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 Medical Center, Inc. (NPI 1821196486)

Key Findings

Field	Value
Entity Type	Organization
Organization	Beebe Medical Center, Inc.
Address	424 Savannah Rd
City	Lewes
State	DE
ZIP	19958
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$29.2M
Medicare	$0

BEEBE MEDICAL CENTER reports no Medicare billing on file and $29.2M in lifetime Medicaid revenue, making its publicly visible payer footprint effectively single-payer Medicaid rather than a mixed Medicare/Medicaid profile. This concentration means analyses of utilization and reimbursement should focus on Medicaid line items and state-level competitive dynamics rather than national Medicare comparisons.

Revenue is highly concentrated in a small set of Medicaid codes: 99283 (17.0%), 87637 (15.7%), and 99284 (14.6%) together account for 47.3% of the provider's total Medicaid revenue. That precomputed top-3 share indicates nearly half of Medicaid dollars flow from a short list of emergency-department evaluation/management visits and multiplex respiratory testing.

The code mix points to an emergency-department–centric operation with substantial lab throughput. High-volume ED E/M codes appear throughout the top codes (99283, 99284, 99285) and multiple IV/infusion procedure codes (96361, 96374, 96375) and observation hours (G0378) also rank in the top 25, consistent with significant ED and short-stay treatment activity rather than a purely elective-surgery hospital.

BEEBE is a leading in-state provider for some laboratory and panel services: 87637 is listed as rank #1 of 3 providers in-state (100th percentile; typical, unremarkable volume for this code), 80050 ranks #1 of 8 providers in-state (100th percentile; notably above typical state volume for this code), and 87635 is at the 95th percentile (notably above typical state volume for this code). These placements show pockets of market leadership in multiplex respiratory testing and certain laboratory panels even while overall ED volumes are characterized as typical.

Although 87637 and 80050 occupy top in-state ranks for their categories, the ED E/M codes place the hospital in the middle-to-upper range among peers: 99283 ranks #12 of 26 providers in-state (56th percentile; typical, unremarkable volume for this code), 99284 ranks #10 of 35 (74th percentile; typical, unremarkable volume for this code), and 99285 ranks #13 of 31 (60th percentile; typical, unremarkable volume for this code). Put together, this indicates BEEBE is a modest-to-meaningful Medicaid ED player statewide rather than a dominant statewide ED system.

A small number of higher-paid, lower-volume procedures contribute material revenue: code 41899 accounts for $1.3M (6.2% of Medicaid revenue) across 439 claims with a $2925 avg paid/claim, indicating that select surgical or dental-type episodes can disproportionately drive revenue compared with the high-claim, low-unit-price lab and E/M codes. Imaging codes such as 74177 and 93306 also appear in the top list, underscoring reliance on CT and cardiac imaging as adjunct revenue streams.

From a competitive-risk perspective, the provider’s reliance on Medicaid and a tight cluster of top-producing codes creates both vulnerability and leverage: payers and analysts should watch reimbursement and utilization trends for ED E/M codes and respiratory multiplex testing, since changes to payment or volume for those categories could move a large share of the $29.2M Medicaid base. Given the absence of Medicare billing, any contraction in Medicaid payments or shifts in state program mix would disproportionately affect this facility.

BEEBE’s NPI tenure is long-standing—enumerated on 2006-09-20 (~20 years ago)—which supports the interpretation that these utilization patterns reflect an established clinical and operational footprint rather than a recently opened or transient provider. That longevity, combined with concentrated Medicaid revenue, suggests the facility is an established local hospital with stable service lines focused on ED care and high-throughput laboratory services.

Medicaid: Complete Services Breakdown

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

342 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	25,610	$140	$3.5M
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	15,910	$200	$3.2M
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.	23,750	$130	$3M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	440	$2,930	$1.3M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	4,680	$240	$1.1M
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.	10,890	$100	$1.1M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	4,990	$200	$977.8K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	17,010	$40	$731.4K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	12,730	$40	$534.8K
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.	5,380	$90	$483.8K

Showing 1–10 of 342

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 Medical Center, Inc. — 4 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

342 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.	12	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.	10	40	770	$110	$1.9M
G0378	Hospital observation service, per hour	5	10	6,600	$190	$1.5M
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.	13	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.	8	20	4,570	$120	$1.4M
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	1	10	2,300	$180	$1.2M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	3	10	350	$2,060	$1.2M
99281	The provider sees a patient for the lowest level emergency department visit.	7	10	110	$130	$1M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	3	10	1,340	$530	$829.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	7	10	4,520	$120	$820.3K

Showing 1–10 of 342

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
Beebe Medical Center, Inc.	DE	Home Health Agency	$0	$559.9K
Ramon Rosa	DE	Cardiovascular Disease Physician	$556.1K	$0
Ajith Kumar	DE	Cardiovascular Disease Physician	$549.4K	$0
Jason Palermo	NJ	Cardiovascular Disease Physician	$536.8K	$0
Firas El Sabbagh	FL	Clinical Cardiac Electrophysiology Physician	$507.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beebe Physician Network Inc.	DE	Internal Medicine Physician	$0	$19.7M
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 Medical Center, 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