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.

Always Best Care Of Delaware (NPI 1801332861)

Field	Value
Entity Type	Organization
Organization	Always Best Care Of Delaware
Address	101 S Cleveland Ave
City	Wilmington
State	DE
ZIP	19805
Taxonomy	Home Health Agency
NPI Enumerated	January 16, 2017

Payer Source	Total Paid
Medicaid	$38.1M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation: there is no Medicare billing on file and lifetime Medicaid revenue is $38.1M, so the enterprise’s financial footprint is concentrated in state Medicaid programs rather than dual-payer Medicare/Medicaid mix. The absence of Medicare activity suggests payer risk and strategic exposure are concentrated with Medicaid reimbursement policies and managed care contracts in Delaware.

Revenue is highly concentrated in a very small set of service codes: the top three Medicaid CPT/HCPCS codes account for 100.0% of the provider’s total Medicaid revenue, with S5125 and S5130 clearly driving the business. That concentration implies financial sensitivity to policy, rate, or utilization changes affecting those specific home-care service codes.

S5125 (Attendant care services; per 15 minutes) is the single dominant revenue driver: the file shows 239.2K claims, $98 avg paid/claim, and $23.4M revenue, representing 61.5% of this provider’s Medicaid revenue. The provider ranks #1 of 23 in-state for S5125 and is described as an "extreme outlier, far above typical state volume," indicating it is the dominant statewide supplier of 15‑minute attendant care units.

S5130 (Homemaker service, nos; per 15 minutes) is also a major line: 163.4K claims, $89 avg paid/claim, and $14.5M revenue, representing 38.2% of Medicaid revenue and ranking #5 of 62 in-state (93th percentile). Although the rank is high, the data labels the S5130 volume as typical/unremarkable for this code, suggesting the provider is a competitive but not uniquely extreme player in homemaker services relative to the broader in-state peer set.

S5150 (Unskilled respite care, not hospice; per 15 minutes) is immaterial to overall revenue: 799 claims, $145 avg paid/claim, and $115.9K revenue, representing 0.3% of Medicaid revenue and ranking #4 of 8 in-state (57th percentile). This indicates the organization offers limited respite services relative to its attendant and homemaker lines and that respite is not a strategic revenue driver.

The 15-minute unit structure and the skew toward S5125 and S5130 point to an operational model built on high-frequency, short-interval personal-care visits and substantial direct-care workforce deployment. Average paid/claim levels of $98 (S5125) and $89 (S5130) combined with very large claim volumes imply significant scheduling, payroll, and monitoring demands typical of large home- and community-based services providers.

Competitive standing is uneven by service line: the provider is a statewide leader and extreme outlier for S5125, giving it market dominance in attendant care, while for S5130 it is a high-ranked but comparatively typical participant. That profile suggests the provider may exert pricing/volume influence in attendant care markets while facing more conventional competition for homemaker services.

The provider has an established public billing presence with an NPI enumerated on 2017-01-16 (~9 years ago), which, together with $38.1M in Medicaid revenue, indicates an operational scale and tenure that are meaningful in the Delaware home-care market. Given the concentrated revenue mix, analysts should monitor policy or utilization shifts that affect S5125 and S5130, as those changes would have outsized impact on this provider’s financial performance.

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
S5125	Attendant care services; per 15 minutes	239,170	$100	$23.4M
S5130	Homemaker service, nos; per 15 minutes	163,450	$90	$14.5M
S5150	Unskilled respite care, not hospice; per 15 minutes	800	$150	$115.9K

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

Always Best Care Of Delaware — 1 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5130	Homemaker service, nos; per 15 minutes	5	60	18,620	$130	$8.6M
S5125	Attendant care services; per 15 minutes	1	20	8,330	$140	$4.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	4	10	740	$150	$518.2K

Nearby Providers

Other providers in the same ZIP code as Always Best Care Of Delaware, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$56.8M
St. Francis Hospital Inc.	DE	General Acute Care Hospital	$0	$43.2M
State Of Delaware Dscyf	DE	Adolescent and Children Mental Health Clinic/Center	$0	$36.5M
Westside Family Healthcare, Inc.	DE	Federally Qualified Health Center (FQHC)	$0	$34.3M
Brandywine Counseling & Community Services, Inc.	DE	Adult Mental Health Clinic/Center	$170.8K	$23.9M
Connections Community Support Programs, Inc.	DE	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.4M
St Anthony's Community Center Inc	DE	Meals Provider	$0	$4.6M
Emergency Physician Associates Of Delaware PC	DE	Emergency Medicine Physician	$0	$4.2M
Horizon House Delaware Inc	DE	Case Management Agency	$0	$3.8M
Children's Dental Health Of Delaware, LLC	DE	Pediatric Dentistry	$0	$3.8M

Always Best Care Of Delaware — Billing Profile & Reimbursement Data

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Always Best Care Of Delaware — 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

Nearby Providers

Frequently Asked Questions

References