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.

T & N Reliable Nursing Care,llc (NPI 1184624728)

Field	Value
Entity Type	Organization
Organization	T & N Reliable Nursing Care,llc
Address	3500 18th St Ne
City	Washington
State	DC
ZIP	20018
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	July 26, 2005

Payer Source	Total Paid
Medicaid	$103.2M
Medicare	$0

Key Findings

T & N RELIABLE NURSING CARE,LLC is effectively a Medicaid-only provider: there is no Medicare billing on file while total Medicaid revenue is $103.2M, indicating the organization’s commercial footprint is concentrated entirely in state Medicaid programs. This single-payer concentration suggests operational and reimbursement risk is largely tied to Medicaid policy and rates.

Revenue is extremely concentrated in a small set of service codes: the top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with one code dominating the mix. Heavy concentration in a narrow set of codes implies the provider’s business model and staffing are organized around delivering those specific services.

T1019 drives the vast majority of Medicaid revenue for this entity: T1019 generated $98.7M and represents 95.6% of the provider’s Medicaid revenue. The code description (personal care services, per 15 minutes) and this dollar share indicate the provider operates predominantly as a personal care/home support agency focused on high-volume, time-based personal assistance rather than episodic skilled clinical interventions.

Despite its dominant share of revenue from T1019, the provider’s state competitive standing on that code is mixed: T1019 ranks #3 of 29 providers in-state (93th percentile) but is labeled as "typical, unremarkable volume for this code." In other words, while the provider is one of the higher-volume billers in-state by rank, the code’s statewide distribution makes that rank less exceptional in terms of expected activity for similar agencies.

G0299 represents a meaningful secondary revenue stream: G0299 generated $4.5M (4.4% of Medicaid revenue) and the provider ranks #3 of 32 in-state (94th percentile) with the code’s standing described as "notably above typical state volume." This suggests the agency supplements its personal care base with direct skilled nursing (RN) home visits at rates higher than most peers, indicating some clinical capability beyond unskilled personal care.

Other billed codes are negligible by revenue and do not materially diversify the revenue base: G0300 accounted for $10.3K (0.0% of revenue) and S9123 and T1005 reported de minimis revenue, indicating limited volume of LPN-hourly nursing and respite services. Those low-dollar items show the business is not meaningfully balanced across broader home health service lines.

The provider has long tenure in the market, with an NPI enumerated on 2005-07-26 (~21 years ago), which supports an interpretation of an established local operator with sustained Medicaid contracting and billing history. Long standing may contribute to its ability to achieve top-state ranks on high-volume codes.

From a competitive posture perspective, the provider appears to be a strong in-state participant for the specific services it targets: it ranks in the top three statewide on both T1019 and G0299 (93th and 94th percentiles respectively), indicating it is a major player for personal care and RN home services in its market even though one of those rankings is characterized as "typical, unremarkable." The combination of top ranks and extreme revenue concentration suggests market influence within a narrow service niche rather than broad multi-line dominance.

Medicaid: Complete Services Breakdown

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

5 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…	671,110	$150	$98.7M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	44,160	$100	$4.5M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	230	$40	$10.3K
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)	430	$1	$430
T1005	Respite care services, up to 15 minutes	60	$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

T & N Reliable Nursing Care,llc — 0 of 4 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

5 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…	3	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	3	30	13,380	$80	$1.3M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	8	10	610	$130	$1.2M
T1005	Respite care services, up to 15 minutes	8	10	990	$80	$141.8K
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)	5	20	130	$20	$17.2K

Nearby Providers

Other providers in the same ZIP code as T & N Reliable Nursing Care,llc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Immaculate Health Care Services,inc	DC	Respite Care	$0	$82.1M
Innovative Life Solutions, Inc.	DC	Developmental Disabilities Clinic/Center	$0	$73.3M
Nya Health Services Inc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.6M
Life Stride, Inc.	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.4M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$19.3M
Goshen Healthcare & Management Services	DC	Community/Behavioral Health Agency	$0	$18.1M
P&g Behavioral Health Services LLC	DC	Adult Mental Health Clinic/Center	$0	$14.1M
Psychiatric Center Chartered,inc	DC	Psychiatry Physician	$0	$11.4M
Metropolitan Educational Solutions, LLC	DC	Case Management Agency	$0	$8.3M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$7.4M

T & N Reliable Nursing Care,llc — Billing Profile & Reimbursement Data

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T & N Reliable Nursing Care,llc — 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