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 1861423329)

Field	Value
Entity Type	Organization
Organization	Bayada Home Health Care, Inc.
Address	300 Oxford Dr
City	Monroeville
State	PA
ZIP	15146
Taxonomy	Home Health Agency
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$92M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scope for fee‑for‑service billing: there is no Medicare billing on file while Medicaid billing totals $92M, indicating Medicaid is the dominant — and for billed claims, sole — public payer represented in the dataset. The absence of Medicare revenue suggests the organization’s measurable operations in this dataset are concentrated on Medicaid programs and beneficiaries.

Revenue is highly concentrated in a small set of nursing‑care codes: the top three Medicaid codes (S9124, T1003, S9123) account for 78.7% of the provider’s total Medicaid revenue, signaling that a large majority of the $92M Medicaid book is driven by skilled nursing services delivered in the home. This concentration points to a focused service mix rather than a broad spread across many Medicaid procedure categories.

T1003 (Lpn/lvn services, up to 15 minutes) is a primary revenue driver with 50.7K claims, $582 avg paid/claim and $29.5M in revenue (32.1% of Medicaid revenue); it ranks #1 of 97 providers in‑state and is labeled an extreme outlier. That combination of very high claim volume, high average payment and top in‑state rank identifies the provider as a dominant statewide supplier of short‑interval LPN/LVN home nursing services.

S9124 (Nursing care, in the home; by licensed practical nurse, per hour) is the single largest revenue line with 52K claims, $639 avg paid/claim and $33.2M revenue (36.1% of Medicaid revenue); it ranks #3 of 92 providers in‑state (98th percentile) and is notably above typical state volume for this code. Together with T1003, S9124 shows the organization operates high‑volume, hour‑based and unitized LPN care in the home, which is the core operational footprint driving most Medicaid dollars.

Registered nurse services are a meaningful but smaller portion of Medicaid revenue: S9123 (RN per hour) produced 17.1K claims, $564 avg paid/claim and $9.7M (10.5% of revenue) and ranks #9 of 73 in‑state (89th percentile), while T1002 (RN services, up to 15 minutes) yielded 16.6K claims, $504 avg paid/claim and $8.4M (9.1%); T1002 ranks #3 of 90 (98th percentile). These figures indicate a sizable RN component to care delivery, with some RN codes showing notably above‑typical state volume and others at more typical levels, consistent with a nursing workforce mix weighted toward LPN/LVN visits.

Support and personal care services represent modest shares of Medicaid revenue: S9122 (home health aide/CNA per hour) generated $4.7M (5.1%), T1019 (personal care, per 15 minutes) $3.3M (3.6%) and G0156 (home health/hospice aide, each 15 minutes) $3.1M (3.4%). These lower percentages and mid‑to‑lower in‑state ranks suggest the provider’s business model emphasizes licensed nursing visits over unskilled aide or personal‑care lines in its Medicaid portfolio.

The provider also shows a niche lead in non‑family home care training: S5116 recorded 628 claims, $192 avg paid/claim and $120.6K in revenue (0.1% of Medicaid revenue) and ranks #1 of 15 providers in‑state (100th percentile). While small in absolute dollars, this top‑rank position signals the organization is among the state leaders in delivering structured training sessions for home care staff or non‑family caregivers.

The NPI enumeration date is 2006-07-05 (~20 years ago), indicating long tenure in the market; combined with multi‑year high claim volumes (e.g., tens of thousands of claims on core codes), the provider appears to be an established, high‑throughput home health agency with mature operations and referral relationships supporting its Medicaid nursing services.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	52,000	$640	$33.2M
T1003	Lpn/lvn services, up to 15 minutes	50,730	$580	$29.5M
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)	17,120	$560	$9.7M
T1002	Rn services, up to 15 minutes	16,600	$500	$8.4M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	21,940	$210	$4.7M
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…	14,610	$230	$3.3M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	13,900	$230	$3.1M
S5116	Home care training, non-family; per session	630	$190	$120.6K

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. — 4 of 8 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

8 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	3	90	12,800	$580	$9.1M
T1003	Lpn/lvn services, up to 15 minutes	1	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)	9	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…	20	90	8,060	$110	$3.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	26	90	7,780	$210	$3.1M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	10	80	5,780	$220	$2.2M
T1002	Rn services, up to 15 minutes	3	90	1,850	$400	$1.5M
S5116	Home care training, non-family; per session	1	20	80	$240	$48.9K

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	$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
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
Procare Pharmacy Direct, LLC.	PA	Specialty Pharmacy	$8.3M	$227.3M
Jade Wellness Center	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$10.6M
West Penn Allegheny Health System Inc.	PA	General Acute Care Hospital	$0	$8.2M
Upmc East	PA	General Acute Care Hospital	$0	$5.8M
Jared Knickelbein	PA	Retina Specialist (Ophthalmology) Physician	$1.8M	$99.4K
Med Health Services Management, LP	PA	Clinical Medical Laboratory	$111.4K	$1.7M
Paul Conrad	PA	Ophthalmology Physician	$1.5M	$62.5K
Shripaad Shukla	PA	Retina Specialist (Ophthalmology) Physician	$1.4M	$83.2K
Avni Vyas	PA	Retina Specialist (Ophthalmology) Physician	$1.3M	$34.5K
Deepam Rusia	PA	Retina Specialist (Ophthalmology) Physician	$1M	$76.5K

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