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 Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 1598042475)

Field	Value
Entity Type	Organization
Organization	Bayada Home Health Care, Inc.
Address	231 E Market St
City	Blairsville
State	PA
ZIP	15717
Taxonomy	Home Health Agency
NPI Enumerated	November 7, 2011

Payer Source	Total Paid
Medicaid	$85.2M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $85.2M in lifetime Medicaid revenue, making its operational footprint effectively single-payer Medicaid in the available data. Analysts should treat BAYADA HOME HEALTH CARE, INC. in BLAIRSVILLE as a Medicaid-focused home health agency rather than a mixed Medicare/Medicaid operator when modeling payer exposure or contract negotiation leverage.

The NPI for this entity was enumerated on 2011-11-07 (~15 years ago), indicating an established operating tenure in the local market. That length of time supports the scale of Medicaid activity observed and suggests the provider has had time to build referral channels and operational capacity for in-home services.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 70.7% of the provider’s total Medicaid revenue. Those top three are T1003 ($25.8M, 30.3%), S9124 ($25M, 29.3%), and S9122 ($9.4M, 11.1%), together driving the bulk of the $85.2M Medicaid book.

The code mix (T1003, S9124, S9122, plus supporting RN codes like T1002 and S9123) signals a labor-intensive in-home care model focused on LPN/LVN-delivered services, hourly nursing care, and home health aide/CNA support. High usage of 15-minute visit codes and hourly nursing codes indicates operations built around frequent, short-interval visits and hour-based in-home nursing, consistent with a traditional Medicaid personal and skilled home health service line.

BAYADA is a dominant in-state player on several lines: T1003 ranks #3 of 97 providers (98th percentile) and is labeled an extreme outlier, while S9124 ranks #4 of 92 providers (97th percentile) and S9122 ranks #3 of 80 providers (97th percentile); both are described as notably above typical state volume. Those ranks and labels imply BAYADA is a major statewide provider for LPN/LVN and in-home nursing services and will materially influence competitive dynamics for those specific service lines.

Several secondary codes contribute meaningful but smaller shares of revenue and show mixed competitive signals. G0156 generates $7.8M (9.2%) and is characterized as typical/unremarkable volume (rank #9 of 91), while T1002 contributes $6M (7.1%) and is noted as notably above typical volume (rank #7 of 90). T1019 ($6M, 7.0%) and S9123 ($5M, 5.8%) are present at typical in-state volumes, indicating a broad but concentrated service set beyond the top three codes.

There are niche service lines with disproportionate state standing relative to their dollar impact: S5116 (home care training, non-family) accounts for $119.4K (0.1%) but ranks #2 of 15 providers in-state and is noted as notably above typical volume. This suggests BAYADA offers specialized training services that few peers provide at scale, which could be a targeted capability for program-specific contracts or care-coordination efforts.

A small set of codes are marginal to total Medicaid revenue and reflect limited activity: W1793 ($26.2K) and G0299 ($20.1K) produce negligible shares of revenue and rank low in-state, indicating these codes are operationally immaterial to the provider’s overall Medicaid footprint. Analysts can deprioritize these lines when modeling the provider’s core service capacity or revenue sensitivity.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1003	Lpn/lvn services, up to 15 minutes	43,930	$590	$25.8M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	39,230	$640	$25M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	42,990	$220	$9.4M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	34,490	$230	$7.8M
T1002	Rn services, up to 15 minutes	12,100	$500	$6M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	26,090	$230	$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)	9,640	$520	$5M
S5116	Home care training, non-family; per session	550	$220	$119.4K
W1793	N/A	190	$140	$26.2K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	170	$120	$20.1K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

Claims Volume vs. Pennsylvania Distribution

Bayada Home Health Care, Inc. — 3 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

10 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	4	90	12,800	$580	$9.1M
W1793	N/A	354	370	10,930	$170	$5.8M
T1003	Lpn/lvn services, up to 15 minutes	3	100	7,910	$530	$5.3M
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)	22	70	4,620	$530	$4M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	13	90	8,060	$110	$3.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	9	90	7,780	$210	$3.1M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	3	80	5,780	$220	$2.2M
T1002	Rn services, up to 15 minutes	7	90	1,850	$400	$1.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	104	130	1,190	$100	$528.9K
S5116	Home care training, non-family; per session	2	20	80	$240	$48.9K

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.	RI	Home Health Agency	$0	$69.5M
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$61.2M
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
Matthew Klain	PA	Internal Medicine Physician	$120.3K	$24.4K
Ghada Metwally Ahmed Elsayed	PA	Rheumatology Physician	$32.9K	$0

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