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 1962947705)

Field	Value
Entity Type	Organization
Organization	Bayada Home Health Care, Inc.
Address	1060 S Governors Ave Ste 102
City	Dover
State	DE
ZIP	19904
Taxonomy	Home Health Agency
NPI Enumerated	January 4, 2017

Payer Source	Total Paid
Medicaid	$37.9M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and $37.9M in lifetime Medicaid revenue, making it effectively a Medicaid-focused, single-payer home health operator in available records. The absence of Medicare claims suggests its business activity (as captured here) is concentrated in Medicaid-funded home and personal care services rather than Medicare fee-for-service lines.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes (S9124, S9123, S5130) account for 94.9% of this provider's total Medicaid revenue. That concentration indicates most Medicaid dollars flow through a very small set of services rather than a broad mix of procedure codes.

The code mix points to an operation centered on in-home nursing and personal support: S9124 (licensed practical nurse, per hour) and S9123 (registered nurse, per hour) together represent the bulk of dollars by high per-hour reimbursement, while S5130 (homemaker service, per 15 minutes) represents very high volume personal care support. Reported volumes and payments—S9124: 37.5K claims, $448 avg paid/claim; S9123: 24.5K claims, $427 avg paid/claim; S5130: 87.7K claims, $99 avg paid/claim—show a mix of labor-intensive nursing reimbursements and very large-volume homemaker services.

State-level competitive standing varies by code: S9124 ranks #7 of 17 providers (63rd percentile) and S9123 ranks #7 of 11 providers (40th percentile), both described as typical or unremarkable volumes, while S5130 ranks #15 of 62 providers (77th percentile) and G0156 ranks #4 of 14 providers (77th percentile), indicating a stronger footprint in homemaker and home health aide services than in nursing-hour leadership. Overall this positions the provider as a solid regional participant in personal care lines but a modest competitor in hourly nursing codes.

Although the top three codes dominate revenue (94.9% share), G0156 (home health/hospice aide, per 15 minutes) still contributes a meaningful 5.1% of Medicaid revenue with 17.1K claims and $113 avg paid/claim. That secondary presence in aide visits suggests an operational capability across both nursing and aide/homemaker service lines rather than a single narrow service type.

High claim volumes underscore operational scale in home-based personal care: S5130 alone generated 87.7K claims, while S9124 and S9123 generated 37.5K and 24.5K claims respectively. These counts reflect a large throughput of short-interval homemaker visits combined with substantial hourly nursing activity, implying staffing and scheduling demands typical of sizable home health agencies.

Per-claim payment patterns reveal a reimbursement structure based on service intensity: nursing-hour codes pay substantially more per claim (S9124 $448, S9123 $427) versus per-15-minute homemaker/aide codes (S5130 $99, G0156 $113). This mix indicates revenue is driven by both higher-priced nursing hours and very high-volume lower-unit-value homemaker shifts, making the provider sensitive to changes in either utilization or unit rates.

The provider's NPI was enumerated on 2017-01-04 (~9 years ago), indicating several years of established Medicaid billing history. Combined with $37.9M in lifetime Medicaid revenue and the concentrated code mix, this tenure supports characterization as an established, Medicaid-centered home health agency with particular strength in homemaker and aide services within its state market.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	37,530	$450	$16.8M
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)	24,460	$430	$10.4M
S5130	Homemaker service, nos; per 15 minutes	87,730	$100	$8.7M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	17,130	$110	$1.9M

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. — 0 of 4 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

4 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	7	20	27,840	$320	$10.4M
S5130	Homemaker service, nos; per 15 minutes	15	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)	7	10	27,770	$340	$6.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	4	10	5,810	$90	$839.9K

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	$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.	PA	Home Health Agency	$0	$47.6M
Bayada Home Health Care, Inc.	MO	Home Health Agency	$0	$41.2M

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
At Home Infucare, LLC	DE	Home Health Agency	$0	$28.5M
Amazing Home Care Agency	DE	Home Health Agency	$0	$18.7M
Dedicated To Women Ob-gyn, P.A.	DE	Obstetrics & Gynecology Physician	$0	$11.1M
Help At Home Of Delaware, LLC	DE	In Home Supportive Care Agency	$0	$10.7M
A Center For Mental Wellness, Inc.	DE	Mental Health Counselor	$0	$9.9M
State Of Delaware	DE	Case Management Agency	$0	$9.2M
West Dover Dental, LLC	DE	Dentist	$0	$9M
Americare Home Solutions	DE	In Home Supportive Care Agency	$0	$8.4M
Vicdania Health Services LLC	DE	Home Health Agency	$0	$7.4M
Reliable Aid, Inc	DE	Personal Care Attendant	$0	$6.4M

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