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    OpenPayerNPI Medicare & MedicaidAutomatic Nursing Care Services, Inc.
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    Automatic Nursing Care Services, Inc. — Billing Profile & Reimbursement Data

    NPI 1245378561 · Silver Spring, MD · Home Health Agency

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    Automatic Nursing Care Services, Inc. is a home health agency provider located in Silver Spring, 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
    OrganizationAutomatic Nursing Care Services, Inc.
    Address804 Pershing Dr Ste 203
    CitySilver Spring
    StateMD
    ZIP20910
    TaxonomyHome Health Agency
    NPI EnumeratedFebruary 1, 2007

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

    Payer SourceTotal Paid
    Medicaid$43.8M
    Medicare$0

    Key Findings

    AUTOMATIC NURSING CARE SERVICES, INC. is a Home Health Agency based in SILVER SPRING, MD with an NPI enumerated 2007-02-01 (~19 years ago). The provider reports $43.8M in lifetime Medicaid revenue and has no Medicare billing on file, indicating a long-tenured, Medicaid-focused operation rather than a dual-payer footprint.

    The provider is effectively single-payer at scale: there is no Medicare billing on file while Medicaid accounts for $43.8M in lifetime revenue. This concentrated payer mix suggests that state Medicaid policy and rate changes are the primary revenue levers for this business.

    Revenue is extremely concentrated by code: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. Such concentration means a very small set of services drives nearly all reported Medicaid income.

    T1003 dominates the billing profile: T1003 (Lpn/lvn services, up to 15 minutes) represents 91.6K claims, $478 avg paid/claim, $43.8M revenue (99.9% of this provider's total Medicaid revenue). This indicates the agency’s operations are overwhelmingly focused on short LPN/LVN home-visit services rather than a broader mix of skilled nursing or therapy codes.

    Despite the large absolute volume of T1003 claims, the provider’s competitive standing for that code is moderate statewide: T1003 ranks #5 of 31 providers in-state (87th percentile; typical, unremarkable volume for this code). In other words, the organization is a notable but not dominant participant in the state market for this specific LPN/LVN service.

    Secondary codes contribute negligible revenue: W1002 shows 1.7K claims, $17 avg paid/claim, $29.2K revenue (0.1% of this provider's total Medicaid revenue) and ranks #8 of 27 providers in-state (73th percentile; typical, unremarkable volume for this code). This confirms the business derives almost all Medicaid revenue from a single service line.

    Operational implications of the billing mix are clear: 91.6K claims for a single short-visit LPN/LVN code imply high visit frequency and a staffing model concentrated on LPN/LVN resources and visit-level scheduling. The $478 avg paid/claim for T1003 combined with the claim volume is the principal driver of the reported $43.8M in Medicaid revenue.

    From a risk and strategic perspective, the combination of long tenure (~19 years), an overwhelmingly Medicaid-funded revenue base, and near-total reliance on T1003 creates business sensitivity to state-level reimbursement, prior authorization, and coverage policies for short LPN/LVN home visits. Any analysis of growth opportunities or vulnerability should start by evaluating how changes to T1003 utilization or reimbursement would affect overall revenue.

    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 minutes91,570$480$43.8M
    W1002N/A1,720$20$29.2K

    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 minutes53039,540$490$22.3M
    W1002N/A830660$60$67.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quality One Care Home Health Inc.MDHome Health Agency$0$61.8M
    Project Redirect IncMDAdult Mental Health Clinic/Center$0$48.4M
    Mindoula Health Inc.MDCommunity/Behavioral Health Agency$0$29M
    Symbral Foundation For Community Services IncMDIntellectual Disabilities Intermediate Care Facility$0$17.3M
    Mcs, PCMDCommunity/Behavioral Health Agency$0$14.5M
    Vesta, Inc.MDCommunity/Behavioral Health Agency$0$9.9M
    T S Trask IncMDCommunity/Behavioral Health Agency$0$9.2M
    Affiliated Sante GroupMDMental Health Clinic/Center (Including Community Mental Health Center)$0$8.6M
    Consonant Healing Medical AssociatesMDSurgery Physician$0$7.2M
    Community Clinic, IncMDGeneral Practice Dentistry$0$6.5M

    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
    Automatic Nursing Care Services, Inc. — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland