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

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 1366736589)

Field	Value
Entity Type	Organization
Organization	Bayada Home Health Care, Inc.
Address	2123 E College Ave
City	State College
State	PA
ZIP	16801
Taxonomy	Home Health Agency
NPI Enumerated	June 6, 2011

Payer Source	Total Paid
Medicaid	$51.7M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operator: there is no Medicare billing on file and its lifetime Medicaid revenue is $51.7M, indicating single-payer dependence on Medicaid for its reported public-pay business. Analysts should treat Medicaid reimbursement and state contracting as the primary commercial levers for this entity.

Revenue is highly concentrated in a small set of services: the top three Medicaid codes account for 82.5% of total Medicaid revenue, led by S9124 at 48.7% ($25.1M), followed by T1003 at 26.4% ($13.6M) and S9122 at 7.5% ($3.9M). This concentration means changes to reimbursement or utilization for these specific codes will disproportionately affect overall revenue.

The code mix points to an LPN-driven, labor-intensive home health model: S9124 (nursing care by licensed practical nurse, per hour) and T1003 (Lpn/lvn services, up to 15 minutes) together represent the majority of billed dollars, while RN-coded services are much smaller (S9123 $1.9M, 3.7%). This suggests operations are oriented toward routine in-home nursing and personal care rather than a predominance of higher-skilled RN interventions.

Claim volumes reinforce a high-frequency, hands-on service profile: S9124 has 39.2K claims and T1003 has 20.2K claims, indicating large volumes of hourly and short-interval LPN care encounters. Those claim counts imply staffing and scheduling intensity are core operational considerations and primary cost drivers.

The provider is a major in-state player for the top LPN hourly service: S9124 ranks #5 of 92 providers in-state and sits in the 96th percentile, characterized as notably above typical state volume for this code. By contrast, T1003 ranks #12 of 97 (89th percentile) but is described as typical/unremarkable for the code, so the provider is upper-quartile on multiple LPN measures but only distinctly dominant for S9124.

There is a meaningful personal-care and aide component to the business beyond nursing hours: T1019 ($2.8M, 5.5%) and G0156 ($2.8M, 5.4%) together represent non-trivial shares of revenue, and S9122 (home health aide/CNA, $3.9M, 7.5%) further confirms integrated aide and personal care services alongside LPN nursing. This mix indicates bundled, custodial-plus-nursing service lines rather than exclusively skilled nursing.

The provider has an established operating history: its NPI was enumerated 2011-06-06 (~15 years ago), consistent with sustained Medicaid billing at scale and suggesting operational stability and experience with state program requirements. This tenure supports existing network relationships and claims-processing experience.

Concentration risk and strategic opportunity coexist: with 82.5% of Medicaid revenue tied to three codes, the provider is exposed to reimbursement, policy, or utilization shifts for those specific services, but the same concentration also identifies clear levers for growth or negotiation (e.g., expanding RN services where S9123 is comparatively small at $1.9M and a 35th-percentile rank). Analysts should monitor state rate updates and case-mix trends for these dominant codes.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	39,170	$640	$25.1M
T1003	Lpn/lvn services, up to 15 minutes	20,220	$680	$13.6M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	15,910	$240	$3.9M
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…	12,970	$220	$2.8M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	12,120	$230	$2.8M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	2,650	$730	$1.9M
T1002	Rn services, up to 15 minutes	2,600	$520	$1.4M
S5116	Home care training, non-family; per session	370	$300	$111K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Bayada Home Health Care, Inc. — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	5	90	12,800	$580	$9.1M
T1003	Lpn/lvn services, up to 15 minutes	12	100	7,910	$530	$5.3M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	48	70	4,620	$530	$4M
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…	23	90	8,060	$110	$3.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	28	90	7,780	$210	$3.1M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	15	80	5,780	$220	$2.2M
T1002	Rn services, up to 15 minutes	37	90	1,850	$400	$1.5M
S5116	Home care training, non-family; per session	4	20	80	$240	$48.9K

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	$47.6M
Bayada Home Health Care, Inc.	MO	Home Health Agency	$0	$41.2M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$40.8M

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
Andventure, LLC	PA	Home Health Agency	$0	$31.9M
Skills Of Central Pennsylvania, Inc	PA	Intellectual Disabilities Intermediate Care Facility	$0	$7.1M
Centre County Mh-id-ei/d&a	PA	Case Management Agency	$0	$7.1M
Centre Lifelink Emergency Medical Services Inc	PA	Ambulance	$418.9K	$690.6K
Nilesh Patel	PA	Hematology & Oncology Physician	$809.2K	$0
Lynn Thompson - Gregory	PA	Nurse Practitioner	$661K	$0
Parag Parekh	PA	Ophthalmology Physician	$468.2K	$6K
Uoc Surgical Services, Ltd.	PA	Ambulatory Surgical Clinic/Center	$431.1K	$0
Gregory Bailey	PA	Orthopaedic Surgery of the Spine Physician	$383.9K	$1.2K
Thomas Ellis	PA	Sports Medicine (Orthopaedic Surgery) Physician	$336.2K	$400

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