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.

Care At Home Of Delaware, LLC (NPI 1023665874)

Field	Value
Entity Type	Organization
Organization	Care At Home Of Delaware, LLC
Address	20 Montchanin Rd Ste 50
City	Wilmington
State	DE
ZIP	19807
Taxonomy	Attendant Care Provider
NPI Enumerated	August 26, 2019

Payer Source	Total Paid
Medicaid	$19.2M
Medicare	$0

Key Findings

This provider is effectively a single-payer, Medicaid-focused operator: total Medicare revenue is listed as none while total Medicaid revenue is $19.2M, so all billed activity on file is through Medicaid. The absence of Medicare billing on file indicates analysts should treat Medicaid utilization and rate changes as the primary drivers of financial performance for CARE AT HOME OF DELAWARE, LLC.

The provider has been NPI-enumerated since 2019-08-26 (~7 years ago), indicating roughly mid-stage tenure in the market. That tenure aligns with the sizable Medicaid activity on file, suggesting the organization established a steady state of operations within a few years of enumeration.

Revenue is highly concentrated in a narrow set of services: the top 3 Medicaid codes account for 100.0% of the provider's reported Medicaid revenue. S5130 alone represents $14.1M (73.4% of total Medicaid revenue) and S5125 represents $5M (26.3%); the remaining S9123 contributes $59K (0.3%). This concentration means the provider’s financial results are especially sensitive to utilization or reimbursement changes for these specific codes.

The code mix (S5130 – homemaker service; S5125 – attendant care services; and a small volume of S9123 – in-home nursing by RN) points to a business model centered on non-medical personal care and attendant/home-support services rather than skilled, billable Medicare-level clinical care. With S5130 and S5125 making up virtually all revenue, the operation appears to be structured around high-volume, per-15-minute home care delivery rather than intensive nursing services.

Claim volumes and unit payment levels show operational scale and intensity: S5130 has 92.1K claims at $153 avg paid/claim and S5125 has 45.5K claims at $111 avg paid/claim, while S9123 records 747 claims at $79 avg paid/claim. These volumes indicate a large footprint in routine attendant/homemaker visit activity and imply substantial frontline caregiver staffing and scheduling capacity to support the reported claim counts.

State-level competitive standing for the top codes is meaningful but not dominant. S5130 ranks #12 of 62 providers in-state (82th percentile) and S5125 ranks #5 of 23 providers in-state (82th percentile), which places the provider above many peers in Delaware for those services; the dataset also characterizes these volumes as typical, unremarkable for those codes, suggesting the provider is a notable participant but not an extreme outlier or market monopolist.

S9123 (nursing care in the home by RN) is a very small, low-ranked component of the portfolio: 747 claims generating $59K (0.3% of Medicaid revenue) and a rank of #10 of 11 providers in-state (10th percentile), labeled a typical, unremarkable volume. This indicates the provider offers limited skilled-nursing services relative to peers, reinforcing the view that its core competency and revenue base lie in homemaker/attendant care.

From a risk/opportunity perspective, reliance on two per-15-minute home-care codes (S5130 and S5125) for nearly all revenue creates exposure to any state-level policy, rate or utilization shifts affecting those service lines; conversely, the existing high claim volumes (92.1K and 45.5K) show operational capacity that could be leveraged if the provider sought to diversify service mix or pursue additional payers. Analysts should monitor reimbursement trends and provider-level utilization for these specific codes given their outsized share of the $19.2M Medicaid revenue base.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5130	Homemaker service, nos; per 15 minutes	92,090	$150	$14.1M
S5125	Attendant care services; per 15 minutes	45,470	$110	$5M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	750	$80	$59K

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

Care At Home Of Delaware, LLC — 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5130	Homemaker service, nos; per 15 minutes	12	60	18,620	$130	$8.6M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	10	10	27,770	$340	$6.9M
S5125	Attendant care services; per 15 minutes	5	20	8,330	$140	$4.3M

Nearby Providers

Other providers in the same ZIP code as Care At Home Of Delaware, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Geriatric Medicine Consultants PA	DE	Internal Medicine Physician	$0	$1.3M
Christiana Care Health Services Inc	DE	Endocrinology, Diabetes & Metabolism Physician	$0	$1.1M
Christiana Care Health Services, Inc	DE	Endocrinology, Diabetes & Metabolism Physician	$4.9K	$199.8K
Charity Wamae-wanyoike	DE	Family Nurse Practitioner	$109.6K	$0
Christiana Care Health Services, Inc.	DE	Nurse Practitioner	$0	$109.4K
Asit Patel	DE	Anesthesiology Physician	$102.8K	$2.8K
Delaware Eye Associates PA	DE	Optometrist	$0	$94.8K
Victor Nippert	DE	Podiatrist	$79.2K	$0
Sonia Palermo	DE	Nurse Practitioner	$29K	$0
Margaret Mack	DE	Adult Psychiatric/Mental Health Clinical Nurse Specialist	$17.2K	$0

Care At Home Of Delaware, LLC — Billing Profile & Reimbursement Data

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Care At Home Of Delaware, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References