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

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

High Quality Care Nursing, Inc (NPI 1285688556)

Field	Value
Entity Type	Organization
Organization	High Quality Care Nursing, Inc
Address	217 Main St
City	Laurel
State	MD
ZIP	20707
Taxonomy	Nursing Care Agency
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$77.2M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and $77.2M in lifetime Medicaid revenue, so its financial footprint is effectively single-payer (Medicaid) in scope. That concentration on Medicaid means analyses of its performance and exposure should focus on Medicaid policy, rates, and utilization rather than dual-payer dynamics.

The provider's Medicaid revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, with a single code dominating the mix. Such extreme concentration concentrates operational and reimbursement risk on a small set of service lines and makes the provider sensitive to any changes in coverage or payment for those specific codes.

Business/service-line signals align with the Nursing Care Agency taxonomy and the dominant code profile. T1003 (Lpn/lvn services, up to 15 minutes) shows 158.1K claims with a $488 avg paid/claim and $77.1M in revenue, indicating the organization primarily delivers high-volume, short-interval licensed practical/vocational nurse visits rather than a broad mix of procedures or durable medical equipment.

T1003 is a statewide market leader for this service: it ranks #1 of 31 providers in-state (100th percentile) and is described as notably above typical state volume for this code. That ranking indicates the provider is a dominant participant in the market segment defined by T1003 and likely captures an outsized share of LPN/LVN short-visit volume in its state.

The secondary Medicaid code, W1002, is present but inconsequential to overall revenue: 1.9K claims, $59 avg paid/claim, and $109.5K in revenue, representing 0.1% of the provider's Medicaid revenue. W1002 ranks #7 of 27 in-state (77th percentile) and is characterized as typical and unremarkable in volume, suggesting it is a minor adjunct service rather than a strategic growth area.

The provider's NPI was enumerated on 2006-05-20 (~20 years ago), indicating a long-tenured operation in the market. This longevity, combined with dominant standing on the primary Medicaid code, suggests established referral or contracting relationships that support sustained high-volume delivery of LPN/LVN services.

Given the near-total reliance on T1003 for Medicaid revenue (T1003 accounts for $77.1M of the $77.2M total and the top 3 codes together account for 100.0%), payment policy changes, audit focus, or utilization shifts affecting T1003 would materially affect this provider's revenue. Payer negotiation strategy and operational resilience should therefore prioritize the service lines tied to T1003 and the administrative controls that govern LPN/LVN visit documentation and billing.

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
T1003	Lpn/lvn services, up to 15 minutes	158,060	$490	$77.1M
W1002	N/A	1,860	$60	$109.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

High Quality Care Nursing, Inc — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1003	Lpn/lvn services, up to 15 minutes	1	30	39,540	$490	$22.3M
W1002	N/A	7	30	660	$60	$67.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nextgeneration Therapeutic Services	MD	Community/Behavioral Health Agency	$0	$23.4M
Outreach Recovery Ii, LLC	MD	Addiction Medicine (Internal Medicine) Physician	$0	$20.1M
Bk Behavioral Health Center	MD	Addiction (Substance Use Disorder) Counselor	$0	$14.3M
Capital Diagnostics LLC	MD	Clinical Medical Laboratory	$207.7K	$11.6M
Precision Orthopedics And Sports Medicine	MD	Sports Medicine (Orthopaedic Surgery) Physician	$0	$9.9M
Innovative Therapeutic Services, Corp.	MD	Community/Behavioral Health Agency	$0	$9.6M
Associated Professional Rehabilitation Services, Inc.	MD	Physical Therapist	$0	$4.5M
Padder Health Services, LLC	MD	Internal Medicine Physician	$0	$4.5M
Addiction Recovery, Inc	MD	Substance Abuse Rehabilitation Facility	$0	$4.5M
Lartey Wellness Group LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.3M

High Quality Care Nursing, Inc — Billing Profile & Reimbursement Data

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High Quality Care Nursing, 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