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

Why is the Medicaid comparison limited to Hawaii 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. Hawaii (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 Care (NPI 1740665488)

Field	Value
Entity Type	Organization
Organization	Bayada Home Care
Address	2200 Main St
City	Wailuku
State	HI
ZIP	96793
Taxonomy	Nursing Care Agency
NPI Enumerated	July 23, 2015

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Key Findings

This provider effectively operates as a single-payer Medicaid agency: there is no Medicare billing on file and all reported lifetime government revenue comes from Medicaid (Total Medicaid revenue: $6M). The absence of Medicare billing indicates BAYADA HOME CARE in WAILUKU is not participating in or not billing Medicare-covered home health services during the period on file.

Revenue is highly concentrated in a very small set of service codes: the top three Medicaid codes (S9122, S9123, S5130) account for 100.0% of the provider’s Medicaid revenue. Those three codes alone represent the entirety of the $6M Medicaid revenue on record, signaling limited breadth in billed service lines.

The code mix indicates a home-based personal-care and nursing model: S9122 (home health aide/CNA) is the single largest revenue driver at $2.9M (47.9% of Medicaid revenue), followed by S9123 (nursing care by RN) at $1.9M (31.8%) and S5130 (homemaker service) at $1.2M (20.3%). This combination shows the operation delivers both personal care/household support and registered-nurse visits rather than a broader set of skilled home-health CPT codes.

Unit-level economics vary across the three codes and reflect staffing intensity: S9122 shows 35.2K claims at $82 avg paid/claim ($2.9M revenue), S9123 has 12.3K claims at $156 avg paid/claim ($1.9M revenue), and S5130 records 23.9K claims at $51 avg paid/claim ($1.2M revenue). The higher per-claim payment for S9123 versus S9122/S5130 underscores that RN hours are reimbursed at materially higher rates, while aide and homemaker services drive volume.

Competitive standing within the state is mixed by service line: for S9122 the provider ranks #3 of 67 in-state and sits in the 97th percentile, described as notably above typical state volume, making BAYADA a leading provider of home health aide services in Hawaii. By contrast, S9123 ranks #4 of 24 (87th percentile) and S5130 ranks #11 of 83 (88th percentile), both characterized as typical or unremarkable volume—indicating solid presence but not dominant share in those segments.

The extreme concentration in a few Medicaid codes creates revenue and operational sensitivity: because S9122, S9123, and S5130 together equal 100.0% of Medicaid revenue, policy, rate, or utilization changes affecting any one of these codes (especially S9122 at 47.9%) could materially affect overall revenue. Analysts should treat the provider as exposed to shifts in home aide and homemaker reimbursement and in RN-visit authorizations.

BAYADA HOME CARE’s NPI was enumerated on 2015-07-23 (~11 years ago), indicating over a decade of enrollment to build the reported Medicaid volumes; this tenure aligns with the large cumulative claim counts (tens of thousands) across the top codes and supports the interpretation of an established in-state operating footprint.

The service mix implies a labor-heavy operating model with a high proportion of personal-care hours: large claim volumes for S9122 (35.2K) and S5130 (23.9K) point to substantial aide/homemaker staffing needs, while meaningful revenue from S9123 (12.3K claims, $156 avg paid/claim) indicates capacity to deliver and bill registered-nurse visits—this combination will drive workforce and scheduling considerations distinct from providers focused on primarily skilled CPT-coded home health visits.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	35,160	$80	$2.9M
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)	12,270	$160	$1.9M
S5130	Homemaker service, nos; per 15 minutes	23,920	$50	$1.2M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Hawaii Distribution

Bayada Home Care — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. Hawaii median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	3	70	5,120	$130	$1.2M
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)	4	20	2,130	$240	$1M
S5130	Homemaker service, nos; per 15 minutes	11	80	5,320	$90	$776.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bayada Home Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Care	HI	In Home Supportive Care Agency	$0	$3.6M
Bayada Home Care	HI	In Home Supportive Care Agency	$0	$3.5M
Bayada Home Care	HI	In Home Supportive Care Agency	$0	$2.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maui Health System A Kaiser Foundation Hospitals LLC	HI	General Acute Care Hospital	$0	$60.3M
Community Clinic Of Maui, Inc.	HI	Community Health Clinic/Center	$0	$21.6M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$15.6M
Maui Medical Group Inc	HI	Internal Medicine Physician	$0	$9M
Community Clinic Of Maui, Inc.	HI	Multi-Specialty Clinic/Center	$0	$4.8M
Maui Memorial Emergency Medical Associates Inc	HI	Emergency Medicine Physician	$0	$3.8M
Bayada Home Care	HI	In Home Supportive Care Agency	$0	$3.7M
Ka Lima O Maui Ltd	HI	Developmentally Disabled Services Day Training Agency	$0	$1.7M
Metropacific Group, Corp	HI	In Home Supportive Care Agency	$0	$1.3M
Hawaii Life Flight, LLC	HI	Air Ambulance	$218.1K	$883.5K

Bayada Home Care — Billing Profile & Reimbursement Data

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Bayada Home Care — 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