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    OpenPayerNPI Medicare & MedicaidChristiana Care Home Health And Community Services…
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    Christiana Care Home Health And Community Services, Inc. — Billing Profile & Reimbursement Data

    NPI 1437152154 · Wilmington, DE · Home Health Agency

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    Christiana Care Home Health And Community Services, Inc. is a home health agency provider located in Wilmington, Delaware. This profile covers 0 Medicare and 9 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
    OrganizationChristiana Care Home Health And Community Services, Inc.
    Address4000 Nexus Dr
    CityWilmington
    StateDE
    ZIP19803
    TaxonomyHome Health Agency
    NPI EnumeratedMay 27, 2005

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

    Payer SourceTotal Paid
    Medicaid$44.1M
    Medicare$0

    Key Findings

    CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES operates primarily as a Medicaid-funded home health/home care agency: the top revenue-driving codes are S5130 (homemaker service) and in-home nursing codes S9124 (LPN) and S9123 (RN), indicating the business is focused on personal care and routine nursing visits rather than Medicare-certified episodic home health care. The presence of G0299 and G0151 shows the organization also bills for direct skilled nursing and physical therapy in the home, but these are secondary to the personal-care and nursing-hour lines.

    Revenue concentration is high: the precomputed top three codes S5130, S9124, and S9123 together account for 84.2% of this provider's Medicaid revenue. Individually these codes represent S5130 $17.9M (40.5% of total Medicaid revenue), S9124 $11.6M (26.2%), and S9123 $7.7M (17.5%), which collectively compose the bulk of the reported $44.1M in Medicaid revenue.

    This provider is effectively single-payer: there is no Medicare billing on file while Medicaid accounts for $44.1M in lifetime revenue, so payer exposure and contracting strategy should be evaluated primarily against Medicaid reimbursement policies and managed-Medicaid arrangements. The absence of Medicare activity suggests the organization does not participate in Medicare home health episodes or that such billing is not recorded.

    Competitive standing is strong in homemaker services: S5130 activity (372.5K claims, $48 avg paid/claim, $17.9M revenue) ranks #2 of 62 providers in-state and is in the 98th percentile, described as notably above typical state volume. This placement indicates a leading statewide position for personal-care/homemaker delivery and likely a meaningful market share in non-skilled home care.

    In-home nursing is a prominent service line with high relative volume but described as typical for the state: S9124 (57.2K claims, $202 avg paid/claim, $11.6M revenue) ranks #3 of 17 providers (88th percentile) and S9123 (32.1K claims, $241 avg paid/claim, $7.7M revenue) ranks #2 of 11 providers (90th percentile). These rankings show the provider is a sizable participant in both LPN- and RN-delivered in-home nursing services, but those volumes are characterized as typical/unremarkable relative to peers.

    Skilled nursing and therapy support are meaningful secondary lines: G0299 (81.7K claims, $51 avg paid/claim, $4.2M revenue) ranks #2 of 21 providers (95th percentile; notably above typical state volume) and G0151 (30.8K claims, $61 avg paid/claim, $1.9M revenue) ranks #2 of 13 providers (92th percentile; notably above typical state volume). Together these codes indicate the provider delivers integrated skilled nursing and PT services at above-typical statewide levels, reinforcing an ability to manage clinical as well as custodial needs.

    Service breadth beyond the top drivers is narrow in revenue share: codes such as G0300 ($553.9K, 1.3%), G0152 ($341.6K, 0.8%), G0153 ($6.9K, 0.0%), and G0156 ($6K, 0.0%) contribute only marginally to Medicaid revenue. This concentration suggests operational scale is concentrated in homemaker and routine nursing hours rather than a diversified portfolio of high-revenue therapy or aide services.

    The provider has long tenure in the market, with its NPI enumerated on 2005-05-27 (~21 years ago), and $44.1M in Medicaid lifetime revenue indicates a sizable, established local footprint. For payers and competitors, this combination of longevity, high Medicaid concentration, and top-state rankings in key home-care codes signals a stable incumbent in Delaware's Medicaid home- and community-based services market.

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5130Homemaker service, nos; per 15 minutes372,510$50$17.9M
    S9124Nursing care, in the home; by licensed practical nurse, per hour57,230$200$11.6M
    S9123Nursing 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)32,050$240$7.7M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes81,680$50$4.2M
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes30,770$60$1.9M
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes10,650$50$553.9K
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes6,570$50$341.6K
    G0153Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.330$20$6.9K
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes1,200$10$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.

    Full comparison — all codes billed, vs. Delaware median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9124Nursing care, in the home; by licensed practical nurse, per hour32027,840$320$10.4M
    S5130Homemaker service, nos; per 15 minutes26018,620$130$8.6M
    S9123Nursing 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)21027,770$340$6.9M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes2201,710$110$1.2M
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes10105,810$90$839.9K
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes210240$140$768.6K
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes2101,840$80$625K
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes2103,670$80$354.9K
    G0153Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.510730$90$170.4K

    Nearby Providers

    Other providers in the same ZIP code as Christiana Care Home Health And Community Services, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Nemours FoundationDEMulti-Specialty Clinic/Center$0$172M
    The Nemours FoundationDEChildren's Hospital$0$104M
    Jevs Human ServicesDEAdult Development & Aging Psychologist$0$84.4M
    Children's Dental Health Of Delaware - Wilmington, PADEPediatric Dentistry$0$8M
    Medexpress, Inc - DelawareDEFamily Medicine Physician$0$7.9M
    Radnon Home Care LLCDEIn Home Supportive Care Agency$0$6.5M
    Delaware Cardiovascular Associates, P.A.DECardiovascular Disease Physician$0$5.4M
    Concord Dental, LLCDEDental Clinic/Center$0$4.2M
    Christiana Care Health Services IncDEStudent Health Clinic/Center$0$3.9M
    Dental Management Strategies LLCDEDentist$0$2.9M

    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
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Christiana Care Home Health And Community Services, Inc. — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware