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

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

Bayada Home Care (NPI 1245731173)

Field	Value
Entity Type	Organization
Organization	Bayada Home Care
Address	94-539 Puahi St
City	Waipahu
State	HI
ZIP	96797
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	February 26, 2018

Payer Source	Total Paid
Medicaid	$33.3M
Medicare	$0

Key Findings

BAYADA HOME CARE in WAIPAHU is effectively a Medicaid-focused provider: there is no Medicare billing on file and reported Medicaid revenue totals $33.3M, indicating this entity’s scale and payer mix are concentrated entirely in state Medicaid programs. The provider’s NPI enumeration date of 2018-02-26 (~8 years ago) shows it has been active long enough to establish recurring relationships in the Hawai‘i waiver/HCBS market.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicaid codes account for 85.2% of the provider’s total Medicaid revenue, driven by S5125 (35.2%), H2021 (31.2%), and T2021 (18.9%). This concentration implies that changes to reimbursement, utilization, or policy for those specific service lines would have outsized impact on overall revenue.

The code mix and descriptions point to an operations model centered on direct community and home-based supports: S5125 (Attendant care services; per 15 minutes), H2021 (Community-based wrap-around services, per 15 minutes), and T2021 (Day habilitation, waiver; per 15 minutes) together indicate day habilitation and time-based attendant/home support as the core service lines rather than episode-based medical care. High counts of 15-minute interval codes suggest staffing and scheduling focused on frequent, short-interval visits and Medicaid waiver program billing patterns consistent with a developmentally disabled services/day training agency taxonomy.

S5125 is a standout competitive strength for BAYADA: the code accounts for $11.7M revenue with a $688 avg paid/claim and 17K claims, and the provider ranks #2 of 17 providers in-state (94th percentile; notably above typical state volume for this code). That rank and dollar volume position BAYADA as a major provider of attendant care services in Hawai‘i and a high-volume participant relative to state peers.

H2021 is another large revenue contributor, generating $10.4M from 21.8K claims at a $477 avg paid/claim and ranking #4 of 24 in-state (87th percentile; typical, unremarkable volume for this code). While the rank places BAYADA among the higher-volume providers for community-based wrap-around services, the documentation’s “typical, unremarkable” label suggests the code is commonly provided across multiple agencies and may reflect standard utilization patterns for wrap-around supports.

T2021 and 99509 broaden the provider’s service footprint beyond attendant care: T2021 (Day habilitation, waiver) brings $6.3M revenue from 9.4K claims at a $669 avg paid/claim and ranks #3 of 6 providers in-state (60th percentile; typical, unremarkable volume), while 99509 (home health-style ADL/self-care visits) contributes $3.4M from 6.2K claims at a $555 avg paid/claim and ranks #3 of 5 (50th percentile). These figures indicate meaningful, though less dominant, participation in day habilitation and ADL support services that complement the top per-15-minute offerings.

BAYADA shows at least one niche or unique reporting signal: T2015 (Habilitation, prevocational, waiver; per hour) reports 553 claims and $247.7K revenue and ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available). Being the sole reported provider for T2015 in the state dataset suggests a localized or niche service line that may face limited direct competition or that reporting for this code is uneven across peers.

Operational and payer risk considerations: the provider’s heavy reliance on time-based, per-15-minute Medicaid codes and the fact that the top three codes represent 85.2% of Medicaid revenue create sensitivity to changes in time-interval billing policies, frequency of visits, and Medicaid rate adjustments. Given the absence of Medicare revenue, any state-level waiver or Medicaid policy change would disproportionately affect overall financial performance and competitive standing.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	17,040	$690	$11.7M
H2021	Community-based wrap-around services, per 15 minutes	21,780	$480	$10.4M
T2021	Day habilitation, waiver; per 15 minutes	9,390	$670	$6.3M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	6,200	$560	$3.4M
T2025	Waiver services; not otherwise specified (nos)	4,280	$100	$445.5K
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	1,130	$260	$295K
H2015	Comprehensive community support services, per 15 minutes	4,740	$60	$289.3K
T2015	Habilitation, prevocational, waiver; per hour	550	$450	$247.7K
S5115	Home care training, non-family; per 15 minutes	1,320	$80	$103K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	80	$650	$49.6K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Hawaii Distribution

Bayada Home Care — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. Hawaii median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2021	Community-based wrap-around services, per 15 minutes	4	20	4,710	$400	$3.5M
S5125	Attendant care services; per 15 minutes	2	20	1,140	$640	$2.9M
T2021	Day habilitation, waiver; per 15 minutes	3	10	5,770	$350	$2.9M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	3	10	6,200	$350	$2.1M
H2015	Comprehensive community support services, per 15 minutes	15	30	2,300	$30	$634.2K
T2025	Waiver services; not otherwise specified (nos)	5	20	300	$220	$577K
T2015	Habilitation, prevocational, waiver; per hour	1	10	550	$450	$247.5K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	8	10	390	$400	$139.7K
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	2	10	550	$120	$91.5K
S5115	Home care training, non-family; per 15 minutes	2	10	560	$70	$53.9K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preferred Home & Community Based Services, Inc.	HI	Developmentally Disabled Services Day Training Agency	$0	$66.9M
Hawaii Health Services, Inc.	HI	Home Health Agency	$0	$29.4M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$19.4M
Dsi Waipahu, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.7M
Blue Water Resources	HI	Case Management Agency	$0	$5.7M
Family Services Of Oahu,llc	HI	Developmentally Disabled Services Day Training Agency	$0	$4.9M
Loving Care Health Provider, Inc.	HI	In Home Supportive Care Agency	$0	$4.2M
Leeward Pedodontix, LLC	HI	Pediatric Dentistry	$0	$4.1M
Metropacific Group, Corp	HI	In Home Supportive Care Agency	$0	$2.8M
Triple Ace Venture Capital Corp.	HI	In Home Supportive Care Agency	$0	$2.4M

Bayada Home Care — Billing Profile & Reimbursement Data

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Bayada Home Care — 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