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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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 Health Care, Inc. (NPI 1295766111)

Field	Value
Entity Type	Organization
Organization	Bayada Home Health Care, Inc.
Address	8801 J M Keynes Dr Ste 305&330a
City	Charlotte
State	NC
ZIP	28262
Taxonomy	Home Health Agency
NPI Enumerated	July 6, 2006

Payer Source	Total Paid
Medicaid	$40.8M
Medicare	$0

Key Findings

This entity is effectively a single-payer Medicaid operator: there is no Medicare billing on file and all recorded lifetime revenue is Medicaid at $40.8M, making Medicaid the sole measurable public-payer revenue stream for this NPI. The absence of Medicare billing suggests operations and contracting are focused on state Medicaid programs rather than dual-eligible Medicare/Medicaid models.

Revenue is highly concentrated in a very small set of service codes: the top three Medicaid codes together account for 99.0% of the provider's Medicaid revenue, with T1000 alone generating $32M (78.3% of Medicaid revenue). This concentration indicates that the provider’s financial performance is driven almost entirely by a narrow set of home-care service lines.

The code mix (T1000, S5125, 99509) signals a business model built around private-duty and attendant home-care services rather than episodic skilled Medicare home health. Specifically, T1000 (Private duty/independent nursing service(s) - licensed, up to 15 minutes) shows 77.9K claims at $411 avg paid/claim and S5125 (Attendant care services; per 15 minutes) shows 57.6K claims at $106 avg paid/claim, while 99509 (home visits to assist with ADLs/self-care) shows 50K claims at $47 avg paid/claim — together these volumes and payment rates reflect recurring, minute-based personal care and licensed nursing visits.

Competitive standing on the dominant revenue driver is strong but described as within the typical range for this service: T1000 ranks #8 of 72 providers in-state (90th percentile; typical, unremarkable volume for this code), indicating the provider is among the larger state billers for licensed private-duty nursing even as the underlying characterization labels the volume as typical within that code group. That combination suggests established scale in licensed private-duty nursing relative to peers but not an exceptional statistical outlier beyond expected patterns.

For attendant care and ADL visit codes the provider is a solid but not singular statewide competitor: S5125 ranks #56 of 399 providers in-state (86th percentile; typical, unremarkable volume for this code) and 99509 ranks #443 of 1450 providers in-state (69th percentile; typical, unremarkable volume for this code). These placements indicate credible volume across personal care and ADL-support services without indicating market dominance across the broader set of in-state providers.

Ancillary supply and low-volume service lines exist but are immaterial to overall revenue. Examples include T4523 ($134.8K, 0.3% of Medicaid revenue), T4527 ($126.7K, 0.3%), A4554 ($60.2K, 0.1%), and A4927 ($47K, 0.1%); these items and small counts (e.g., 991 and 880 claims for T4523/T4527) show the provider bills for consumable supplies but they do not contribute meaningfully to total Medicaid revenue.

There are a few low-volume service entries that sit near the bottom of state reporting, which underscores the narrow operational focus: S5150 (Unskilled respite care) has 122 claims and $14.3K revenue, ranking #163 of 168 providers in-state (3th percentile; typical, unremarkable volume for this code). Such low-ranked services are present but do not materially affect the provider’s financial profile.

The NPI tenure indicates an established presence in the market: the provider NPI was enumerated on 2006-07-06 (~20 years ago), consistent with a long-running home health/home-care operation that has built concentration in private-duty nursing and attendant services over time. This longevity supports the interpretation that the current code mix represents a deliberate, sustained service focus rather than a very recent strategic shift.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	77,860	$410	$32M
S5125	Attendant care services; per 15 minutes	57,570	$110	$6.1M
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.	50,040	$50	$2.4M
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	990	$140	$134.8K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	880	$140	$126.7K
A4554	Disposable underpads, all sizes	1,090	$60	$60.2K
A4927	Gloves, non-sterile, per 100	1,420	$30	$47K
S5150	Unskilled respite care, not hospice; per 15 minutes	120	$120	$14.3K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	80	$130	$10.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Bayada Home Health Care, Inc. — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	8	70	35,680	$400	$16M
S5125	Attendant care services; per 15 minutes	56	400	15,030	$100	$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.	443	1,450	23,320	$50	$2.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	163	170	4,310	$80	$958.4K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	57	130	610	$110	$637.1K
A4554	Disposable underpads, all sizes	110	200	1,300	$40	$493.2K
A4927	Gloves, non-sterile, per 100	78	150	1,490	$30	$389.7K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	16	50	280	$100	$224.8K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	5	10	100	$30	$41.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	NJ	Home Health Agency	$0	$269.7M
Bayada Home Health Care, Inc.	NJ	Home Health Agency	$0	$122.6M
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$92M
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$85.2M
Bayada Home Health Care, Inc.	RI	Home Health Agency	$0	$69.5M
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$61.2M
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$56.8M
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$51.7M
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$47.6M
Bayada Home Health Care, Inc.	MO	Home Health Agency	$0	$41.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acumen Of North Carolina, LLC	NC	In Home Supportive Care Agency	$0	$134.4M
Care Well Of Charlotte Inc	NC	In Home Supportive Care Agency	$0	$74.4M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$42.8M
Bayada Home Health Care, Inc.	NC	Community/Behavioral Health Agency	$0	$38.2M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$37.5M
Valleygate Dental Surgery Center Of Charlotte LLC	NC	Ambulatory Surgical Clinic/Center	$0	$26.3M
Infinium Health Services LLC	NC	Nursing Care Agency	$0	$18.3M
Continuum Care Services, Inc.	NC	Community/Behavioral Health Agency	$0	$16.1M
Novant Health Medical Group, LLC	NC	Internal Medicine Physician	$0	$15.3M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Case Management Agency	$0	$15.1M

Bayada Home Health Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Bayada Home Health Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Bayada Home Health Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Bayada Home Health Care, Inc. — Billing Profile & Reimbursement Data policy alerts

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