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 Of Milford, Inc. (NPI 1447342357)

Field	Value
Entity Type	Organization
Organization	Nurses 'n Kids Of Milford, Inc.
Address	705 North St. Ext.
City	Milford
State	DE
ZIP	19963
Taxonomy	Medically Fragile Infants and Children Day Care
NPI Enumerated	September 28, 2006

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

Key Findings

NURSES 'N KIDS OF MILFORD, INC. is effectively a single-payer Medicaid provider in Milford, DE: the record shows none (no Medicare billing on file) in Medicare and $9.5M in lifetime Medicaid revenue. This concentration makes Medicaid policy, state rates, and contract terms the primary drivers of the organization’s revenue outlook and financial risk.

Revenue for this provider is highly concentrated in a very narrow set of service codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T1025 alone representing 97.6% of Medicaid revenue and T1026 representing 2.4%. That concentration indicates the organization’s fiscal performance is almost entirely dependent on a small number of pediatric intensive-care service lines.

The reported code mix (T1025 and T1026) aligns with the stated taxonomy of Medically Fragile Infants and Children Day Care: T1025 (per diem multidisciplinary intensive services) and T1026 (hourly multidisciplinary intensive services) reflect clinic-based, extended multidisciplinary care for children with complex medical, physical, mental and psychosocial impairments. The presence of both a high-volume per-diem code and a lower-volume hourly code suggests the operation bills both full-day program placements and shorter hourly clinical supports.

Activity and pricing detail reinforce T1025 dominance: the dataset shows 19.1K claims for T1025 at $485 avg paid/claim producing $9.3M in revenue, while T1026 shows 2.8K claims at $81 avg paid/claim producing $228.3K in revenue. These figures indicate the provider’s service model and billing volume are heavily weighted toward per-diem intensive clinic services rather than ancillary or diverse code lines.

On statewide competitive standing, this provider is a modest participant rather than a dominant player for its top code lines: T1025 ranks #3 of 3 providers in-state (0th percentile) and is characterized as typical, unremarkable volume for this code, while T1026 ranks #2 of 3 in-state (50th percentile) and is also described as typical, unremarkable volume. Those ranks suggest the provider operates at or below peer norms in Delaware for its highest-revenue service.

The absence of any Medicare billing on file combined with a Medicaid-only revenue base of $9.5M concentrates both payer and regulatory exposure at the state level; reimbursement rate changes, prior authorization policies, or state budget shifts could materially affect this provider given the lack of Medicare diversification. Operational planning and contract negotiations should therefore prioritize state Medicaid program relationships.

The provider’s NPI was enumerated on 2006-09-28 (~20 years ago), indicating a long-tenured presence in the market. That longevity supports the interpretation that the current Medicaid-focused service mix is an established business model rather than a recent shift.

Both top codes are explicitly labeled as typical, unremarkable volume relative to in-state peers, so there is no indication in this billing snapshot of statistical outlier behavior for either T1025 or T1026. Analysts assessing utilization or utilization management interventions can treat the provider’s code-level volumes as within expected peer ranges rather than anomalous.

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	19,150	$490	$9.3M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	2,820	$80	$228.3K

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 Of Milford, Inc. — 0 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	3	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	2	10	2,820	$60	$392K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayhealth Medical Center, Inc.	DE	General Acute Care Hospital	$0	$39.5M
Banyan Delaware LLC	DE	Substance Abuse Rehabilitation Facility	$0	$30.9M
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$28.5M
Epic Health Services (de), LLC	DE	Home Health Agency	$0	$19.3M
Delaware Pediatric Dentistry	DE	Pediatric Dentistry	$0	$18.1M
Kent-sussex Industries	DE	Developmentally Disabled Services Day Training Agency	$0	$11.7M
Prn Staffers Inc	DE	Home Health Agency	$0	$7.6M
People's Place Ii, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.9M
Bayhealth Medical Center, Inc.	DE	Clinic/Center	$0	$3.7M
La Red Health Center, Inc.	DE	Federally Qualified Health Center (FQHC)	$0	$2.7M

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

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Nurses 'n Kids Of Milford, 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