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

    NPI 1902835663 · Jersey City, NJ · Home Health Agency

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    Bayada Home Health Care, Inc. is a home health agency provider located in Jersey City, New Jersey. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBayada Home Health Care, Inc.
    Address123 Liberty View Dr
    CityJersey City
    StateNJ
    ZIP07302
    TaxonomyHome Health Agency
    NPI EnumeratedJuly 2, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$122.6M
    Medicare$0

    Key Findings

    Payer mix is effectively single-payer: BAYADA HOME HEALTH CARE, INC. has no Medicare billing on file and $122.6M in lifetime Medicaid revenue, indicating its current billing footprint is concentrated entirely in the Medicaid program. The absence of Medicare claims suggests the organization operates largely outside the Medicare fee-for-service market or does not bill Medicare-covered services under this NPI.

    Extreme revenue concentration in a narrow set of services: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, which signals a highly concentrated revenue base tied to a very small number of billing codes. For analysts, this concentration means overall financial performance is closely linked to utilization and reimbursement changes for those few codes.

    Single-code dominance: the Medicaid code T1019 accounts for $122.6M in revenue, 1.4M claims, and a $86 avg paid/claim — explicitly representing 100.0% of this provider's total Medicaid revenue. In practical terms, virtually all Medicaid payments to this NPI are driven by a single service definition and its billed units.

    Service-line implications from code mix: T1019 is a time-based personal care services code billed per 15 minutes and is described as personal care services provided under an individualized plan of treatment (not for inpatients or certain institutional residents). This pattern indicates BAYADA’s operations through this NPI are focused on labor-intensive, time-unit personal care in community/home settings rather than on Medicare-style skilled home health services.

    State-level competitive standing: BAYADA ranks #6 of 276 providers in-state on T1019 (98th percentile) and is described as notably above typical state volume for this code, marking it as a major, top-decile provider of personal care services in New Jersey. The rank and percentile place the provider among the largest in-state suppliers for this specific Medicaid service.

    Volume and operational scale: 1.4M claims for a single code imply very high administrative and field service scale tied to time-based visits and unit billing; such volume is consistent with large-scale personal care delivery models, including high-frequency, short-duration visits aggregated across many beneficiaries. Analysts should interpret the claim count as evidence of extensive operational throughput rather than a diversified service mix.

    Exposure to policy and rate changes: because 100.0% of Medicaid revenue is derived from T1019, the provider’s revenue and utilization profile is highly sensitive to reimbursement changes, coding edits, or policy shifts that affect this specific personal care service. Any modifications to coverage rules or payment rates for T1019 would have a direct and substantial impact on the entity’s Medicaid revenue stream.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…1,425,510$90$122.6M

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Jersey median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal 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…628031,400$90$15.4M

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Bayada Home Health Care, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.NJHome Health Agency$0$269.7M
    Bayada Home Health Care, Inc.PAHome Health Agency$0$92M
    Bayada Home Health Care, Inc.PAHome Health Agency$0$85.2M
    Bayada Home Health Care, Inc.RIHome Health Agency$0$69.5M
    Bayada Home Health Care, Inc.DEHome Health Agency$0$61.2M
    Bayada Home Health Care, Inc.DEHome Health Agency$0$56.8M
    Bayada Home Health Care, Inc.PAHome Health Agency$0$51.7M
    Bayada Home Health Care, Inc.PAHome Health Agency$0$47.6M
    Bayada Home Health Care, Inc.MOHome Health Agency$0$41.2M
    Bayada Home Health Care, Inc.NCHome 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.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jersey City Medical CenterNJGeneral Acute Care Hospital$0$336.3M
    Allied Care CorpNJHome Health Agency$0$37.2M
    Calvin StrandNJAnatomic Pathology & Clinical Pathology Physician$559.3K$1.9K
    Patrick McgovernNJVascular Surgery Physician$267.3K$0
    Eric ReynoldsNJFoot & Ankle Surgery Podiatrist$218.2K$1.6K
    Frank ChenNJDiagnostic Radiology Physician$182.5K$0
    Frank LiporaceNJOrthopaedic Trauma Physician$169.9K$0
    Ziad HanhanNJThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$108.9K$0
    Abdul AmeenNJClinical Cardiac Electrophysiology Physician$102.1K$0
    Eric GinzburgNJOccupational Therapist$89K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Jersey Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Bayada Home Health Care, Inc. — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey