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    OpenPayerNPI Medicare & MedicaidCommunity Care Nursing Services, Inc.
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    Community Care Nursing Services, Inc. — Billing Profile & Reimbursement Data

    NPI 1093725897 · Parkville, MD · Nursing Care Agency

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    Community Care Nursing Services, Inc. is a nursing care agency provider located in Parkville, Maryland. This profile covers 0 Medicare and 2 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
    OrganizationCommunity Care Nursing Services, Inc.
    Address8108 Harford Rd
    CityParkville
    StateMD
    ZIP21234
    TaxonomyNursing Care Agency
    NPI EnumeratedAugust 8, 2006

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

    Payer SourceTotal Paid
    Medicaid$48.6M
    Medicare$0

    Key Findings

    COMMUNITY CARE NURSING SERVICES, INC. is effectively a Medicaid-focused home health/nursing care agency: it reports no Medicare revenue on file and $48.6M in lifetime Medicaid revenue, indicating operations are concentrated entirely in the Medicaid payer channel rather than Medicare. The absence of Medicare billing suggests either ineligibility, a strategic focus on Medicaid, or a client mix primarily covered by state programs.

    Revenue concentration is extremely high and concentrated in a single service line: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T1003 alone representing $48.4M (99.7% of Medicaid revenue). This implies that the business’s financial performance is overwhelmingly dependent on LPN/LVN services billed under T1003.

    The dominant code, T1003 (Lpn/lvn services, up to 15 minutes), is reported at 110K claims with an average paid amount of $440 per claim and $48.4M in revenue; the provider ranks #2 of 31 in-state and is described as “notably above typical state volume for this code.” That rank and percentile placement (97th) identify the provider as a major statewide participant in delivering short-interval licensed practical/vocational nursing visits.

    A secondary code, W1002, accounts for a very small share of Medicaid revenue ($157.8K, 0.3% of Medicaid revenue) across 3.1K claims with an average paid amount of $51; the provider ranks #3 of 27 in-state and is characterized as typical or unremarkable volume for that code. This indicates limited service diversification beyond the LPN/LVN visits captured by T1003.

    From a competitive stance within Maryland Medicaid, the provider’s high-volume position on T1003 (97th percentile, #2 of 31) marks it as a leading regional supplier of short-interval LPN/LVN services; its performance on other codes is minimal, so its competitive strength is concentrated narrowly rather than across multiple service lines. Analysts should treat the provider as a dominant specialist rather than a broad home-health network.

    Tenure-wise, the provider’s NPI has been enumerated since 2006-08-08 (~20 years ago), indicating a long-established presence in the market. This duration supports the plausibility of high-volume Medicaid operations and may reflect sustained contract relationships with state Medicaid programs or managed care plans.

    Because the practice has no Medicare billing on file, payer-mix risk is concentrated: any policy, reimbursement, or eligibility changes affecting Medicaid or the specific T1003 service could materially affect the provider’s revenue given that T1003 alone is 99.7% of Medicaid revenue. Analysts should consider Medicaid reimbursement trends for LPN/LVN visits when assessing financial exposure.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1003Lpn/lvn services, up to 15 minutes110,000$440$48.4M
    W1002N/A3,090$50$157.8K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maryland median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1003Lpn/lvn services, up to 15 minutes23039,540$490$22.3M
    W1002N/A330660$60$67.8K

    Nearby Providers

    Other providers in the same ZIP code as Community Care Nursing Services, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Children's Guild, Inc.MDCommunity/Behavioral Health Agency$0$34.6M
    Maryland Medical First P.A.MDInternal Medicine Physician$0$14.6M
    Northern Pharmacy And Medical Equipment, IncMDCommunity/Retail Pharmacy$168.6K$14.2M
    Hope Haven Holistic Treatment Services LLCMDAddiction (Substance Use Disorder) Counselor$0$12.7M
    Kts Mental Health Group, IncMDProfessional Counselor$0$9.3M
    More Than Just Friends Adult Medical Day CenterMDAdult Day Care Clinic/Center$0$6.5M
    D&t Health ServicesMDCommunity/Behavioral Health Agency$0$6.5M
    Kts Mental Health Group, IncMDCommunity/Behavioral Health Agency$0$6.1M
    Deerfield Healthcare Corp.MDAdult Day Care Clinic/Center$0$6M
    The Children's Guild, IncMDAdolescent and Children Mental Health Clinic/Center$0$5.9M

    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. Maryland Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Community Care Nursing Services, Inc. — 1 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland