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    OpenPayerNPI Medicare & MedicaidCaring Nurses Services, Inc
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    Caring Nurses Services, Inc — Billing Profile & Reimbursement Data

    NPI 1124355227 · Edgewood, MD · Nursing Care Agency

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    Caring Nurses Services, Inc is a nursing care agency provider located in Edgewood, Maryland. 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
    OrganizationCaring Nurses Services, Inc
    Address1003 Edgewood Rd
    CityEdgewood
    StateMD
    ZIP21040
    TaxonomyNursing Care Agency
    NPI EnumeratedNovember 10, 2009

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

    Payer SourceTotal Paid
    Medicaid$30.6M
    Medicare$0

    Key Findings

    CARING NURSES SERVICES, INC is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $30.6M in lifetime Medicaid revenue, indicating the organization’s revenue stream is concentrated entirely in the Medicaid program. The absence of Medicare activity makes this a single-payer operation in practice rather than a balanced Medicare/Medicaid mix.

    Revenue concentration is extreme within its Medicaid portfolio: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, and the single listed code T1003 accounts for the full $30.6M. This means all reported Medicaid dollars are attributable to a single service line, creating a high revenue-concentration profile.

    The provider’s billing pattern is dominated by T1003 (Lpn/lvn services, up to 15 minutes), which by description suggests an operations model built around frequent, short-interval LPN/LVN visits rather than longer skilled-nursing episodes. That code mix implies staffing and scheduling geared to high-volume, brief encounters and a business model dependent on licensed practical/vocational nursing labor.

    Operational scale on the reported code is substantial: CARING NURSES SERVICES billed 62.6K claims for T1003 with an average paid per claim of $489, reflecting both high utilization and a nontrivial unit payment. Those two figures together indicate the provider delivers a large number of short visits at a moderate-per-visit reimbursement level, which drives its entire Medicaid revenue base.

    State-level competitive standing for the primary code is mid-to-upper tier: T1003 revenue ranks #10 of 31 providers in-state and is at the 70th percentile, which the data labels as "typical, unremarkable volume for this code." This places the provider above the median in Maryland but not among the small set of dominant statewide leaders for LPN/LVN short-visit services.

    The combination of single-payer reliance (Medicaid only) and 100.0% of Medicaid revenue driven by T1003 exposes the business to concentrated policy or rate risk tied to that single service and payer. Any changes to Medicaid coverage, payment rates, or utilization management for T1003 would disproportionately affect the provider’s entire reported revenue stream.

    CARING NURSES SERVICES has an established presence in the market, with its NPI enumerated on 2009-11-10 (~17 years ago), suggesting organizational longevity and experience delivering the same service mix over time. That tenure may support operational stability even as its revenue profile remains narrowly focused.

    From a payer or competitive-analysis perspective, the clearest strategic indicator is the lack of service diversification: all reported Medicaid revenue flows through T1003, and there is no Medicare activity to broaden payer mix. For analysts evaluating risk or partnership potential, this profile flags a specialist supplier of short LPN/LVN visits whose fortunes are closely tied to Medicaid policy and the reimbursement environment for T1003.

    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
    T1003Lpn/lvn services, up to 15 minutes62,640$490$30.6M

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1003Lpn/lvn services, up to 15 minutes103039,540$490$22.3M

    Nearby Providers

    Other providers in the same ZIP code as Caring Nurses Services, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rts EdgewoodMDMethadone Clinic$504.1K$25.6M
    Project Chesapeake, LLCMDSubstance Abuse Rehabilitation Facility$0$8.4M
    Empowering Minds Resource CenterMDCase Management Agency$0$6M
    Project Chesapeake, LLCMDSubstance Use Disorder Rehabilitation Clinic/Center$0$5.3M
    Changing Turn Community Healthcare ServicesMDCommunity/Behavioral Health Agency$0$4.5M
    Daun SigafooseMDChiropractor$45.1K$0
    Edward ArrisonMDAnesthesiology Physician$10.8K$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. 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
    Caring Nurses Services, Inc — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland