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 1790732428)

Field	Value
Entity Type	Organization
Organization	Bayada Home Health Care, Inc.
Address	1189 Highway 315
City	Wilkes-barre
State	PA
ZIP	18702
Taxonomy	Home Health Agency
NPI Enumerated	May 28, 2006

Payer Source	Total Paid
Medicaid	$47.6M
Medicare	$0

Key Findings

This provider is effectively single-payer in scale: there is no Medicare billing on file while total Medicaid revenue is $47.6M, indicating the organization operates primarily within Medicaid-funded home- and personal-care programs rather than Medicare fee-for-service. The absence of Medicare activity makes Medicaid reimbursement trends the primary driver of the business profile and risk exposure for payers and partners.

Revenue is highly concentrated in a small set of Medicaid service lines: the precomputed top 3 codes (S9124, T1003, G0156) account for 69.1% of the provider's total Medicaid revenue. Individually, S9124 generated $14.5M (30.6%), T1003 generated $12.9M (27.1%), and G0156 generated $5.4M (11.4%), so impact to these codes would materially affect overall revenue.

The code mix indicates a labor-intensive home health operation focused on licensed practical nurse LPN/LVN hours and routine home health aide services: S9124 is defined as nursing care in the home by licensed practical nurse per hour and T1003 is Lpn/lvn services up to 15 minutes, while G0156 covers home health/hospice aide services per 15 minutes. High claim counts (e.g., 18K S9124 claims and 17.5K T1003 claims) and large dollar totals reflect substantial in-home nursing and aide capacity rather than episodic or facility-based interventions.

Per-unit payment patterns show meaningful differences across roles: average paid/claim is $810 for S9124 and $734 for T1003 compared with $242 for G0156 and $231 for T1019, which indicates that nursing-hour codes carry much higher reimbursement per unit than aide or personal-care 15-minute codes. Given S9124 and T1003 together represent a large share of revenue, the provider’s financial performance is sensitive to shifts in per-hour nursing utilization or rate changes.

State-level competitive standing on core codes is mixed but generally solid rather than dominant: S9124 ranks #34 of 92 providers (64th percentile) and is described as typical and unremarkable for volume; by contrast T1003 ranks #17 of 97 (83th percentile) and G0156 ranks #14 of 91 (86th percentile), placing the provider above average among peers on those aide/LPN service lines. These rankings suggest the agency is a meaningful regional participant in LPN and aide services but not an outlier leader across every nursing code.

The provider shows breadth across complementary Medicaid services beyond the top three codes: S9122 produced $5.1M (10.6%) with 15.7K claims and ranks #16 of 80 (81th percentile), and T1019 produced $4.6M (9.6%) with 19.9K claims and ranks #17 of 85 (81th percentile). Lower-volume nursing codes such as T1002 ($1.9M, 4.1%) and S9123 ($1.8M, 3.7%) sit at more modest state ranks (T1002 #34 of 90, 63th percentile; S9123 #53 of 73, 28th percentile), indicating the provider mixes higher-volume LPN/aide work with some RN and waiver services at smaller scale.

Tenure is long-standing: the NPI was enumerated on 2006-05-28 (~20 years ago), which supports that the billing patterns described are from an established, mature home health agency rather than a recent entrant. This longevity can matter for network contracting and operational stability assessments.

Across the dataset there are no indications of extreme statistical outliers; most top codes are explicitly described as "typical, unremarkable volume for this code," and several ranks sit in the mid- to high-percentile range rather than at the extremes. For payers and analysts, that suggests the provider’s Medicaid billing profile aligns with prevailing in-state patterns for home health services rather than reflecting anomalous concentration or atypical code usage.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	17,960	$810	$14.5M
T1003	Lpn/lvn services, up to 15 minutes	17,550	$730	$12.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	22,430	$240	$5.4M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	15,720	$320	$5.1M
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…	19,860	$230	$4.6M
T1002	Rn services, up to 15 minutes	3,160	$610	$1.9M
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)	2,140	$820	$1.8M
T2025	Waiver services; not otherwise specified (nos)	2,490	$530	$1.3M
T1001	Nursing assessment / evaluation	210	$170	$37.1K

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. — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	19	20	10,570	$680	$14M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	34	90	12,800	$580	$9.1M
T1003	Lpn/lvn services, up to 15 minutes	17	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)	53	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…	17	90	8,060	$110	$3.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	14	90	7,780	$210	$3.1M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	16	80	5,780	$220	$2.2M
T1002	Rn services, up to 15 minutes	34	90	1,850	$400	$1.5M
T1001	Nursing assessment / evaluation	24	70	90	$120	$46.5K

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.	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
Step By Step Inc.	PA	Voluntary or Charitable Agency	$0	$35.3M
Children's Service Center Of Wyoming Valley Inc	PA	Community/Behavioral Health Agency	$0	$26M
Children's Service Center Of Wyoming Valley Inc	PA	Adolescent and Children Mental Health Clinic/Center	$0	$18.7M
Cleanslate Medical Group Of Pennsylvania LLC	PA	Multi-Specialty Clinic/Center	$0	$18.6M
Children's Service Center Of Wyoming Valley, Inc	PA	Counselor	$0	$17.8M
Caring Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$17.4M
Golden Care Of Northeast PA, Inc.	PA	Home Health Agency	$0	$7.7M
Wilkes Barre Hospital Company LLC	PA	General Acute Care Hospital	$0	$7.4M
Geisinger Wyoming Valley Medical Center	PA	General Acute Care Hospital	$0	$7M
Gnanesh Patel	PA	Rheumatology Physician	$3.2M	$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