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    OpenPayerNPI Medicare & MedicaidAt Home Infucare, LLC
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    At Home Infucare, LLC — Billing Profile & Reimbursement Data

    NPI 1649521022 · Dover, DE · Home Health Agency

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    At Home Infucare, LLC is a home health 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
    OrganizationAt Home Infucare, LLC
    Address57 Saulsbury Rd
    CityDover
    StateDE
    ZIP19904
    TaxonomyHome Health Agency
    NPI EnumeratedSeptember 26, 2012

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

    Payer SourceTotal Paid
    Medicaid$28.5M
    Medicare$0

    Key Findings

    This entity is effectively a Medicaid-focused home health agency: there is no Medicare billing on file, while total Medicaid revenue on record is $28.5M, indicating a single-payer (Medicaid) revenue base rather than a mixed Medicare/Medicaid payer mix. The absence of Medicare receipts means analyses of cross-payer diversification or Medicare-dependent service lines are not applicable for this provider.

    Revenue is highly concentrated in a single Medicaid code: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and S5130 alone represents $28.5M of revenue (233.5K claims at $122 avg paid/claim). Other reported Medicaid codes do not meaningfully contribute to revenue, so the provider’s financial performance is driven almost entirely by time-based homemaker services.

    The code mix points to a core business model of non-skilled personal support and homemaker services: S5130 (Homemaker service, per 15 minutes) dominates billing, which implies operations are structured around routine, episodic, time-based in-home assistance rather than skilled clinical interventions. This suggests staffing, scheduling, and revenue depend primarily on delivery of attendant/home aide time rather than billable skilled nursing or therapy codes.

    Competitive standing within the state for S5130 is relatively strong: the provider ranks #4 of 62 in-state (95th percentile) for S5130 revenue/volume. At the same time, the dataset characterizes the S5130 volume as "typical, unremarkable," indicating that while the provider sits near the top of the statewide rank list, volumes at this rank can still fall within the normal range for homemaker-service providers in Delaware.

    One statistical irregularity to note is S5125 (Attendant care services; per 15 minutes): it shows 222 claims but a $0 avg paid/claim and $0 revenue, and ranks #19 of 23 in-state (18th percentile). Those zero-dollar paid claims do not contribute to the provider’s reported Medicaid revenue and may reflect administrative submissions, non-reimbursed encounters, or billing categories that are not paid; they are not a material revenue driver.

    The provider’s reliance on a single revenue source (S5130 generating $28.5M and representing 100.0% of Medicaid revenue) creates operational and reimbursement exposure: any policy change, rate adjustment, or eligibility shift affecting homemaker services could materially impact the provider’s revenue. This concentration suggests limited internal diversification across Medicaid service lines.

    Operational scale is evident in claim volume for the dominant service: 233.5K claims for S5130 indicates substantial throughput of time-based homemaker visits, implying established scheduling, workforce, and capacity to deliver high volumes of personal care minutes. Even with the dataset labeling volume as typical, the absolute claim count denotes a large operational footprint in the home-care segment.

    The provider has an established enrollment history, with its NPI enumerated on 2012-09-26 (~14 years ago), which supports a multi-year presence in the market and suggests institutional experience in Medicaid home-care billing and operations. This tenure, combined with concentrated Medicaid revenue, frames the provider as a long-standing, Medicaid-centric home health agency in Dover, DE.

    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 minutes233,460$120$28.5M
    S5125Attendant care services; per 15 minutes220$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 minutes46018,620$130$8.6M
    S5125Attendant care services; per 15 minutes19208,330$140$4.3M

    Nearby Providers

    Other providers in the same ZIP code as At Home Infucare, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.DEHome Health Agency$0$37.9M
    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
    Americare Home SolutionsDEIn Home Supportive Care Agency$0$8.4M
    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
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    At Home Infucare, LLC — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware