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 Guidance Services For Children & Youth, Inc. (NPI 1992806186)

Field	Value
Entity Type	Organization
Organization	Delaware Guidance Services For Children & Youth, Inc.
Address	1200 N French St Fl 7
City	Wilmington
State	DE
ZIP	19801
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicaid	$15.4M
Medicare	$0

Key Findings

DELAWARE GUIDANCE SERVICES FOR CHILDREN & YOUTH, INC. is effectively a single‑payer Medicaid provider: there is no Medicare billing on file while its lifetime Medicaid revenue is $15.4M. This concentration means analyses of utilization and financial performance should focus on Medicaid program rules, rates, and member populations rather than cross‑payer comparisons.

Revenue is highly concentrated in a small set of service codes: the top three Medicaid codes (H2011, H0036, 90837) account for 80.8% of this provider’s total Medicaid revenue. Individually these codes generate $5.7M (H2011), $3.6M (H0036), and $3.2M (90837) respectively, signaling that a handful of service lines drive the majority of income.

The code mix indicates an operational focus on crisis and intensive behavioral health services: H2011 (Crisis intervention service, per 15 minutes) is the largest single revenue source with 9.1K claims and a $624 avg paid/claim totaling $5.7M. Paired with high volumes of community psychiatric supportive treatment under H0036 (29.3K claims, $123 avg paid/claim, $3.6M), the pattern is consistent with a clinic that provides frequent, short‑interval crisis response and structured community psychiatric support.

High volumes of psychotherapy and family therapy appear central to clinical delivery: 90837 (long psychotherapy) accounts for $3.2M from 57.2K claims at $56 avg paid/claim, and 90847 (family psychotherapy with patient present) contributes $1.4M from 32.8K claims at $42 avg paid/claim. Both codes signal sustained, repeated therapeutic contact—90837 in particular is billed at extreme scale relative to in‑state peers.

Competitive standing within the state is mixed by code. The provider ranks #1 of 2 for H2011 (100th percentile; typical, unremarkable volume), ranks #2 of 21 for H0036 (95th percentile; typical, unremarkable volume), and ranks #2 of 239 for 90837 (100th percentile; extreme outlier), indicating dominant or unusually large scale for long psychotherapy but more typical standing for crisis and community support compared with peers.

Several secondary codes reinforce a family‑and community‑centered model: 90834 and 90846 also appear in the top code list ($516.8K and $194.9K respectively), and 90791 (psychiatric evaluation) contributes $255.2K. The presence of both family (90846/90847) and individual long‑session psychotherapy (90837/90834) supports a multi‑modal outpatient service line focused on children, youth, and their families.

Telehealth and typical office E/M revenue are minimal relative to core behavioral services: Q3014 (telehealth originating site facility fee) accounts for only $12.1K, and standard E/M codes such as 99214 ($441.9K) and 99213 ($5.5K) are small contributors, suggesting service delivery is dominated by time‑based behavioral codes rather than traditional medical E/M visits or telehealth facility fees.

The provider has been active for a substantial period: the NPI was enumerated on 2006-09-26 (~20 years ago). That tenure, combined with concentrated Medicaid revenue and very large psychotherapy volumes (including an extreme outlier position for 90837), suggests an established behavioral health clinic with deep engagement in state Medicaid behavioral services and crisis response programs.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2011	Crisis intervention service, per 15 minutes	9,070	$620	$5.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	29,320	$120	$3.6M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	57,160	$60	$3.2M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	32,850	$40	$1.4M
90834	In 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…	12,600	$40	$516.8K
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…	9,020	$50	$441.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,700	$70	$255.2K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	4,330	$50	$194.9K
90832	In 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…	4,580	$30	$141.9K
Q3014	Telehealth originating site facility fee	670	$20	$12.1K

Showing 1–10 of 15

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 Guidance Services For Children & Youth, Inc. — 4 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2011	Crisis intervention service, per 15 minutes	1	10	8,280	$620	$5.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	2	20	2,510	$160	$2M
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…	65	500	1,130	$50	$235.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2	240	700	$60	$205.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	1	20	280	$50	$188.3K
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…	211	540	1,100	$40	$185.3K
90834	In 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…	7	80	790	$40	$180.4K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	1	10	2,330	$60	$124.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	5	80	120	$60	$60.5K
90832	In 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…	8	50	1,240	$20	$57.8K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Delaware Guidance Services For Children & Youth, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services, Inc.	DE	General Acute Care Hospital	$0	$99.4M
Connections Csp, Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$28.5M
Neighborly Home Care	DE	In Home Supportive Care Agency	$0	$21.5M
Caring Angels Homecare Agency, Inc.	DE	Home Health Agency	$0	$21M
State Of De	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.1M
Christiana Care Health Services Inc	DE	Family Medicine Physician	$0	$5.6M
Crescent Dental, LLC	DE	Dentist	$0	$5.1M
Christiana Care Health Services, Inc	DE	Psychiatry Physician	$0	$2.9M
Steps Center LLC	DE	Home Health Agency	$0	$2.9M
The Life Center Complex, Inc	DE	Student Health Clinic/Center	$0	$2.7M

Delaware Guidance Services For Children & Youth, Inc. — Billing Profile & Reimbursement Data

Sign up for Delaware Guidance Services For Children & Youth, Inc. — Billing Profile & Reimbursement Data policy alerts

Delaware Guidance Services For Children & Youth, Inc. — Billing Profile & Reimbursement Data

Sign up for Delaware Guidance Services For Children & Youth, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References