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.

Epic Health Services (de), LLC (NPI 1487834768)

Field	Value
Entity Type	Organization
Organization	Epic Health Services (de), LLC
Address	56 W Main St Ste 211
City	Christiana
State	DE
ZIP	19702
Taxonomy	Home Health Agency
NPI Enumerated	November 5, 2007

Payer Source	Total Paid
Medicaid	$33.7M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $33.7M in Medicaid revenue, making its operating footprint effectively single‑payer and heavily dependent on Medicaid reimbursement streams. Analysts should treat Medicaid performance as the primary indicator of scale and risk for this entity rather than dual‑payer comparisons.

Revenue is highly concentrated in a narrow set of Medicaid codes: the precomputed top three codes account for 98.5% of the provider's Medicaid revenue. The three codes driving that concentration are S9124 ($22.5M, 66.8%), S9123 ($5.5M, 16.4%), and S5130 ($5.1M, 15.3%), indicating reliance on a small number of service lines for nearly all Medicaid dollars.

Service-line mix strongly reflects an in-home nursing and personal‑care model: S9124 (Nursing care in the home by licensed practical nurse) is the dominant revenue source, with S9123 (registered nurse skilled visits) and S5130 (homemaker services) providing most of the remainder. This code mix suggests the agency operates as a high-volume home health/home care provider focused on LPN-delivered care and homemaker supports rather than therapy- or procedure-driven home health models.

Competitive standing by code shows a mix of dominance and typical participation. The provider ranks #1 of 17 in-state for S9124 at the 100th percentile and is described as notably above typical state volume for this code, indicating a leading position in LPN home nursing; by contrast it ranks #5 of 11 for S9123 (60th percentile) and #8 of 62 for S5130 (89th percentile), which are characterized as more typical, unremarkable volumes within the state.

Claim volume and average paid per claim underscore operational intensity in direct care hours: S9124 has 116K claims at $194 avg paid/claim, S5130 has 111.8K claims at $46 avg paid/claim, and S9123 has 27.9K claims at $198 avg paid/claim. These claim counts imply substantial recurring, hourly service delivery (nursing and homemaker time) rather than episodic or high-unit-value procedures.

Ancillary home health codes (G0156, G0151, G0153) represent only a small share of revenue but show mixed competitive placement; G0156 accounts for $425.9K (1.3% of revenue) and ranks #2 of 14 (92th percentile), while G0151 ($53.4K, 0.2%) ranks #7 of 13 (50th percentile) and G0153 ($32.8K, 0.1%) ranks #2 of 5 (75th percentile). This distribution indicates limited reliance on home health aides and therapy services for revenue relative to the dominant nursing and homemaker codes, though aides and therapy are present as complementary offerings.

The provider's NPI was enumerated on 2007-11-05 (~19 years ago), indicating long-standing enrollment in Medicare/Medicaid systems. Combined with the concentrated Medicaid revenue profile and dominant in-state position on S9124, this tenure suggests a stable, established Medicaid-focused operator whose competitive strength is concentrated in LPN-delivered home nursing services rather than diversified payer or service‑line exposure.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	116,030	$190	$22.5M
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)	27,870	$200	$5.5M
S5130	Homemaker service, nos; per 15 minutes	111,840	$50	$5.1M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	19,360	$20	$425.9K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	1,840	$30	$53.4K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	1,820	$20	$32.8K
T1027	Family training and counseling for child development, per 15 minutes	130	$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.

Claims Volume vs. Delaware Distribution

Epic Health Services (de), LLC — 1 of 6 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

7 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	1	20	27,840	$320	$10.4M
S5130	Homemaker service, nos; per 15 minutes	8	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)	5	10	27,770	$340	$6.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	2	10	5,810	$90	$839.9K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	7	10	1,840	$80	$625K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	2	10	730	$90	$170.4K
T1027	Family training and counseling for child development, per 15 minutes	4	10	200	$1	$1.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Epic Health Services (de), LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services (de), LLC	DE	Home Health Agency	$0	$19.3M

Nearby Providers

Other providers in the same ZIP code as Epic Health Services (de), LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mosaic	DE	Mental Illness Community Based Residential Treatment Facility	$0	$118.5M
Community Systems, Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$96.7M
Resources For Human Development Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$86M
Jay J Harris Dmd PC	DE	Dentist	$0	$16.7M
Elite Home Health Care Inc	DE	In Home Supportive Care Agency	$0	$14.8M
Accredo Health Group Inc	DE	Pharmacy	$0	$10.2M
Bear-glasgow Dental, LLC	DE	General Practice Dentistry	$0	$8.2M
Center For Child Development, Incorporated	DE	Psychologist	$0	$4.9M
Comfort Care At Home, Inc.	DE	Home Health Agency	$0	$4M
Collins Dental LLC	DE	Dentist	$0	$2.9M

Epic Health Services (de), LLC — Billing Profile & Reimbursement Data

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Epic Health Services (de), LLC — 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