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.

Epic Health Services (de), LLC (NPI 1164752697)

Field	Value
Entity Type	Organization
Organization	Epic Health Services (de), LLC
Address	107 Ne Front Street
City	Milford
State	DE
ZIP	19963
Taxonomy	Home Health Agency
NPI Enumerated	January 6, 2010

Payer Source	Total Paid
Medicaid	$19.3M
Medicare	$0

Key Findings

EPIC HEALTH SERVICES (DE), LLC effectively operates as a Medicaid-focused home health agency: it has no Medicare billing on file and reports Total Medicaid revenue of $19.3M. This makes the provider effectively single-payer in public programs, with Medicaid representing the entirety of the recorded government payer revenue stream.

Revenue is extremely concentrated in a small set of service lines: the precomputed top three Medicaid codes account for 99.7% of this provider's total Medicaid revenue. Those codes are S9124 ($13M, 67.4% of Medicaid revenue), S5130 ($4.4M, 22.8%), and S9123 ($1.8M, 9.6%), indicating that nearly all revenue is driven by a few in-home care services.

The code mix points to a business model centered on in-home personal and nursing care rather than broad skilled home-health episodes: S9124 (Nursing care in the home by licensed practical nurse) and S5130 (Homemaker service, per 15 minutes) together drive 90.2% of Medicaid revenue, while S9123 (RN nursing in the home) is a smaller but present skilled component. Ancillary home-health/hospice codes such as G0299 and G0156 are present only at de minimis revenue levels, confirming limited activity in Medicare-style home health billing.

On the largest revenue line, S9124, the provider ranks #5 of 17 in-state and sits at the 75th percentile; the data label describes this as typical, unremarkable volume for this code. That position indicates a solid regional presence in LPN-delivered in-home nursing services but not a dominant statewide market share.

For the homemaker code S5130 the provider reports 77.2K claims and ranks #17 of 62 in-state (74th percentile), again described as typical, unremarkable volume for this code. The high claim count coupled with a mid-high percentile rank suggests operational scale in time-based homemaker services, but the ranking shows many peers with comparable or larger programs within the state.

The RN-delivered in-home nursing line S9123 is comparatively modest: 6.5K claims, $1.8M revenue, and a rank of #8 of 11 providers in-state (30th percentile), labeled typical, unremarkable volume. This indicates the provider maintains some registered-nurse services but is not a leading RN-skills provider in the state.

The provider’s NPI was enumerated on 2010-01-06 (~16 years ago), reflecting more than a decade of presence in the market. This tenure supports the interpretation that the current service mix and payer concentration reflect an established operating model rather than a recent strategic shift.

The extreme revenue concentration in S9124, S5130, and S9123 (together 99.7% of Medicaid revenue) creates a concentration risk: reimbursement policy or utilization changes targeting in-home LPN or homemaker services could materially affect overall revenue. Given all reported codes are characterized as typical, unremarkable in state comparisons, monitoring Medicaid rate changes and utilization management for these specific codes is the highest-value near-term surveillance item for analysts.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	49,180	$270	$13M
S5130	Homemaker service, nos; per 15 minutes	77,250	$60	$4.4M
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)	6,530	$280	$1.8M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	740	$50	$37.7K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	1,660	$10	$11.6K

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

Epic Health Services (de), LLC — 0 of 5 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

5 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	5	20	27,840	$320	$10.4M
S5130	Homemaker service, nos; per 15 minutes	17	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)	8	10	27,770	$340	$6.9M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	15	20	1,710	$110	$1.2M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	9	10	5,810	$90	$839.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Epic Health Services (de), LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services (de), LLC	DE	Home Health Agency	$0	$33.7M

Nearby Providers

Other providers in the same ZIP code as Epic Health Services (de), LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayhealth Medical Center, Inc.	DE	General Acute Care Hospital	$0	$39.5M
Banyan Delaware LLC	DE	Substance Abuse Rehabilitation Facility	$0	$30.9M
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$28.5M
Delaware Pediatric Dentistry	DE	Pediatric Dentistry	$0	$18.1M
Kent-sussex Industries	DE	Developmentally Disabled Services Day Training Agency	$0	$11.7M
Nurses 'n Kids Of Milford, Inc.	DE	Medically Fragile Infants and Children Day Care	$0	$9.5M
Prn Staffers Inc	DE	Home Health Agency	$0	$7.6M
People's Place Ii, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.9M
Bayhealth Medical Center, Inc.	DE	Clinic/Center	$0	$3.7M
La Red Health Center, Inc.	DE	Federally Qualified Health Center (FQHC)	$0	$2.7M

Epic Health Services (de), LLC — Billing Profile & Reimbursement Data

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Epic Health Services (de), 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

Related Providers

Nearby Providers

Frequently Asked Questions

References