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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Diya Care Inc (NPI 1265860803)

Field	Value
Entity Type	Organization
Organization	Diya Care Inc
Address	1130 Somerset St
City	New Brunswick
State	NJ
ZIP	08901
Taxonomy	Home Health Agency
NPI Enumerated	October 16, 2013

Payer Source	Total Paid
Medicaid	$139.8M
Medicare	$0

Key Findings

DIYA CARE INC is effectively a single-payer Medicaid operator: there is no Medicare billing on file and the provider reports $139.8M in lifetime Medicaid revenue, indicating its business is overwhelmingly oriented toward Medicaid-managed home- and personal-care services. The absence of Medicare activity suggests the organization does not participate in Medicare home health billing or serves populations primarily covered by Medicaid.

Revenue concentration is extremely high and highly concentrated in a single Medicaid code: T1019 accounts for $139.8M (100.0% of this provider's total Medicaid revenue) and thus drives the entirety of reported Medicaid income. The precomputed share shows the provider’s finances are essentially dependent on one service line rather than a diversified set of procedure codes.

The provider’s top-coded service mix indicates an operation focused on personal care delivered in community settings rather than skilled home health care: T1019 is a personal care services code billed per 15 minutes as part of an individualized plan of treatment, and the dominance of this code suggests the agency’s primary service offering is long-duration personal care rather than nursing- or therapy-centric home health services.

Market position within the state is unusually large for the dominant code: T1019 ranks #3 of 276 providers in-state and is labeled an extreme outlier and in the 99th percentile, which characterizes DIYA CARE INC as one of the very highest-volume providers of this specific personal care service in New Jersey. That rank signals a dominant role for this code locally and likely significant operational scale for delivering personal care services.

Other Medicaid codes are effectively immaterial to overall revenue despite their presence: S5125 and T1001 appear on file but together generate only trivial amounts relative to the T1019-driven total ($56.2K and $4.6K respectively), reinforcing that the provider’s Medicaid footprint is narrowly concentrated on the T1019 service. Their mid-to-lower percentile ranks (S5125 at the 50th percentile among 7 providers, T1001 at the 44th percentile among 63) suggest these ancillary services are provided at typical volumes compared with peers.

Tenure in the NPI registry is long enough to indicate an established operation: the NPI was enumerated on 2013-10-16 (~13 years ago), implying over a decade of activity under the current taxonomies and sufficient time to scale the specialized personal-care business reflected in the claims profile.

Because Medicaid accounts for all reported public-payer revenue and Medicare is absent, payer mix risk is concentrated: the provider’s financial exposure and reimbursement dynamics will be highly sensitive to New Jersey Medicaid policy, rate changes, or shifts in program eligibility, since there is no Medicare revenue to offset Medicaid-specific payment or utilization fluctuations.

Given the code-level dominance and state ranking, competitive analysis for this provider should treat T1019 delivery capacity and contracting as the strategic axis: payers and competitors assessing DIYA CARE INC should focus on personal-care workforce capacity, per-15-minute reimbursement rates, and programmatic authorization processes, since those elements will most strongly affect this provider’s revenue performance.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,150,210	$70	$139.8M
S5125	Attendant care services; per 15 minutes	4,020	$10	$56.2K
T1001	Nursing assessment / evaluation	130	$40	$4.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Diya Care Inc — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	3	280	31,400	$90	$15.4M
S5125	Attendant care services; per 15 minutes	4	10	4,020	$50	$988.6K
T1001	Nursing assessment / evaluation	36	60	180	$40	$31.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Specialized Hospital	NJ	Children's Rehabilitation Hospital	$0	$200M
Robert Wood Johnson University Hospital, Inc	NJ	General Acute Care Hospital	$0	$198.3M
Saint Peter's University Hospital	NJ	General Acute Care Hospital	$0	$185.5M
Golden Path Adult Day Health Care Inc.	NJ	Adult Day Care Clinic/Center	$0	$17.7M
New Brunswick Board Of Education	NJ	Local Education Agency (LEA)	$0	$12.7M
Care We Love, LLC	NJ	Home Health Agency	$0	$11.2M
Damon House Inc.	NJ	Substance Abuse Rehabilitation Facility	$0	$9.8M
Southern Bank Emergency Physicians LLC	NJ	Emergency Medicine Physician	$0	$9.2M
New Brunswick Counseling Center	NJ	Substance Use Disorder Rehabilitation Clinic/Center	$174.7K	$9M
Rutgers Rwj Eric B. Chandler Health Center	NJ	Federally Qualified Health Center (FQHC)	$0	$7.3M

Diya Care Inc — Billing Profile & Reimbursement Data

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Diya Care 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