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.

Abigail Medical Family Medicine, L.L.C. (NPI 1922134899)

Field	Value
Entity Type	Organization
Organization	Abigail Medical Family Medicine, L.L.C.
Address	412 Suburban Dr
City	Newark
State	DE
ZIP	19711
Taxonomy	Family Medicine Physician
NPI Enumerated	February 26, 2007

Payer Source	Total Paid
Medicaid	$207.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	2,650	$80	$201.6K
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…	50	$120	$5.9K

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

Abigail Medical Family Medicine, L.L.C. — 0 of 2 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

2 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…	178	500	1,130	$50	$235.1K
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…	108	150	230	$90	$110.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Abigail Medical Family Medicine, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christine Horah	DE	Family Medicine Physician	$362.9K	$0

Nearby Providers

Other providers in the same ZIP code as Abigail Medical Family Medicine, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chimes Metro, Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$173.9M
Newark Emergency Center	DE	Emergency Medicine Physician	$0	$6.8M
Connections Community Support Programs, Inc	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.9M
Option Care Enterprises Inc	DE	Home Infusion Therapy Pharmacy	$0	$2.8M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.5M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.3M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.2M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.2M
Bancroft Behavioral Health	DE	Psychiatric/Mental Health Nurse Practitioner	$0	$1.8M
American Homepatient, Inc.	DE	Durable Medical Equipment & Medical Supplies	$0	$1.6M

Abigail Medical Family Medicine, L.L.C. — Billing Profile & Reimbursement Data

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Abigail Medical Family Medicine, L.L.C. — 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