer	DE	Professional Counselor	$0	$120.9K
Ralph Defriece	DE	Family Medicine Physician	$86.6K	$0
Donielle Brasure	DE	Physical Therapist	$83.6K	$0
Amanda Pearson-carmody	DE	Clinical Social Worker	$72.7K	$0
Donald Hattier	DE	Chiropractor	$57.5K	$6.3K

Friends & Family Practice, PA — Billing Profile & Reimbursement Data

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Friends & Family Practice, PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References