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.

Bayada Home Health Care, Inc. (NPI 1780810424)

Field	Value
Entity Type	Organization
Organization	Bayada Home Health Care, Inc.
Address	1016 North Walnut Street
City	Milford
State	DE
ZIP	19963
Taxonomy	Home Health Agency
NPI Enumerated	June 9, 2009

Payer Source	Total Paid
Medicaid	$28.5M
Medicare	$0

Key Findings

BAYADA HOME HEALTH CARE, INC. is effectively a Medicaid-focused home health agency: the file shows no Medicare billing on record and $28.5M in lifetime Medicaid revenue, indicating the provider operates almost entirely within the Medicaid payer stream rather than Medicare. This payer mix implies that analyses or interventions tied to Medicare performance will not be applicable for this entity.

Revenue concentration is extremely high across a very small set of services: the precomputed note indicates the top three Medicaid codes account for 98.9% of total Medicaid revenue. This means the provider’s financial profile is driven almost entirely by a narrow suite of home-care nursing and related in-home support services rather than a broad mix of procedures.

The dominant revenue drivers are S9123 and S9124, which together represent the vast majority of Medicaid receipts: S9123 generated $14.4M (50.5% of the provider’s Medicaid revenue) and S9124 generated $13.6M (47.8%). These two codes—nursing care in the home by registered nurse and by licensed practical nurse—indicate BAYADA’s core service line is hourly in-home nursing care rather than episodic therapy or facility-based services.

Competitive standing for those two main codes is mixed but not dominant statewide. For S9123 the provider ranks #3 of 11 in-state (80th percentile), which signals a relatively strong position for registered-nurse home care volume compared with peers. For S9124 the provider ranks #8 of 17 (56th percentile), placing its licensed-practical-nurse home care volume near the middle of the statewide distribution rather than at the top.

Ancillary home-health services and therapy codes appear marginal in the revenue mix: codes such as S5130, G0152, G0153, G0151 and G0299 together each account for 0.5% or less of Medicaid revenue with individual revenues like $149.4K for S5130 and $147.6K for G0152. The low share for these therapy and homemaker codes suggests BAYADA’s commercial focus and revenue-generation are concentrated on skilled nursing hours rather than on high-volume in-home therapy programs.

The provider’s NPI was enumerated circa 2009-06-09 (approximately 17 years ago), indicating a relatively long tenure in the market; this longevity coupled with concentrated Medicaid revenue suggests an established in-home nursing operation that has consistently served Medicaid populations over time.

State-level rank percentiles for the lower-volume codes are generally around or below median: S5130 ranks #44 of 62 (30th percentile), G0152 ranks #6 of 6 (0th percentile), G0153 ranks #4 of 5 (25th percentile), and G0151 ranks #11 of 13 (17th percentile). These positions indicate BAYADA is not a statewide leader in homemaker or therapy-in-home services and that its competitive advantage is specifically tied to its nursing-hour offerings rather than broader home-care services.

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
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)	29,850	$480	$14.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	32,830	$420	$13.6M
S5130	Homemaker service, nos; per 15 minutes	5,340	$30	$149.4K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	1,130	$130	$147.6K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	650	$130	$82K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	630	$100	$65.4K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	430	$70	$27.8K

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

Bayada Home Health Care, Inc. — 0 of 7 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	8	20	27,840	$320	$10.4M
S5130	Homemaker service, nos; per 15 minutes	44	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)	3	10	27,770	$340	$6.9M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	17	20	1,710	$110	$1.2M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	11	10	1,840	$80	$625K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	6	10	3,670	$80	$354.9K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	4	10	730	$90	$170.4K

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.	PA	Home Health Agency	$0	$85.2M
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

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
Bayhealth Medical Center, Inc.	DE	General Acute Care Hospital	$0	$39.5M
Banyan Delaware LLC	DE	Substance Abuse Rehabilitation Facility	$0	$30.9M
Epic Health Services (de), LLC	DE	Home Health Agency	$0	$19.3M
Delaware Pediatric Dentistry	DE	Pediatric Dentistry	$0	$18.1M
Kent-sussex Industries	DE	Developmentally Disabled Services Day Training Agency	$0	$11.7M
Nurses 'n Kids Of Milford, Inc.	DE	Medically Fragile Infants and Children Day Care	$0	$9.5M
Prn Staffers Inc	DE	Home Health Agency	$0	$7.6M
People's Place Ii, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.9M
Bayhealth Medical Center, Inc.	DE	Clinic/Center	$0	$3.7M
La Red Health Center, Inc.	DE	Federally Qualified Health Center (FQHC)	$0	$2.7M

Bayada Home Health Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Bayada Home Health Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Bayada Home Health Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Bayada Home Health Care, Inc. — Billing Profile & Reimbursement Data policy alerts

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