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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Joy Home Care Inc. (NPI 1427531359)

Field	Value
Entity Type	Organization
Organization	Joy Home Care Inc.
Address	1515 Elmwood Ave
City	Providence
State	RI
ZIP	02910
Taxonomy	Home Health Agency
NPI Enumerated	September 6, 2018

Payer Source	Total Paid
Medicaid	$75.4M
Medicare	$0

Key Findings

JOY HOME CARE INC. is effectively a single-payer Medicaid provider with no Medicare billing on file; lifetime Medicare revenue is listed as none while total Medicaid revenue is $75.4M, indicating the organization's operations and reimbursement reliance are concentrated in the Medicaid program.

Revenue concentration is extremely high: the top 3 Medicaid codes account for 99.4% of the provider's total Medicaid revenue, signaling that a very small set of services drives nearly all of the reported reimbursement.

The dominant revenue driver is S5125 (Attendant care services; per 15 minutes), which generated $70.5M and represents 93.4% of the provider's Medicaid revenue. JOY HOME CARE ranks #3 of 83 providers in-state for S5125 and is described as an extreme outlier, confirming the provider is far above typical state volume for this service.

Secondary service lines are much smaller: S5130 (Homemaker service, nos; per 15 minutes) produced $2.3M (3.0% of Medicaid revenue) and ranks #11 of 34 in-state, a typical volume position, while S9122 (Home health aide or certified nurse assistant; per hour) produced $2.2M (2.9% of Medicaid revenue) and ranks #3 of 13 in-state, a typical but notable participating role.

The code mix indicates a business model focused on hands-on, personal care services delivered in the home—primarily attendant care by interval and supported by homemaker services and home health aide hours—suggesting operations emphasize direct care staffing and high utilization of time-based attendant services.

Competitive standing varies by code: for S5125 the provider is a statewide market leader in volume (98th percentile) and an extreme outlier vs. peers, while for S5130 and S9122 it occupies more typical, mid-to-high percentile positions (70th and 83th percentiles respectively), indicating dominance in one service with more standard participation in adjacent service lines.

Tenure: the provider's NPI enumerated on 2018-09-06 (~8 years ago), indicating several years of established Medicaid operations and enough history to develop the concentrated service footprint reflected in the claims.

The distribution of revenue across codes suggests limited service diversification within Medicaid; with S5125 alone accounting for $70.5M of $75.4M total, business risk and reimbursement exposure are heavily tied to policy, rate, and utilization changes affecting that single attendant-care code.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	489,290	$140	$70.5M
S5130	Homemaker service, nos; per 15 minutes	26,220	$90	$2.3M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	13,650	$160	$2.2M
T1001	Nursing assessment / evaluation	4,360	$110	$475.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

Joy Home Care Inc. — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	3	80	13,620	$120	$7.8M
S5130	Homemaker service, nos; per 15 minutes	11	30	10,010	$100	$1.9M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	3	10	2,650	$130	$1M
T1001	Nursing assessment / evaluation	5	40	460	$100	$164.4K

Nearby Providers

Other providers in the same ZIP code as Joy Home Care Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope Nursing Home Care, LLC	RI	Home Health Agency	$0	$70.6M
Codac Inc	RI	Substance Use Disorder Rehabilitation Clinic/Center	$0	$54.3M
Spurwink Ri	RI	Developmentally Disabled Services Day Training Agency	$0	$39.1M
Alee Behavioral Healthcare	RI	Behavior Analyst	$0	$22M
Homecare Advantage Inc.	RI	Nursing Care Agency	$0	$12.9M
Ocean State Dental Group Inc	RI	Dentist	$0	$7.9M
Home Care Networks, LLC	RI	Home Health Aide	$0	$5.7M
Park Avenue Senior Care, Inc	RI	Adult Day Care Clinic/Center	$0	$3M
Cranston Public Schools	RI	Local Education Agency (LEA)	$0	$2.7M
City Of Cranston	RI	Land Ambulance	$573.8K	$1.8M

Joy Home Care Inc. — Billing Profile & Reimbursement Data

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Joy Home 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

Nearby Providers

Frequently Asked Questions

References