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 Delaware for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Delaware 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. Delaware (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.

Nurses 'n Kids, Inc. (NPI 1255431284)

Field	Value
Entity Type	Organization
Organization	Nurses 'n Kids, Inc.
Address	904 Churchmans Road Ext
City	New Castle
State	DE
ZIP	19720
Taxonomy	Medically Fragile Infants and Children Day Care
NPI Enumerated	September 22, 2006

Payer Source	Total Paid
Medicaid	$14.3M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $14.3M in lifetime Medicaid revenue, so its billing footprint is effectively single‑payer and dominated by Medicaid activity. The absence of Medicare claims means analyses should focus on Medicaid reimbursement and policy exposure rather than cross‑payer comparisons.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, with T1025 alone generating $13.5M (94.5% of the provider’s Medicaid revenue) and T1026 contributing $788.6K (5.5%). This concentration indicates that a very small set of service lines drives nearly all reported Medicaid receipts.

The code mix and descriptions indicate the provider operates as an intensive pediatric clinic model: T1025 and T1026 describe intensive, extended multidisciplinary services for children with complex medical, physical, mental, and psychosocial impairments, delivered in a clinic setting by per diem (T1025) and per hour (T1026) modalities. Coupled with the provider taxonomy (Medically Fragile Infants and Children Day Care), the data support a specialized, clinic-based program focused on medically fragile children rather than broad primary‑care services.

Operational profile is skewed toward per‑diem billing: T1025 shows 46.6K claims with an average paid per claim of $291, while T1026 shows 15.2K claims at $52 average paid/claim. The much higher average payment on T1025 explains why it accounts for 94.5% of Medicaid revenue despite both codes having sizable claim volumes.

In-state competitive standing is notable: the provider ranks #1 of 3 in-state and at the 100th percentile for both T1025 and T1026, yet each code is labeled "typical, unremarkable volume for this code." In practice this means the provider is the leading supplier of these services within a small state market, but its utilization patterns are not flagged as statistical extremes relative to peers.

The extreme reliance on a narrow set of CPT/HCPCS codes (top 3 = 100.0% of Medicaid revenue) creates concentrated reimbursement risk: changes to Medicaid rates, coverage policies for T1025/T1026, or audit focus on these specific pediatric multidisciplinary services would materially affect the provider’s topline. Analysts should prioritize monitoring policy and rate developments tied to intensive pediatric clinic services.

The provider’s NPI was enumerated on 2006-09-22 (~20 years ago), indicating long tenure in the market; this longevity may reflect established contracting and referral relationships within Delaware Medicaid, which could support stable utilization of the intensive pediatric services observed.

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 Code	Description	Claims	Avg Paid	Revenue
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	46,560	$290	$13.5M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	15,170	$50	$788.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Nurses 'n Kids, Inc. — 2 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	1	10	27,950	$330	$10.3M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	1	10	2,820	$60	$392K

Nearby Providers

Other providers in the same ZIP code as Nurses 'n Kids, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals Delaware & Marylands Eastern Shore, Inc	DE	Intellectual & Developmental Disabilities Psychologist	$0	$315.9M
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$61.2M
Conexio Care, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.8M
Delaware Diagnostic Labs, LLC	DE	Clinical Medical Laboratory	$3.1M	$8.5M
Point Of Hope Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$10M
Anesthesia Services PA	DE	Anesthesiology Physician	$0	$6.3M
Collaborative Effort To Reinforce Transition Success, Inc	DE	Intellectual & Developmental Disabilities Psychologist	$0	$4M
Abundant Life Community Development Corporation	DE	Intellectual & Developmental Disabilities Psychologist	$0	$2M
State Of Delaware	DE	Local Education Agency (LEA)	$0	$2M
Family Care Associates, Inc	DE	Family Medicine Physician	$0	$1.6M

Nurses 'n Kids, Inc. — Billing Profile & Reimbursement Data

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Nurses 'n Kids, 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