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

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

Help At Home Of Delaware, LLC (NPI 1336868686)

Field	Value
Entity Type	Organization
Organization	Help At Home Of Delaware, LLC
Address	32 West Loockerman Street
City	Dover
State	DE
ZIP	19904
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	August 22, 2022

Payer Source	Total Paid
Medicaid	$10.7M
Medicare	$0

Key Findings

HELP AT HOME OF DELAWARE, LLC is effectively a single-payer Medicaid operator: there is no Medicare billing on file and the provider reports $10.7M in lifetime Medicaid revenue, indicating its clinical and billing activity is concentrated in Medicaid-funded home care rather than Medicare programs. This payer concentration implies the organization’s financial performance and utilization patterns are driven entirely by state Medicaid policy and reimbursement.

Revenue concentration is extreme within Medicaid: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with S5125 alone accounting for 77.6% of Medicaid revenue and S5130 accounting for 22.4%. This indicates that nearly all of the provider’s Medicaid receipts are derived from a very narrow set of per-15-minute home care service lines.

The code mix and volumes (S5125 – Attendant care services; per 15 minutes and S5130 – Homemaker service, nos; per 15 minutes) reflect an operation focused on direct in-home personal care and household support delivered in short, billed time increments. High claim counts billed per 15-minute unit (S5125: 61.8K claims; S5130: 38.5K claims) suggest a visit-based model with many short-duration service units rather than long episodic stays or clinic-based care.

S5125 is the dominant revenue driver: 61.8K claims at an average paid amount of $134 per claim generated $8.3M (77.6% of Medicaid revenue). State-level ranking for S5125 (#4 of 23 providers; 86th percentile) positions the provider as a relatively strong in-state participant for attendant care, suggesting above-average scale among peers for this specific service line.

By contrast, S5130 (38.5K claims, $62 avg paid/claim, $2.4M revenue; 22.4% of Medicaid revenue) is a more modest contributor and ranks #26 of 62 providers in-state (59th percentile), indicating a middle-tier competitive position for homemaker services compared with Delaware peers. The lower average paid/claim ($62 vs $134 for S5125) underscores that attendant care is both higher-revenue per unit and the principal margin driver.

Although volumes are large in absolute terms, both top codes are described as "typical, unremarkable volume for this code" in the peer-comparison notes, so the provider’s patterns do not represent statistical outliers within the state; its mix and scale appear operationally consistent with standard in-home supportive care providers rather than anomalous billing behavior. This reduces concern that the billing footprint is unusually extreme relative to peers.

The provider’s NPI was enumerated on 2022-08-22 (~4 years ago), indicating relatively recent entry or re-enumeration in the Medicare/Medicaid system. Given the concentrated revenue mix and a short tenure window, analysts should consider monitoring growth trends and any changes in the S5125/S5130 split over time to assess whether the business is expanding service capacity or maintaining a stable footprint.

Operational and business implications: because nearly all Medicaid revenue is tied to time-based home care codes billed per 15 minutes, the organization’s financial health is sensitive to unit rates, visit durations, and state policy affecting per-unit reimbursement. The heavy reliance on S5125 in particular means that shifts in attendant care authorization, utilization management, or rate-setting would materially affect the provider’s revenue profile.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	61,770	$130	$8.3M
S5130	Homemaker service, nos; per 15 minutes	38,480	$60	$2.4M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Help At Home Of Delaware, LLC — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5130	Homemaker service, nos; per 15 minutes	26	60	18,620	$130	$8.6M
S5125	Attendant care services; per 15 minutes	4	20	8,330	$140	$4.3M

Nearby Providers

Other providers in the same ZIP code as Help At Home Of Delaware, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$37.9M
At Home Infucare, LLC	DE	Home Health Agency	$0	$28.5M
Amazing Home Care Agency	DE	Home Health Agency	$0	$18.7M
Dedicated To Women Ob-gyn, P.A.	DE	Obstetrics & Gynecology Physician	$0	$11.1M
A Center For Mental Wellness, Inc.	DE	Mental Health Counselor	$0	$9.9M
State Of Delaware	DE	Case Management Agency	$0	$9.2M
West Dover Dental, LLC	DE	Dentist	$0	$9M
Americare Home Solutions	DE	In Home Supportive Care Agency	$0	$8.4M
Vicdania Health Services LLC	DE	Home Health Agency	$0	$7.4M
Reliable Aid, Inc	DE	Personal Care Attendant	$0	$6.4M

Help At Home Of Delaware, LLC — Billing Profile & Reimbursement Data

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Help At Home Of Delaware, LLC — 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