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.

1st State Accessibility, LLC (NPI 1356721658)

Field	Value
Entity Type	Organization
Organization	1st State Accessibility, LLC
Address	105 Brookside Dr
City	Wilmington
State	DE
ZIP	19804
Taxonomy	Customized Equipment (DME)
NPI Enumerated	June 2, 2015

Payer Source	Total Paid
Medicaid	$8.2M
Medicare	$0

Key Findings

1ST STATE ACCESSIBILITY, LLC is a Customized Equipment (DME) provider in WILMINGTON, DE with an NPI enumerated on 2015-06-02 (~11 years ago), indicating roughly a decade of presence in the marketplace. Its specialty taxonomy and tenure are consistent with an established DME/vendor focused on durable home- and safety-related equipment rather than a new market entrant.

This provider has no Medicare billing on file and reports $8.2M in lifetime Medicaid revenue, making its financial footprint effectively single-payer (Medicaid) in the available claims data. Analysts should treat Medicaid as the primary and sole payer exposure for comparative and risk analyses.

Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, with S5165 alone generating $8M (97.9% of Medicaid revenue) and S5161 contributing $171.6K (2.1% of Medicaid revenue). These figures show the business derives almost all of its Medicaid income from a very narrow set of service lines.

The top-revenue codes indicate the provider’s operational model: S5165 (Home modifications; per service) dominates billing with 2.8K claims and a high average paid/claim of $2845, suggesting episodic, capital- or labor-intensive installations or retrofits. S5161 (Emergency response system; service fee, per month) accounts for 6.6K claims at a low $26 avg paid/claim, consistent with recurring monthly service fees rather than high-cost one-time equipment sales.

Competitive standing within the state is mixed: S5165 ranks #1 of 3 providers in-state and sits at the 100th percentile for that code, yet the activity is described as a "typical, unremarkable volume for this code," meaning the provider is the leading in-state supplier for home modifications but not necessarily operating at an unusually high utilization level compared with peer norms. For S5161 the provider ranks #3 of 6 (60th percentile), indicating a modest, middle-tier position for emergency response system monthly services.

The $8M in S5165 revenue versus $8.2M total Medicaid revenue underscores material concentration risk: changes in coverage policy, reimbursement rates, or program-level utilization for home modification services would likely have an outsized impact on the provider’s revenue base. Payers evaluating contracting, rate setting, or utilization management should treat S5165 as the primary leverage point.

Utilization patterns between the two major codes are distinct and operationally meaningful: the high per-claim payment and lower claim count for S5165 point to one-time or project-based home modification work, while the low per-claim payment and higher claim count for S5161 reflect recurring monthly service revenues. These differences suggest separate back-office processes and cost structures for installation projects versus ongoing monitoring services, which is relevant for contract design and audit focus.

Given its decade-long enumeration and concentrated Medicaid footprint, this provider may be a stable, niche supplier of home modification services in-state. Payers and network managers should consider targeted contract terms and monitoring for high-value per-service codes (like S5165) and evaluate the potential to consolidate or diversify sources for those services based on statewide capacity and the provider’s top-in-state ranking.

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
S5165	Home modifications; per service	2,810	$2,850	$8M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	6,600	$30	$171.6K

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

1st State Accessibility, LLC — 1 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
S5165	Home modifications; per service	1	10	290	$2,880	$3M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	3	10	5,850	$20	$278.9K

Nearby Providers

Other providers in the same ZIP code as 1st State Accessibility, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gunning Partners, LLC	DE	In Home Supportive Care Agency	$0	$5.7M
Avalon Dental LLC	DE	General Practice Dentistry	$0	$5.5M
Emerald Dental	DE	General Practice Dentistry	$0	$1.8M
Delaware Behavioral Health, Inc.	DE	Child & Family Psychiatric/Mental Health Clinical Nurse Specialist	$0	$1.2M
Andina Dental Studio Inc	DE	Dental Clinic/Center	$0	$727K
Rosemary K And Timothy J Clay Dmd	DE	Pediatric Dentistry	$0	$372.5K
Dental Diamond LLC	DE	Dental Clinic/Center	$0	$328.3K
State Of Delaware	DE	Local Education Agency (LEA)	$0	$236.1K
Murtaza Bhatti	DE	Internal Medicine Physician	$233.7K	$790
Five Points Fire Company No 1	DE	Land Ambulance	$70.2K	$133.6K

1st State Accessibility, LLC — Billing Profile & Reimbursement Data

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1st State Accessibility, 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