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    OpenPayerNPI Medicare & MedicaidInterim Healthcare Of Delaware LLC
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    Interim Healthcare Of Delaware LLC — Billing Profile & Reimbursement Data

    NPI 1235294380 · Smyrna, DE · Intellectual & Developmental Disabilities Psychologist

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    Interim Healthcare Of Delaware LLC is a intellectual & developmental disabilities psychologist provider located in Smyrna, Delaware. This profile covers 0 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationInterim Healthcare Of Delaware LLC
    Address340 N High Street Extended
    CitySmyrna
    StateDE
    ZIP19977
    TaxonomyIntellectual & Developmental Disabilities Psychologist
    NPI EnumeratedDecember 27, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$51.8M
    Medicare$0

    Key Findings

    This provider is effectively single-payer in scope: there is no Medicare billing on file and lifetime Medicaid revenue totals $51.8M, indicating the organization’s entire documented Medicare/Medicaid footprint is driven by Medicaid business. Analysts should treat Medicaid as the primary — and currently sole — government payer when modeling this entity’s reimbursement exposure.

    Revenue is highly concentrated: the precomputed top three Medicaid codes account for 72.5% of the provider’s total Medicaid revenue. Those top three line items are G0299 ($17.8M, 34.4%), S9124 ($12.3M, 23.8%), and T1001 ($7.4M, 14.3%), so a small set of service lines drives the majority of receipts.

    The code mix signals a home health–focused nursing operation with ancillary therapy capacity: high-volume skilled nursing codes (G0299, S9124, G0300) plus T1001 (nursing assessment/evaluation) and G0151 (qualified physical therapist) indicate core business in in-home skilled nursing visits, nursing assessments, and therapy services. The presence of S5130 (homemaker services) also points to an offering that includes nonclinical in-home support in addition to clinical visits.

    Two codes stand out as statewide statistical outliers for volume: G0299 ranks #1 of 21 providers in-state and is labeled an "extreme outlier," and T1001 ranks #1 of 51 providers and is also an "extreme outlier." These rankings indicate the provider is a dominant statewide supplier for direct skilled nursing visits and nursing assessments relative to peers.

    The provider is also notably above typical state volume on other clinical codes: G0300 ranks #1 of 8 providers (100th percentile, described as "notably above typical state volume") and G0151 ranks #1 of 13 providers (100th percentile, "notably above typical state volume"). By contrast, S9124 (27.4K claims) ranks #10 of 17 (44th percentile) and S5130 ranks #22 of 62 (66th percentile), reflecting strong dominance in some clinical niches but more typical participation in LPN hourly and homemaker services.

    Top-code volumes demonstrate scale of operations: G0299 shows 102.4K claims, T1001 shows 91.4K claims, and S9124 shows 27.4K claims, confirming a high-volume operational model for in-home nursing and assessments rather than a low-volume specialty practice. These claim counts support the revenue concentration already observed and imply substantial visit-level throughput.

    The heavy reliance on a few Medicaid service lines (72.5% of revenue from the top three codes) creates operational sensitivity to any Medicaid reimbursement or utilization policy changes affecting those codes. Because there is no Medicare revenue to buffer payer mix, changes in Delaware Medicaid program rules or rates for G0299, S9124, or T1001 could materially affect the provider’s revenue base.

    The provider has long-tenured enrollment with an NPI enumerated on 2006-12-27 (~20 years ago), which—combined with statewide dominance on multiple home-health codes and the $51.8M Medicaid footprint—suggests an entrenched presence in Delaware’s home health nursing market rather than a recent entrant or transient operator.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes102,410$170$17.8M
    S9124Nursing care, in the home; by licensed practical nurse, per hour27,380$450$12.3M
    T1001Nursing assessment / evaluation91,390$80$7.4M
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes32,460$170$5.6M
    S5130Homemaker service, nos; per 15 minutes48,300$80$3.9M
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes32,390$90$2.9M
    S9123Nursing 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)5,630$310$1.8M
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes1,750$60$110.4K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Delaware median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9124Nursing care, in the home; by licensed practical nurse, per hour102027,840$320$10.4M
    S5130Homemaker service, nos; per 15 minutes226018,620$130$8.6M
    S9123Nursing 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)91027,770$340$6.9M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes1201,710$110$1.2M
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes110240$140$768.6K
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes1101,840$80$625K
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes4103,670$80$354.9K
    T1001Nursing assessment / evaluation1501,950$50$294K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Smile PlaceDEDentist$0$11.6M
    Maxim Healthcare Services, Inc.DEHome Health Agency$0$7.3M
    Little Tooth Doctors LLCDEPediatric Dentistry$0$939.2K
    Delaware Medical Care PADEInternal Medicine Physician$0$812.8K
    Christiana Care Health Services IncDEUrgent Care Clinic/Center$0$649.1K
    Connections Community Support Programs, Inc.DEAdolescent and Children Mental Health Clinic/Center$0$615.1K
    American Legion Ambulance Station 64 IncDELand Ambulance$438.8K$121.4K
    Deborah KirkDEFamily Medicine Physician$403.7K$0
    Deakyne, Dental Associates, P.A.DEGeneral Practice Dentistry$0$401.1K
    State Of DelawareDELocal Education Agency (LEA)$0$399.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Delaware Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Interim Healthcare Of Delaware LLC — 4 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware