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 1316973787)

Field	Value
Entity Type	Organization
Organization	Bayada Home Health Care, Inc.
Address	1985 Tate Blvd Se
City	Hickory
State	NC
ZIP	28602
Taxonomy	Home Health Agency
NPI Enumerated	June 25, 2006

Payer Source	Total Paid
Medicaid	$40.4M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports total Medicaid revenue of $40.4M, making its operations effectively single‑payer and heavily Medicaid-dependent. Analysts should treat Medicaid program changes as the primary driver of revenue and utilization for this entity rather than Medicare policy shifts.

Top 3 Medicaid codes by revenue account for 98.3% of this provider's total Medicaid revenue, indicating extreme revenue concentration in a very small set of services. Such concentration means overall financial performance and utilization patterns are dominated by those specific codes and could be sensitive to coverage, rate, or utilization changes affecting them.

The code mix is dominated by home-based personal and private-duty nursing services: T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes), S5125 (Attendant care services; per 15 minutes), and T1005 (Respite care services, up to 15 minutes). This pattern points to an operational model focused on frequent, short-interval in-home nursing and attendant care rather than episodic skilled home health visits.

T1000 drives the business at scale with $36.7M in revenue (90.8% of this provider's total Medicaid revenue) and a state rank of #3 of 72 providers (97th percentile); the provider is notably above typical state volume for this code. That ranking positions the organization as a major statewide provider for private-duty/independent nursing services.

S5125 and T1005 are meaningful but much smaller contributors: S5125 generated 31.4K claims and $2.5M revenue (6.1% of total) and ranks #125 of 399 providers in-state (69th percentile; typical, unremarkable volume), while T1005 produced 2.5K claims and $578.9K revenue (1.4% of total) and ranks #14 of 33 providers in-state (59th percentile; typical, unremarkable volume). These placements suggest normal competitive positions for attendant care and respite within the state market, without the dominance seen for T1000.

A set of ancillary codes and supply billing appear as low-revenue items that supplement the core services: 99509 (9.5K claims, $438.6K revenue, 1.1% of total; ranks #989 of 1450 providers in-state, 32th percentile; typical, unremarkable volume), A4927 (4.6K claims, $137.9K revenue, 0.3% of total; ranks #35 of 153 providers in-state, 78th percentile; typical, unremarkable volume), T1019 (1.7K claims, $93.4K revenue, 0.2% of total; ranks #45 of 84 providers in-state, 47th percentile; typical, unremarkable volume), and A4928 (45 claims, $0 revenue, 0.0% of total; ranks #15 of 20 providers in-state, 26th percentile; typical, unremarkable volume). These figures indicate supply and ADL visit activity consistent with a home health/home care operator but represent only a small share of Medicaid revenue.

The provider’s NPI was enumerated 2006-06-25 (~20 years ago), reflecting long tenure in the market and likely established operational relationships with state Medicaid programs and clients. Combined with the extreme concentration in T1000, the long-standing presence suggests operational specialization in private-duty nursing but also highlights vulnerability if reimbursement or utilization rules for that primary service change.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	90,330	$410	$36.7M
S5125	Attendant care services; per 15 minutes	31,410	$80	$2.5M
T1005	Respite care services, up to 15 minutes	2,520	$230	$578.9K
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.	9,530	$50	$438.6K
A4927	Gloves, non-sterile, per 100	4,600	$30	$137.9K
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…	1,730	$50	$93.4K
A4928	Surgical mask, per 20	50	$0	$0

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. — 1 of 6 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

7 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	3	70	35,680	$400	$16M
S5125	Attendant care services; per 15 minutes	125	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.	989	1,450	23,320	$50	$2.3M
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…	45	80	2,380	$160	$1.8M
T1005	Respite care services, up to 15 minutes	14	30	1,190	$230	$849.2K
A4927	Gloves, non-sterile, per 100	35	150	1,490	$30	$389.7K
A4928	Surgical mask, per 20	15	20	180	$130	$136K

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
Bayada Home Health Care, Inc.	NC	Community/Behavioral Health Agency	$0	$28.1M
Christopher H. Brown, Bs Dent, Dds,pa	NC	Oral and Maxillofacial Surgery (Dentist)	$0	$21.8M
Catawba Pediatric Associates, P.A.	NC	Pediatrics Physician	$0	$20.2M
Catawba Valley Medical Center	NC	General Acute Care Hospital	$0	$17.3M
Pediatric Therapy Network	NC	Pediatric Physical Therapist	$0	$12.2M
Urgent Care Of Mountain View PLLC	NC	Urgent Care Clinic/Center	$0	$11.5M
Childrens Neurotherapy Services	NC	Pediatric Occupational Therapist	$0	$9.8M
Creative Change Counseling	NC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
Rafael Rivera, Jr, Dds, PLLC	NC	Dentist	$0	$8.8M
Mcleod Centers For Wellbeing	NC	Community/Behavioral Health Agency	$65.3K	$7.4M

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

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Bayada Home Health 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

Related Providers

Nearby Providers

Frequently Asked Questions

References