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 1821029422)

Field	Value
Entity Type	Organization
Organization	Bayada Home Health Care, Inc.
Address	4250 Lancaster Pike Ste 304&312
City	Wilmington
State	DE
ZIP	19805
Taxonomy	Home Health Agency
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$56.8M
Medicare	$0

Key Findings

BAYADA HOME HEALTH CARE, INC. has no Medicare billing on file and reports $56.8M in lifetime Medicaid revenue, making Medicaid effectively its sole payer on record; the provider’s NPI was enumerated on 2006-07-05 (~20 years ago), indicating long-tenured participation in the market.

Revenue is highly concentrated: the precomputed top three Medicaid codes (S9124, S5130, S9123) account for 93.2% of the provider’s total Medicaid revenue, with S9124 at $27.2M (47.9%), S5130 at $13.4M (23.6%), and S9123 at $12.3M (21.7%). This concentration shows the business is centered on a narrow set of in-home care services.

The code mix points to a combined skilled and personal-care operation: large volumes of S9124 (Nursing care in the home by LPN, 54K claims, $504 avg paid/claim) and S9123 (Nursing care in the home by RN, 28K claims, $440 avg paid/claim) show substantial provision of hands-on nursing hours, while S5130 (Homemaker service, 150.9K claims, $89 avg paid/claim) indicates very high-volume, short-interval personal care and household support. Together these patterns imply staffing models that must support both hourly skilled nursing and high-frequency homemaker visits.

Competitive standing by code is mixed: for S9124 the provider ranks #4 of 17 in-state (81th percentile; labeled typical, unremarkable volume), indicating a meaningful but not dominant position in LPN home-hour services; S5130 ranks #7 of 62 (90th percentile; typical, unremarkable volume), reflecting relatively high volume among homemaker providers statewide; S9123 ranks #4 of 11 (70th percentile; typical, unremarkable volume), showing a modest role in RN home-hour services. These ranks suggest the provider is a strong regional competitor in homemaker services and a solid participant in nursing hours without being the statewide leader across its primary skilled codes.

G0156 (home health/hospice aide services, each 15 minutes) is a notable statistical outlier: 34.9K claims, $109 avg paid/claim, $3.8M revenue and rank #1 of 14 in-state (100th percentile; notably above typical state volume). Being the top-ranked state provider for G0156 indicates BAYADA has an unusually large footprint for home health aide minutes relative to peers, distinct from its otherwise typical rankings on RN/LPN hourly codes.

Lower-volume codes like S5150 (Unskilled respite care, 506 claims, $72 avg paid/claim, $36.4K revenue, 0.1% of Medicaid revenue) represent a negligible share of revenue and rank #6 of 8 in-state (29th percentile; typical, unremarkable volume), implying limited emphasis or capacity for respite services within the overall portfolio.

The heavy dependence on a small set of codes (the top three account for 93.2% of Medicaid revenue) combined with very high claim counts for S5130 and S9124 suggests operational scale in routine, high-frequency home visits but also exposure to reimbursement or policy changes affecting those specific service lines; sustaining margins will likely hinge on continued demand for LPN/RN hour-based nursing and homemaker services at current rates.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	54,000	$500	$27.2M
S5130	Homemaker service, nos; per 15 minutes	150,940	$90	$13.4M
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)	28,010	$440	$12.3M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	34,940	$110	$3.8M
S5150	Unskilled respite care, not hospice; per 15 minutes	510	$70	$36.4K

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. — 1 of 5 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

5 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	4	20	27,840	$320	$10.4M
S5130	Homemaker service, nos; per 15 minutes	7	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)	4	10	27,770	$340	$6.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	1	10	5,810	$90	$839.9K
S5150	Unskilled respite care, not hospice; per 15 minutes	6	10	740	$150	$518.2K

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.	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
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
St. Francis Hospital Inc.	DE	General Acute Care Hospital	$0	$43.2M
Always Best Care Of Delaware	DE	Home Health Agency	$0	$38.1M
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

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