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 Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Home Care Delivered, Inc. (NPI 1245239540)

Field	Value
Entity Type	Organization
Organization	Home Care Delivered, Inc.
Address	7229 Forest Ave Ste 201
City	Richmond
State	VA
ZIP	23226
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	July 19, 2005

Payer Source	Total Paid
Medicaid	$309.5M
Medicare	$0

Key Findings

HOME CARE DELIVERED, INC. is effectively a single-payer Medicaid supplier: there is no Medicare billing on file and the provider reports $309.5M in lifetime Medicaid revenue, indicating its business is overwhelmingly Medicaid-facing rather than split across Medicare and Medicaid. This concentration of payer exposure means analyses and contract discussions should treat Medicaid as the primary commercial lens for this entity.

Revenue concentration is high in a narrow set of consumable incontinence products: the top three Medicaid codes (T4527, T4528, T4526) together account for 32.5% of the provider’s total Medicaid revenue, with T4527 at $30M (12.0%), T4528 at $26.3M (10.5%), and T4526 at $24.9M (10.0%). That precomputed share highlights a reliance on a few high-volume supply lines rather than a broadly diversified DME mix.

The code mix shows the provider operates primarily as a high-volume distributor of incontinence supplies with substantial ancillary lines in diabetes supplies and wound care. High-revenue incontinence codes include T4535 ($17.6M), T4544 ($14.6M), and T4534 ($13.4M), while diabetes-related supplies are material as well—A9276 at $18.6M and A4239 at $5.5M—indicating a combined focus on daily consumables used in long-term outpatient care.

HOME CARE DELIVERED appears to be a dominant statewide competitor across many Medicaid DME categories: it ranks #1 in-state and at the 100th percentile for a wide array of codes (for example, T4527, T4528, T4526, A9276 and A9277), which signals market leadership for these items within Virginia. Multiple #1 rankings suggest payers will encounter this provider as a significant supplier when managing network coverage or pricing for these specific product lines.

There are clear statistical outliers in reported volumes for certain codes that will be relevant to utilization review and network benchmarking. For example, A4927 (gloves, non-sterile, per 100) is labeled an "extreme outlier, far above typical state volume" with 359.6K claims and $3.6M revenue, and several incontinence and wound-care codes are noted as "notably above typical state volume" (e.g., T4535 at $17.6M, T4541 at $9.1M, A4351 at $4.4M, A6197 at $3.8M, A6212 at $3.5M).

Operational scale is large and concentrated in claim volume as well as revenue: the provider reports very high claim counts for single codes such as T4535 with 734.9K claims, T4527 with 508.3K claims, and T4526 with 461K claims, consistent with a high-throughput, consumables-focused distribution model rather than episodic, high-cost durable-equipment placements. These claim volumes underscore logistics and inventory considerations for payers managing cost and access.

From a payer-negotiation and utilization-management perspective, the combined pattern—heavy reliance on consumable incontinence products, top-three codes accounting for 32.5% of Medicaid revenue, and multiple #1 statewide ranks—creates both risk and leverage. The provider’s dominance in staples (briefs, pull-ons, liners, underpads) and presence in diabetes supplies means payers should prioritize contract terms and monitoring for these supply categories to control spend and ensure appropriate utilization.

The provider has longstanding enrollment and operational tenure, with an NPI enumeration date of 2005-07-19 (~21 years ago), which together with $309.5M in Medicaid revenue suggests sustained market presence and capacity to fulfill high-volume, ongoing supply contracts in the state Medicaid program. This longevity supports expectations of established distribution relationships and operational stability for the services reflected in the billing data.

Medicaid: Complete Services Breakdown

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

183 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	508,280	$60	$30M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	336,770	$80	$26.3M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	461,000	$50	$24.9M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	52,330	$360	$18.6M
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	734,870	$20	$17.6M
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	124,080	$120	$14.6M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	149,330	$90	$13.4M
T4541	Incontinence product, disposable underpad, large, each	274,850	$30	$9.1M
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	122,850	$70	$8.5M
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	110,210	$80	$8.4M

Showing 1–10 of 183

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Home Care Delivered, Inc. — 25 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

183 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	1	10	26,750	$360	$9.5M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	1	10	24,960	$60	$9.2M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	1	10	16,960	$60	$8.2M
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	1	10	67,470	$120	$7.9M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	1	10	12,940	$80	$7.1M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	1	10	6,240	$90	$4.8M
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	1	10	57,110	$80	$4.4M
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	1	10	2,900	$30	$3.2M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	1	10	31,450	$90	$2.9M
A4353	Intermittent urinary catheter, with insertion supplies	1	10	3,370	$590	$2.9M

Showing 1–10 of 183

Related Providers

Other providers that share a Tax Identification Number (TIN) with Home Care Delivered, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medline Industries, LP	IL	Durable Medical Equipment & Medical Supplies	$0	$232.9M

Nearby Providers

Other providers in the same ZIP code as Home Care Delivered, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bon Secours St. Mary's Hospital Of Richmond LLC	VA	General Acute Care Hospital	$0	$83.1M
Cep America, LLC	VA	Emergency Medicine Physician	$0	$9.7M
Richmond Emergency Physicians, Inc.	VA	Specialist	$0	$7.9M
At Home Care Staffing-richmond	VA	Home Health Agency	$0	$5.6M
Virginia Eye Institute Inc	VA	Ambulatory Surgical Clinic/Center	$4.8M	$696.2K
David Jacobs	VA	Ophthalmology Physician	$4M	$0
Byron Ladd	VA	Ophthalmology Physician	$3.8M	$0
Ryan Deasy	VA	Ophthalmology Physician	$3.3M	$0
Jeffrey Slott	VA	Ophthalmology Physician	$2.6M	$0
St. Mary's Ambulatory Surgery Center, LLC	VA	Ambulatory Surgical Clinic/Center	$1.6M	$0

Home Care Delivered, Inc. — Billing Profile & Reimbursement Data

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Home Care Delivered, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References