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    OpenPayerNPI Medicare & MedicaidPrn Staffers Inc
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    Prn Staffers Inc — Billing Profile & Reimbursement Data

    NPI 1417563107 · Milford, DE · Home Health Agency

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    Prn Staffers Inc is a home health agency provider located in Milford, Delaware. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPrn Staffers Inc
    Address28 N Walnut St
    CityMilford
    StateDE
    ZIP19963
    TaxonomyHome Health Agency
    NPI EnumeratedSeptember 18, 2020

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$7.6M
    Medicare$0

    Key Findings

    PRN STAFFERS INC shows an almost exclusively Medicaid-funded billing profile with Total Medicaid revenue of $7.6M and no Medicare billing on file; the Top 25 Medicare section lists "none below," confirming there is effectively no Medicare volume to analyze. The provider’s NPI was enumerated 2020-09-18 (~6 years ago), so this revenue base was established within roughly that operating window.

    Service mix is highly concentrated around homemaker and personal-care tasks: the single listed Medicaid code is S5130 (S5130 – Homemaker service, nos; per 15 minutes), which by description maps to in-home non-skilled support rather than skilled nursing. With 52K claims at a $147 avg paid/claim tied to S5130, the operation appears oriented to high-frequency, time-based homemaker visits rather than episodic skilled care.

    Revenue concentration is extreme at the code level: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and S5130 alone is reported as $7.6M (100.0% of this provider's total Medicaid revenue). This single-code dependency indicates the provider’s Medicaid revenue is highly sensitive to reimbursement changes, utilization controls, or coding policy shifts affecting S5130.

    Payer mix is effectively single-payer Medicaid: there is no Medicare revenue on file while Medicaid accounts for the reported $7.6M, so analyses of financial sustainability, risk, or market exposure should focus on Medicaid policy and rates rather than Medicare dynamics. Strategic or competitive moves that affect Medicaid homemaker service rates or authorization rules would disproportionately impact this provider.

    Competitive standing for S5130 in-state is modest rather than dominant: the provider ranks #21 of 62 providers in-state (67th percentile) for this code, a placement described as "typical, unremarkable volume for this code." That rank places PRN STAFFERS above the median but well short of the top tier, implying it is a steady regional participant rather than a market leader in homemaker service volume.

    Operational intensity is evident from claim-level metrics: 52K claims with a $147 avg paid/claim for S5130 implies sustained, high-frequency service delivery consistent with per-15-minute billing patterns. This combination of claim count and per-claim payment suggests either a large active client panel receiving recurring visits or a scheduling model that generates many short-duration encounters.

    Tenure and scale together suggest relatively rapid scaling within Medicaid homemaker services: enumerated on 2020-09-18 (~6 years ago) but reporting $7.6M in Medicaid revenue indicates the provider built meaningful Medicaid volume in a limited window. That history, combined with the single-code concentration, signals that growth or contraction will likely track changes in S5130 demand or reimbursement rather than a diversified suite of Medicaid service lines.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5130Homemaker service, nos; per 15 minutes52,010$150$7.6M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Delaware median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5130Homemaker service, nos; per 15 minutes216018,620$130$8.6M

    Nearby Providers

    Other providers in the same ZIP code as Prn Staffers Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayhealth Medical Center, Inc.DEGeneral Acute Care Hospital$0$39.5M
    Banyan Delaware LLCDESubstance Abuse Rehabilitation Facility$0$30.9M
    Bayada Home Health Care, Inc.DEHome Health Agency$0$28.5M
    Epic Health Services (de), LLCDEHome Health Agency$0$19.3M
    Delaware Pediatric DentistryDEPediatric Dentistry$0$18.1M
    Kent-sussex IndustriesDEDevelopmentally Disabled Services Day Training Agency$0$11.7M
    Nurses 'n Kids Of Milford, Inc.DEMedically Fragile Infants and Children Day Care$0$9.5M
    People's Place Ii, Inc.DEMental Health Clinic/Center (Including Community Mental Health Center)$0$4.9M
    Bayhealth Medical Center, Inc.DEClinic/Center$0$3.7M
    La Red Health Center, Inc.DEFederally Qualified Health Center (FQHC)$0$2.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Delaware Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Prn Staffers Inc — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware