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.

Caritas Home Health Services, Inc (NPI 1083981294)

Field	Value
Entity Type	Organization
Organization	Caritas Home Health Services, Inc
Address	30 Prestbury Sq Ste 325
City	Newark
State	DE
ZIP	19713
Taxonomy	Home Health Agency
NPI Enumerated	November 17, 2011

Payer Source	Total Paid
Medicaid	$11.2M
Medicare	$0

Key Findings

This entity operates as a home health agency focused on in-home nursing and aide services, as reflected by its top Medicaid codes: S9124 (nursing care in the home by LPN, per hour) and G0156 (home health/hospice aide services, each 15 minutes). The presence of both S9124 and G0156 as the only listed high-revenue codes indicates operations concentrated on hands-on, at-home caregiving rather than institutional or skilled nursing facility services.

All reported revenue is Medicaid-based: total Medicaid revenue is $11.2M and there is no Medicare billing on file. The provider is effectively single-payer (Medicaid) in scale and dependence, as there is no Medicare revenue to diversify payer mix.

Revenue concentration is very high: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. Within that concentration, S9124 accounts for 73.6% of the provider’s Medicaid revenue and G0156 accounts for 26.4% of the provider’s Medicaid revenue, identifying a narrow set of services that drive nearly all dollars.

Claim-level volume and average payments show a two-part operational model: S9124 has 13.2K claims with an average paid/claim of $622 and generates $8.2M in revenue, while G0156 has 14.5K claims with an average paid/claim of $204 and generates $3M in revenue. This pattern suggests the agency delivers a high number of lower-dollar aide visit units alongside a substantial portion of revenue coming from higher-dollar LPN-hour billing.

Competitive standing across in-state peers is mixed by code: for S9124 the provider ranks #12 of 17 (31th percentile), which indicates a modest, unremarkable position among peers for LPN in-home hours; for G0156 it ranks #5 of 14 (69th percentile), reflecting a stronger placement in delivery of home health aide services. These rank and percentile positions imply the agency is not a dominant statewide player for LPN nursing hours but is a relatively stronger participant in aide services.

The provider’s billing profile presents operational exposure: with top-3 Medicaid codes accounting for 100.0% of Medicaid revenue and two codes explicitly driving 73.6% and 26.4% respectively, reimbursement changes or policy shifts affecting in-home LPN hours or aide visit rates could meaningfully impact revenues. The narrow revenue mix suggests limited mitigation options without expanding service lines or payer relationships.

The agency shows sustained presence in the market: its NPI was enumerated on 2011-11-17 (~15 years ago), indicating established operations over a multi-year period. This tenure supports the interpretation that current code mix represents a stable, mature service focus rather than a very recent strategic shift.

Taken together, the data portray a Medicaid-dependent home health agency with a concentrated service mix focused on LPN hours and aide visits, solid in-state standing for aide services but only modest for LPN hours, and limited payer diversification given no Medicare billing on file. Analysts should view this provider as a specialized, Medicaid-centered operator whose financials are sensitive to changes in home health reimbursement for S9124 and G0156.

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
S9124	Nursing care, in the home; by licensed practical nurse, per hour	13,240	$620	$8.2M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	14,490	$200	$3M

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

Caritas Home Health Services, Inc — 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
S9124	Nursing care, in the home; by licensed practical nurse, per hour	12	20	27,840	$320	$10.4M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	5	10	5,810	$90	$839.9K

Nearby Providers

Other providers in the same ZIP code as Caritas Home Health Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Retinal Consultants LLC	DE	Ophthalmology Physician	$0	$25.2M
Columbus Medical Services, LLC	DE	Case Management Agency	$0	$18.7M
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Delaware Center For Maternal Fetal Medicine Of Christiana Care	DE	Maternal & Fetal Medicine Physician	$0	$9.8M
Christiana Care Health Services Inc	DE	Neonatal-Perinatal Medicine Physician	$0	$8.9M
Medical Oncology Hematology Consultants PA	DE	Hematology & Oncology Physician	$0	$7.7M
Christiana Care Quality Partners	DE	Urgent Care Clinic/Center	$0	$7M
Jamal Misleh	DE	Hematology & Oncology Physician	$6.8M	$0
Mid-atlantic Behavioral Health, LLC	DE	Intellectual & Developmental Disabilities Psychologist	$0	$6.5M
First State Orthopaedics, PA	DE	Orthopaedic Surgery Physician	$0	$6M

Caritas Home Health Services, Inc — Billing Profile & Reimbursement Data

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Caritas Home Health Services, Inc — 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