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.

Bayada Home Health Care, Inc. (NPI 1447281043)

Field	Value
Entity Type	Organization
Organization	Bayada Home Health Care, Inc.
Address	15 Reads Way
City	New Castle
State	DE
ZIP	19720
Taxonomy	Home Health Agency
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$61.2M
Medicare	$0

Key Findings

BAYADA HOME HEALTH CARE, INC. in NEW CASTLE, DE is effectively a single-payer Medicaid operator: there is no Medicare billing on file while total Medicaid revenue on record is $61.2M, indicating the business’ operations and reimbursement footprint are concentrated entirely in the Medicaid program. This makes Medicaid payment policy and state-managed care arrangements the primary revenue drivers for this entity rather than Medicare payment channels.

Revenue is highly concentrated in a small set of home-based nursing services: the top 3 Medicaid codes by revenue account for 93.7% of this provider’s total Medicaid revenue, with S9124 (LPN home nursing), S9123 (RN home nursing), and S5130 (homemaker service) comprising the vast majority of receipts. This concentration implies the agency’s operations focus on hands-on in-home nursing and personal care rather than broader ambulatory or institutional services.

S9124 and S9123 are the dominant service lines by dollar volume. S9124 generated $33.6M (54.9% of Medicaid revenue) and S9123 generated $21.2M (34.6% of Medicaid revenue), reflecting a business model centered on hourly home nursing care by licensed practical nurses and registered nurses. Together these two nursing codes alone make up the bulk of clinical labor revenue for the provider and suggest staffing, scheduling, and Medicaid hour-based reimbursement are core operational priorities.

Competitive standing within Delaware for these nursing codes is strong but different by code: for S9123 the provider ranks #1 of 11 in-state and is at the 100th percentile, indicating it is the leading in-state biller for RN home nursing; for S9124 it ranks #2 of 17 and sits at the 94th percentile, which positions it as a very large but not unique participant in LPN home nursing. These ranks imply market leadership in RN home nursing and top-tier scale in LPN nursing within the state.

Some therapy and ancillary home services are present but materially smaller contributors: G0151 (home physical therapy) accounted for $1.8M (2.9% of Medicaid revenue) and G0152 (home occupational therapy) accounted for $1.3M (2.1% of Medicaid revenue), with G0152 ranked #1 of 6 in-state (100th percentile) and G0151 ranked #3 of 13 (83rd percentile). This mix shows the agency offers skilled therapy in addition to nursing, with occupational therapy billing notably above typical state volume even though these codes are a modest share of total revenue.

The provider reports sizable volume on homemaker and personal support services as well: S5130 produced $2.6M (4.2% of Medicaid revenue) from 21.9K claims and ranks in the middle of the statewide distribution (#30 of 62, 52nd percentile), indicating a broad base of non-skilled personal care hours that complement the higher-revenue nursing lines rather than leading the business. This pattern is consistent with an agency that pairs clinical nursing services with non-clinical home help for Medicaid beneficiaries.

Several codes show explicit statistical characterizations that highlight relative overperformance: G0152 and G0153 (home occupational and speech therapy) are each noted as 100th percentile and described as notably above typical state volume, signaling that for these therapy specialties the provider is a high outlier in Delaware even though those codes are not the largest revenue contributors. These outlier labels suggest a competitive advantage or focused capability in certain therapy services relative to peers.

The organization has long tenure on file, with NPI enumeration dated 2006-07-05 (approximately 20 years ago), which supports continuity of operations and institutional experience in the Delaware Medicaid market. Combined with the revenue and rank data, the long enumeration date reinforces the profile of an established home health agency with sustained Medicaid-facing service lines.

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	69,770	$480	$33.6M
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)	42,110	$500	$21.2M
S5130	Homemaker service, nos; per 15 minutes	21,910	$120	$2.6M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	12,700	$140	$1.8M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	9,670	$130	$1.3M
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	5,580	$130	$719.7K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	1,040	$100	$106.4K
T1027	Family training and counseling for child development, per 15 minutes	500	$10	$5.5K

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

Bayada Home Health Care, Inc. — 3 of 8 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

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	2	20	27,840	$320	$10.4M
S5130	Homemaker service, nos; per 15 minutes	30	60	18,620	$130	$8.6M
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)	1	10	27,770	$340	$6.9M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	12	20	1,710	$110	$1.2M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	3	10	1,840	$80	$625K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	1	10	3,670	$80	$354.9K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	1	10	730	$90	$170.4K
T1027	Family training and counseling for child development, per 15 minutes	2	10	200	$1	$1.8K

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	$56.8M
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$51.7M
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
Easter Seals Delaware & Marylands Eastern Shore, Inc	DE	Intellectual & Developmental Disabilities Psychologist	$0	$315.9M
Conexio Care, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.8M
Nurses 'n Kids, Inc.	DE	Medically Fragile Infants and Children Day Care	$0	$14.3M
Delaware Diagnostic Labs, LLC	DE	Clinical Medical Laboratory	$3.1M	$8.5M
Point Of Hope Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$10M
Anesthesia Services PA	DE	Anesthesiology Physician	$0	$6.3M
Collaborative Effort To Reinforce Transition Success, Inc	DE	Intellectual & Developmental Disabilities Psychologist	$0	$4M
Abundant Life Community Development Corporation	DE	Intellectual & Developmental Disabilities Psychologist	$0	$2M
State Of Delaware	DE	Local Education Agency (LEA)	$0	$2M
Family Care Associates, Inc	DE	Family Medicine Physician	$0	$1.6M

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