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    OpenPayerNPI Medicare & MedicaidRescare Washington Inc
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    Rescare Washington Inc — Billing Profile & Reimbursement Data

    NPI 1295121499 · Nampa, ID · Nursing Care Agency

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    Rescare Washington Inc is a nursing care agency provider located in Nampa, Idaho. This profile covers 0 Medicare and 3 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
    OrganizationRescare Washington Inc
    Address136 N Broadmore Way Ste 101
    CityNampa
    StateID
    ZIP83687
    TaxonomyNursing Care Agency
    NPI EnumeratedApril 14, 2015

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

    Payer SourceTotal Paid
    Medicaid$8.2M
    Medicare$0

    Key Findings

    This provider is effectively a single-payer Medicaid operator: there is no Medicare billing on file and lifetime Medicaid revenue is $8.2M, so Medicaid represents the entirety of recorded public-program reimbursement for this entity. The provider’s NPI was enumerated on 2015-04-14 (~11 years ago), indicating roughly a decade of operation under the current identifier.

    Revenue is highly concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, with one code dominating overall receipts. T1002 alone generates $7.8M (94.3% of the provider’s Medicaid revenue), while T1003 and T1001 contribute $403.3K (4.9%) and $69.2K (0.8%), respectively.

    The code mix and descriptions point to a short-visit, nursing-focused home/community care model. T1002 (Rn services, up to 15 minutes) and T1003 (Lpn/lvn services, up to 15 minutes) together indicate high-frequency, brief nursing visits are the operational core, and T1001 (Nursing assessment / evaluation) supports care-planning activity rather than extended procedural services. This aligns with the provider taxonomy of Nursing Care Agency.

    Operational scale for the RN short-visit line (T1002) is large relative to available in-state peers: the provider reports 25K claims for T1002 with a $311 avg paid/claim and $7.8M revenue, and it ranks #1 of 2 providers in-state (100th percentile) even as the descriptor labels that volume as "typical, unremarkable." Being top-ranked among only two reporting peers suggests leadership in this narrow service among a small competitive set rather than dominance across a broad market.

    For LPN services and assessments the provider also shows meaningful presence but with different competitive signals. T1003 has 3.2K claims, $128 avg paid/claim, and $403.3K revenue and ranks #1 of 4 in-state (100th percentile; described as typical); T1001 has 1.2K claims, $58 avg paid/claim, and $69.2K revenue and ranks #12 of 45 in-state (75th percentile; described as typical). These ranks indicate the provider is a clear participant for LPN-level short visits and an above-median performer on assessments within the state, though not an outlier.

    The claims and unit-payment profile reinforce the short-visit business model and its revenue mechanics: 25K claims at $311 avg for T1002 drive the $7.8M share, while lower-frequency, lower-unit-payment lines (3.2K claims at $128 for T1003 and 1.2K at $58 for T1001) produce comparatively small contributions. This concentration in claim volume rather than high per-claim reimbursement highlights reliance on throughput of brief nursing encounters.

    From a statistical-outlier perspective, none of the reported top codes are labeled as unusually high or flagged as atypical—each is described as "typical, unremarkable volume for this code." That said, the provider’s business risk is elevated by the extreme concentration of Medicaid revenue in T1002 (94.3%), so analysts should focus follow-on review on utilization patterns, staffing mix (RN vs LPN), and state-level policy or rate changes affecting short-visit nursing codes.

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1002Rn services, up to 15 minutes24,980$310$7.8M
    T1003Lpn/lvn services, up to 15 minutes3,150$130$403.3K
    T1001Nursing assessment / evaluation1,190$60$69.2K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Idaho median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1002Rn services, up to 15 minutes11012,620$320$4M
    T1003Lpn/lvn services, up to 15 minutes1101,350$410$641.7K
    T1001Nursing assessment / evaluation1250260$60$77K

    Nearby Providers

    Other providers in the same ZIP code as Rescare Washington Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Clinics, Inc.IDFederally Qualified Health Center (FQHC)$0$37.7M
    Assisting Hands Home Care - Boise, LLCIDHome Health Agency$0$7.6M
    Idaho Pediatric DentistryIDPediatric Dentistry$0$4.9M
    Unbefuddled, LLCIDCase Management Agency$0$4.6M
    Saint Alphonsus Medical Center Nampa, Inc.IDGeneral Acute Care Hospital$0$3.7M
    Best Homecare And Staffing LLCIDHome Health Agency$0$2.6M
    Advanced Services LLCIDDevelopmentally Disabled Services Day Training Agency$0$2.6M
    Norco, Inc.IDOxygen Equipment & Supplies (DME)$0$2.4M
    St Lukes West LtdIDGeneral Acute Care Hospital$0$1.9M
    Unity Service CoordinationIDCase Management Agency$0$1.6M

    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. Idaho Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Idaho Distribution
    Rescare Washington Inc — 2 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho