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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Ideal Nursing Services Inc (NPI 1154484251)

Field	Value
Entity Type	Organization
Organization	Ideal Nursing Services Inc
Address	820 Upshur Street Nw
City	Washington
State	DC
ZIP	20011
Taxonomy	Home Health Agency
NPI Enumerated	December 19, 2006

Payer Source	Total Paid
Medicaid	$58M
Medicare	$0

Key Findings

IDEAL NURSING SERVICES INC is effectively a Medicaid-focused home health agency: it has no Medicare billing on file and reports $58M in lifetime Medicaid revenue, indicating operations are concentrated in the Medicaid program rather than Medicare. The NPI was enumerated on 2006-12-19 (~20 years ago), which suggests the agency has had a long operational tenure to build a Medicaid-centered patient base and billing history.

Revenue concentration is extremely high: three Medicaid codes account for 100.0% of the provider's total Medicaid revenue, with T1019 alone generating $56.7M (97.7% of Medicaid revenue). This indicates the business is overwhelmingly driven by a single service line—personal care services billed under T1019.

Service-line implications from the top codes point to a personal care and in-home support model rather than traditional skilled home health. T1019 (personal care services, per 15 minutes) is the primary revenue driver by far, supplemented by direct skilled nursing (G0299) and aide services (G0156). The mix suggests IDEAL NURSING SERVICES focuses on recurring, hands-on personal care visits in the community setting rather than high-volume skilled therapy or physician-led home health services.

Competitive standing within the state is modest-to-typical for its top code volumes: for T1019 the provider ranks #12 of 29 in-state (61st percentile), which the underlying data characterizes as typical, unremarkable volume for this code. For G0299 it ranks #17 of 32 (48th percentile), also described as typical. These rankings indicate IDEAL NURSING SERVICES is neither a statewide leader nor an outlier in volume for these Medicaid services, but it does capture a meaningful share of personal care revenue due to focus on T1019.

Statistical-position notes for the top codes align with the percentile descriptions: T1019 and G0299 are characterized as typical or unremarkable in-state volumes, and G0156—while ranked #3 of 7 in-state (67th percentile)—shows $0 revenue reported despite 912 claims, which the source lists as $0 avg paid/claim and $0 revenue. That unusual payment profile for G0156 may reflect billing or reimbursement nuances (zero-paid claims) rather than scale of service delivery.

Payer-mix implication: because Medicare revenue is absent, the provider operates as an effectively single-payer (Medicaid) entity for the data on file. Strategic or operational decisions—staffing, documentation, and service offerings—are likely optimized for Medicaid rules and reimbursement rates rather than dual Medicare/Medicaid workflows.

Operational risk and revenue dependence: with 97.7% of Medicaid revenue tied to T1019, the provider has high revenue concentration in one code and service line. Any policy, coverage, or rate change affecting T1019 reimbursement would materially affect the provider's financial position given that concentration.

Tenure and market familiarity: being enumerated since 2006-12-19 (~20 years ago) suggests established relationships with payers and state Medicaid programs; the longevity supports the observed concentrated Medicaid billing patterns rather than a new entrant skewing reported volumes.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal 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…	457,050	$120	$56.7M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	13,350	$100	$1.4M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	910	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. District of Columbia Distribution

Ideal Nursing Services Inc — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal 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…	12	30	405,140	$140	$47.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	17	30	13,380	$80	$1.3M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	3	10	190	$0	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integrated Community Services, Inc.	DC	Home Health Agency	$0	$145.9M
National Children's Center, Inc.	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$101M
Capital Care, Inc	DC	Home Health Agency	$0	$83.4M
Aba Inc	DC	In Home Supportive Care Agency	$0	$80.8M
Premium Select Home Care Inc	DC	Home Health Agency	$0	$63.9M
Total Care Services, Inc.	DC	Developmentally Disabled Services Day Training Agency	$0	$54.7M
Metro Homes Inc	DC	Developmental Disabilities Clinic/Center	$0	$45.1M
Citycare Health Services, Inc	DC	Community/Behavioral Health Agency	$0	$36.4M
Janilcar Inc	DC	Durable Medical Equipment & Medical Supplies	$0	$32.7M
Dc Health Care Inc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$24.2M

Ideal Nursing Services Inc — Billing Profile & Reimbursement Data

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Ideal Nursing Services 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

Nearby Providers

Frequently Asked Questions

References