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    OpenPayerNPI Medicare & MedicaidEmelda Njei
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    Emelda Njei — Billing Profile & Reimbursement Data

    NPI 1861851602 · Middletown, DE · Psychiatric/Mental Health Nurse Practitioner

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    Emelda Njei is a psychiatric/mental health nurse practitioner provider located in Middletown, Delaware. This profile covers 4 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEmelda Njei
    Address12 Pennington St Ste 100
    CityMiddletown
    StateDE
    ZIP19709
    TaxonomyPsychiatric/Mental Health Nurse Practitioner
    NPI EnumeratedFebruary 22, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$297.4K
    Medicare$30K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…220$80$17K
    99213The 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…110$60$5.9K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…120$50$5.7K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…10$120$1.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992147271,830150$80$25.5K
    992139401,810120$60$13.6K
    90792354030$130$12.7K
    90833154090$50$7.8K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…1,860$110$198.8K
    99213The 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…1,020$70$74.6K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…180$120$21.9K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$40$960
    90832In 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…20$40$590
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…10$40$530

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Delaware median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…2125001,130$50$235.1K
    99213The 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…2795401,100$40$185.3K
    90832In 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…50501,240$20$57.8K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…1730220$60$31.7K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…151180180$20$24.4K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…4140300$20$17K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Emelda Njei, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Susan CoreyDEPsychiatric/Mental Health Nurse Practitioner$134K$347.4K
    Nancy HugginsMANurse Practitioner$182.9K$0
    Marie Francis—Family Nurse Practitioner$173.4K$0
    Corey BaechelMAClinical Psychologist$165.1K$0
    Karl WhitlockGAClinical Psychologist$142.5K$0
    Lori HixonMAAdult Health Nurse Practitioner$124.4K$0
    Bruce KasterMAGeriatric Psychiatry Physician$107.2K$0
    Marielle PittsMAAdult Health Nurse Practitioner$96.1K$10K
    Thomas TashjianMAClinical Psychologist$104K$0
    NPI 1265558548——$104K$0

    Nearby Providers

    Other providers in the same ZIP code as Emelda Njei, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Interventional Pain Spine LLCDEInterventional Pain Medicine Physician$0$17.6M
    Lieske E2e Home Health Care IncDEHome Health Agency$0$9.2M
    Tobola Health Care Services Inc.DEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$4.3M
    Delaware Smile CenterDEGeneral Practice Dentistry$0$3.1M
    Premier Physical Therapy And Sports Performance Limited PartnershipDEPhysical Therapist$0$2.3M
    Thrive Real Life Independence, LLCDEDevelopmentally Disabled Services Day Training Agency$0$1.2M
    Myeyedr Optometry Of Delaware PADEOptometrist$0$961.5K
    Scy DentalDEDental Clinic/Center$0$776.9K
    Middletown Familycare Associates LLCDEFamily Medicine Physician$0$719K
    Mccormick & Associates Of Middletown, LLCDEPsychiatric/Mental Health Clinical Nurse Specialist$0$590.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Delaware Distribution
    Emelda Njei — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware
    Medicaid Revenue by Year vs. Delaware Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Emelda Njei — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware