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.

Delaware Medical Associates P.A. (NPI 1871651380)

Field	Value
Entity Type	Organization
Organization	Delaware Medical Associates P.A.
Address	2101 Foulk Road
City	Wilmington
State	DE
ZIP	19810
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicaid	$75.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 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…	1,690	$40	$61K
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…	310	$40	$13.5K
90682	This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not…	30	$30	$840
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	10	$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

Delaware Medical Associates P.A. — 0 of 3 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

4 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…	351	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…	219	540	1,100	$40	$185.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	97	100	230	$1	$6.7K
90682	This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not…	13	20	180	$20	$4.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Delaware Medical Associates P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
George Davis	DE	Cardiovascular Disease Physician	$317.2K	$0
Armand Desanctis	DE	Internal Medicine Physician	$301.3K	$0
George Quentin Viterbo	DE	Family Medicine Physician	$167.2K	$0

Nearby Providers

Other providers in the same ZIP code as Delaware Medical Associates P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rachel A Maher,dmd, PA	DE	Dentist	$0	$4.5M
Brandywine Pediatric Dentistry, P.A.	DE	Pediatric Dentistry	$0	$4M
Jason Kaplan	DE	Ophthalmology Physician	$2.7M	$0
Brandywine Pediatrics, P.A.	DE	Pediatrics Physician	$0	$1.6M
Harry Lebowitz	DE	Ophthalmology Physician	$1.1M	$0
Rehabilitation Associates, P.A.	DE	Physical Medicine & Rehabilitation Physician	$0	$852.8K
David Cozzolino	DE	Urology Physician	$786.9K	$0
Andrew Barrett	DE	Ophthalmology Physician	$671.1K	$0
Chloe Payne	DE	Dermatology Physician	$541.5K	$11.7K
James Fierro	DE	Family Medicine Physician	$530.7K	$0

Delaware Medical Associates P.A. — Billing Profile & Reimbursement Data

Sign up for Delaware Medical Associates P.A. — Billing Profile & Reimbursement Data policy alerts

Delaware Medical Associates P.A. — Billing Profile & Reimbursement Data

Sign up for Delaware Medical Associates P.A. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References