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    OpenPayerNPI Medicare & MedicaidNeighborly Home Care
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    Neighborly Home Care — Billing Profile & Reimbursement Data

    NPI 1548760689 · Wilmington, DE · In Home Supportive Care Agency

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    Neighborly Home Care is a in home supportive care agency provider located in Wilmington, 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
    OrganizationNeighborly Home Care
    Address1213 N King St
    CityWilmington
    StateDE
    ZIP19801
    TaxonomyIn Home Supportive Care Agency
    NPI EnumeratedFebruary 15, 2018

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

    Payer SourceTotal Paid
    Medicaid$21.5M
    Medicare$0

    Key Findings

    NEIGHBORLY HOME CARE is classified as an In Home Supportive Care Agency and its billing mix — dominated by S5130 (Homemaker service, per 15 minutes) and S5125 (Attendant care services, per 15 minutes) — indicates an operational focus on time-based, in-home personal care and homemaker support rather than clinical skilled-nursing services. The code descriptions and per-15-minute payment structure suggest the organization operates a home-aide/attendant model delivering high-volume, short-interval visits.

    Medicaid revenue is the sole reported payer activity: Total Medicaid revenue on file is $21.5M and there is no Medicare billing on file, making this effectively a single-payer (Medicaid-focused) operation. The absence of Medicare revenue means the provider’s scale and market position should be assessed primarily within the Medicaid program.

    Revenue concentration is highly focused: S5130 accounts for $18.4M (85.6% of Medicaid revenue) and S5125 accounts for $3.1M (14.4% of Medicaid revenue). The platform’s precomputed metric shows the top 3 Medicaid codes by revenue account for 100.0% of this provider’s total Medicaid revenue, signaling a very narrow service mix concentrated in homemaker and attendant services.

    For S5130 the provider reported 155.8K claims at an average paid per claim of $118, and for S5125 it reported 24.7K claims at an average paid per claim of $125; these unit economics are consistent with per-15-minute billing and imply the business model depends on high aggregate minutes/visit counts to generate the reported revenue. The similar average paid/claim levels across the two codes point to consistent reimbursement rates for time-based personal care services.

    Competitive standing on the primary revenue-driving code is mixed: S5130 ranks #6 of 62 providers in-state (92th percentile) but is labeled by the platform as "typical, unremarkable volume for this code." This indicates the provider occupies an upper-state-tier ranking by raw placement while the platform’s comparator framework characterizes the observed volume as within expected norms for similar agencies.

    By contrast, S5125 ranks #9 of 23 providers in-state (64th percentile) and is likewise labeled "typical, unremarkable volume for this code," positioning the provider as a modest participant among attendant-care billers rather than a dominant in-state leader for that service line. The lower provider count for S5125 (23 peers) means rank movement can be more sensitive to small changes in volume.

    The NPI was enumerated on 2018-02-15 (~8 years ago), indicating the entity has had several years to scale operations and establish referral and payment flows within state Medicaid. That tenure aligns with the multi-year claim volumes shown (155.8K and 24.7K claims) and supports a conclusion of an established, operationally mature home-support agency rather than a very recent entrant.

    Strategic implications: the provider’s dependence on a very narrow set of time-based Medicaid codes (top 3 = 100.0% of Medicaid revenue) concentrates both its market strength and its exposure — it appears well-entrenched in homemaker services but lacks diversification into Medicare or other Medicaid service lines. Payers or competitors evaluating this profile should consider the revenue concentration and per-15-minute billing model when assessing contracting levers, rate-change sensitivity, and opportunities for expansion or risk mitigation.

    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 minutes155,840$120$18.4M
    S5125Attendant care services; per 15 minutes24,670$130$3.1M

    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 minutes66018,620$130$8.6M
    S5125Attendant care services; per 15 minutes9208,330$140$4.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christiana Care Health Services, Inc.DEGeneral Acute Care Hospital$0$99.4M
    Connections Csp, Inc.DEIntellectual & Developmental Disabilities Psychologist$0$28.5M
    Caring Angels Homecare Agency, Inc.DEHome Health Agency$0$21M
    Delaware Guidance Services For Children & Youth, Inc.DEMental Health Clinic/Center (Including Community Mental Health Center)$0$15.4M
    State Of DeDEMental Health Clinic/Center (Including Community Mental Health Center)$0$13.1M
    Christiana Care Health Services IncDEFamily Medicine Physician$0$5.6M
    Crescent Dental, LLCDEDentist$0$5.1M
    Christiana Care Health Services, IncDEPsychiatry Physician$0$2.9M
    Steps Center LLCDEHome Health Agency$0$2.9M
    The Life Center Complex, IncDEStudent Health Clinic/Center$0$2.7M

    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
    4 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Neighborly Home Care — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware