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    OpenPayerNPI Medicare & MedicaidWorldshine International LLC
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    Worldshine International LLC — Billing Profile & Reimbursement Data

    NPI 1134525470 · Gaithersburg, MD · Adult Day Care Clinic/Center

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    Worldshine International LLC is a adult day care clinic/center provider located in Gaithersburg, 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
    OrganizationWorldshine International LLC
    Address700 Professional Dr
    CityGaithersburg
    StateMD
    ZIP20879
    TaxonomyAdult Day Care Clinic/Center
    NPI EnumeratedNovember 14, 2014

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

    Payer SourceTotal Paid
    Medicaid$33.4M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer: there is no Medicare revenue on file and all reported lifetime revenue is Medicaid ($33.4M). The absence of any Medicare billing indicates Medicaid is the sole documented source of programmatic reimbursement in this dataset.

    Medicaid revenue is highly concentrated in a very small code set: the precomputed top‑3 codes account for 100.0% of this provider's Medicaid revenue, with S5102 alone representing 77.1% and W5102 representing 22.9%. That concentration indicates the business is heavily dependent on a narrow set of service lines for the entirety of its recorded Medicaid income.

    S5102 (Day care services, adult; per diem) is the dominant revenue driver: 276.7K claims at a $93 avg paid/claim produced $25.7M (77.1% of Medicaid revenue). This claim profile and the per‑diem descriptor are consistent with an adult day care operation delivering large volumes of daily services rather than episodic or acute interventions.

    W5102 (no description available in the file) accounts for 119.1K claims at a $64 avg paid/claim for $7.6M (22.9% of Medicaid revenue). Although the code description is not provided, the high claim count and meaningful share of revenue indicate W5102 is a routine, recurring service line that is operationally important to this provider's Medicaid business.

    On statewide competitive standing, WORLDSHINE INTERNATIONAL LLC ranks very highly for its top codes: S5102 ranks #3 of 139 providers in‑state (99th percentile, labeled an "extreme outlier") and W5102 ranks #3 of 110 providers in‑state (98th percentile, described as "notably above typical" state volume). These rank and percentile positions characterize the provider as a major, high‑volume participant in Maryland's adult day care/related Medicaid service market for these codes.

    The scale of activity—276.7K S5102 claims and 119.1K W5102 claims—combined with per‑claim payment levels ($93 and $64 respectively) suggests sustained, high utilization of day‑level services and associated recurring offerings. Such a profile is consistent with a large operational footprint delivering daily adult day services to a sizable client population over time.

    The provider has an established tenure in the dataset, with NPI enumeration on 2014-11-14 (~12 years ago), indicating a multi‑year operating history that aligns with the substantial cumulative Medicaid revenues reported. This longevity supports the interpretation that the observed high volumes reflect an ongoing program rather than a short‑term spike.

    Because essentially all Medicaid revenue is concentrated in the S5102 and W5102 code lines, changes in Medicaid policy, per‑diem reimbursement rates, or state program eligibility tied to these codes would likely have an outsized impact on the provider's financial position. The narrow code mix and heavy reliance on high‑volume per‑diem billing make the provider sensitive to code‑level reimbursement or utilization shifts.

    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
    S5102Day care services, adult; per diem276,700$90$25.7M
    W5102N/A119,110$60$7.6M

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5102Day care services, adult; per diem314036,150$90$5.3M
    W5102N/A311021,100$60$1.8M

    Nearby Providers

    Other providers in the same ZIP code as Worldshine International LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Minds In Motion Children's Center LLCMDOccupational Therapist$0$7.5M
    Metropolitan Medical Supplies LLCMDDurable Medical Equipment & Medical Supplies$0$5.4M
    Farhad NasehMDSpecialist$585.7K$103K
    Carla B. Macleod M.d. & Associates LLCMDAnatomic Pathology & Clinical Pathology Physician$312.6K$353.3K
    Sizhu WangMDPhysical Therapist$261.4K$0
    Roni FordMDDermatology Physician$237.3K$0
    Benjamin LevineMDOphthalmology Physician$147.8K$87.2K
    Stephen NguyenMDInternal Medicine Physician$168.7K$0
    Costco Wholesale CorporationMDCommunity/Retail Pharmacy$72.8K$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
    Worldshine International LLC — 2 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland