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.

Fresenius Medical Care Southern Delaware, LLC (NPI 1871884650)

Field	Value
Entity Type	Organization
Organization	Fresenius Medical Care Southern Delaware, LLC
Address	19339 Coastal Hwy Unit 100
City	Rehoboth Beach
State	DE
ZIP	19971
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	April 27, 2011

Payer Source	Total Paid
Medicaid	$126.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	2,810	$50	$126.4K
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	160	$0	$0
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	480	$0	$0
82310	The lab analyst measures the calcium level, primarily on a serum sample.	530	$0	$0
82374	The lab analyst measures the carbon dioxide, primarily in serum. Most of the carbon dioxide in blood exists as bicarbonate with much of the balance as carbonic acid.	80	$0	$0
82565	The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	130	$0	$0
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	150	$0	$0
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	360	$0	$0
83550	The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…	130	$0	$0
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	120	$0	$0

Showing 1–10 of 22

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

Fresenius Medical Care Southern Delaware, LLC — 0 of 1 code 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	19	30	6,470	$30	$284.5K
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	17	20	550	$10	$28.8K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	26	30	460	$10	$15.1K
85018	The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.	21	40	1,320	$1	$9.5K
82565	The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	22	30	740	$1	$8.2K
84100	The lab analyst performs a test to evaluate the level of phosphate, which is phosphorus not contained in biological compounds, in a patient specimen such as serum.	24	30	1,030	$1	$6.9K
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	26	30	1,040	$1	$6.9K
84520	The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.	20	30	1,960	$1	$6.1K
84466	The lab analyst performs a test to measure the amount of transferrin in patient blood.	11	10	450	$10	$6.1K
J1756	Injection, iron sucrose, 1 mg	23	30	1,230	$1	$5.9K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Fresenius Medical Care Southern Delaware, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fresenius Medical Care Southern Delaware, LLC	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$804.1K
Fresenius Medical Care Southern Delaware, LLC	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$433.8K
Fresenius Medical Care Southern Delaware, LLC	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$298.1K
Fresenius Medical Care Southern Delaware, LLC	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$291.3K
Fresenius Medical Care Southern Delaware, LLC	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$214.2K
Fresenius Medical Care Southern Delaware, LLC	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$181.1K
Fresenius Medical Care Southern Delaware, LLC	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$126K
Fresenius Medical Care Southern Delaware, LLC	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$78.8K

Nearby Providers

Other providers in the same ZIP code as Fresenius Medical Care Southern Delaware, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coastal Kids Pediatric Dentistry, LLC	DE	Pediatric Dentistry	$0	$9.7M
Beacon Pediatrics LLC	DE	Pediatrics Physician	$0	$3.7M
Ams Of Delaware, LLC	DE	Substance Use Disorder Rehabilitation Hospital Unit	$123.6K	$3.3M
Nouman Asif	DE	Hematology & Oncology Physician	$1.5M	$0
Delaware Eye Surgery Center, LLC	DE	Ambulatory Surgical Clinic/Center	$1.3M	$20.1K
Charles Curry	DE	Ophthalmology Physician	$605.3K	$0
Rehoboth Beach Volunteer Fire Co., Inc.	DE	Ambulance	$459.2K	$62.8K
Scott Fudemberg	DE	Ophthalmology Physician	$353.5K	$0
Arthur Belson	DE	Ophthalmology Physician	$316.3K	$0
Matthew Tulloch	DE	Family Medicine Physician	$257K	$0

Fresenius Medical Care Southern Delaware, LLC — Billing Profile & Reimbursement Data

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Fresenius Medical Care Southern Delaware, LLC — 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