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    OpenPayerNPI Medicare & MedicaidAmericare Home Solutions
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    Americare Home Solutions — Billing Profile & Reimbursement Data

    NPI 1457799561 · Dover, DE · In Home Supportive Care Agency

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    Americare Home Solutions is a in home supportive care agency provider located in Dover, Delaware. This profile covers 0 Medicare and 2 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
    OrganizationAmericare Home Solutions
    Address32 W Loockerman St
    CityDover
    StateDE
    ZIP19904
    TaxonomyIn Home Supportive Care Agency
    NPI EnumeratedJune 11, 2013

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

    Payer SourceTotal Paid
    Medicaid$8.4M
    Medicare$0

    Key Findings

    AMERICARE HOME SOLUTIONS shows no Medicare billing on file and reports $8.4M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) operation in the available claims data. The absence of Medicare activity indicates the provider’s patient and revenue mix is concentrated in Medicaid-funded community/home services rather than dual Medicare/Medicaid lines.

    Revenue for this provider is extremely concentrated: the precomputed top-3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with S5130 alone representing the entire $8.4M. That level of concentration implies financial exposure to changes in reimbursement or program rules for a very narrow set of services.

    The provider’s taxonomy and billed codes point to a home- and community-based supportive-care model: S5130 (Homemaker service, per 15 minutes) and S5120 (Chore services, per 15 minutes) are time-based, non-clinical service codes, indicating operations focused on homemaking and chore assistance rather than clinical home health or skilled nursing services. This code mix suggests staffing, scheduling, and revenue depend on frequent, short-interval visits and time-based billing practices.

    S5130 is the clear revenue driver: 81.3K claims, $103 avg paid/claim, and $8.4M revenue, and it ranks #16 of 62 providers in-state (75th percentile; typical, unremarkable volume for this code). The rank and percentile indicate AMERICARE is a modest but not dominant in-state participant for homemaker services—volume is substantial in absolute terms but sits within the typical range versus peers.

    S5120 shows 462 claims but $0 avg paid/claim and $0 revenue and is noted as ranking #1 of 1 providers in-state with no state peer volume comparison available. That pattern is a data anomaly in revenue terms (zero-paid claims): it may reflect zero-dollar submissions, bundling with paid services, or non-reimbursed reporting rather than an independent revenue stream.

    With an NPI enumeration date of 2013-06-11 (~13 years ago), the provider has an established operating history in the Medicaid home-support space. Longevity combined with high claim counts for S5130 suggests operational continuity and experience delivering time-based homemaker services in the state.

    From a competitive and operational risk perspective, reliance on S5130 for 100.0% of Medicaid revenue and no Medicare presence concentrates market risk: reimbursement changes, program audits, or shifting Medicaid utilization patterns for homemaker services could materially affect revenues. The data points to potential strategic opportunities in payer diversification or service-line expansion, but any such inferences should be tested against additional operational and contracting data.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5130Homemaker service, nos; per 15 minutes81,260$100$8.4M
    S5120Chore services; per 15 minutes460$0$0

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5130Homemaker service, nos; per 15 minutes166018,620$130$8.6M
    S5120Chore services; per 15 minutes110460$0$0

    Nearby Providers

    Other providers in the same ZIP code as Americare Home Solutions, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.DEHome Health Agency$0$37.9M
    At Home Infucare, LLCDEHome Health Agency$0$28.5M
    Amazing Home Care AgencyDEHome Health Agency$0$18.7M
    Dedicated To Women Ob-gyn, P.A.DEObstetrics & Gynecology Physician$0$11.1M
    Help At Home Of Delaware, LLCDEIn Home Supportive Care Agency$0$10.7M
    A Center For Mental Wellness, Inc.DEMental Health Counselor$0$9.9M
    State Of DelawareDECase Management Agency$0$9.2M
    West Dover Dental, LLCDEDentist$0$9M
    Vicdania Health Services LLCDEHome Health Agency$0$7.4M
    Reliable Aid, IncDEPersonal Care Attendant$0$6.4M

    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 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Americare Home Solutions — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware