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.

Professional Nursing Services Inc (NPI 1467492231)

Field	Value
Entity Type	Organization
Organization	Professional Nursing Services Inc
Address	10615 York Road
City	Cockeysville
State	MD
ZIP	21030
Taxonomy	Nursing Care Agency
NPI Enumerated	June 8, 2006

Payer Source	Total Paid
Medicaid	$25.4M
Medicare	$0

Key Findings

PROFESSIONAL NURSING SERVICES INC is effectively a single-payer Medicaid provider with no Medicare billing on file; lifetime Medicare revenue is listed as none while lifetime Medicaid revenue is $25.4M, indicating its entire reported federal program activity in the dataset is through Medicaid. This suggests operations are focused on state-funded long-term or home health nursing services rather than fee-for-service Medicare markets.

Revenue concentration is extremely high: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and one code in particular dominates the book. This level of concentration implies the organization’s financial performance is heavily dependent on a narrow set of service lines.

The dominant revenue driver is T1003 (Lpn/lvn services, up to 15 minutes), which accounts for $25.2M in revenue and 99.4% of the provider’s Medicaid revenue across 58.5K claims at an average paid per claim of $431. The code mix indicates the business primarily delivers licensed practical/vocational nurse visits in short intervals, consistent with a nursing care agency model centered on routine, billed time-based clinical visits.

A secondary code W1002 contributes $163K (0.6% of Medicaid revenue) across 2.7K claims at an average of $60 paid per claim. Though materially smaller than T1003, W1002’s presence shows some billing diversity beyond LPN/LVN visit codes, but it does not meaningfully reduce revenue concentration risk.

Competitive standing in-state for T1003 is modest: this provider ranks #11 of 31 providers (67th percentile) for that code, which the dataset characterizes as typical and unremarkable volume. For W1002 the provider ranks #5 of 27 (85th percentile), also described as typical volume; overall this profile positions the provider as a solid but not dominant local participant for its primary service rather than an outlier leader.

Tenure is long: the NPI was enumerated on 2006-06-08 (~20 years ago), indicating the entity has been in the market for roughly two decades. That longevity supports the idea of an established local nursing care operation focused on Medicaid populations.

From a payer-mix and strategic perspective, the absence of Medicare billing combined with concentrated Medicaid revenues suggests the provider’s operational and reimbursement risk is tied to Medicaid policy and rates. Any changes in state Medicaid coverage, reimbursement for short-interval LPN/LVN services, or utilization management for T1003 would likely have outsized impact on this provider’s revenue.

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	58,520	$430	$25.2M
W1002	N/A	2,720	$60	$163K

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

Professional Nursing Services Inc — 0 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	11	30	39,540	$490	$22.3M
W1002	N/A	5	30	660	$60	$67.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Achieving True Self, Inc.	MD	Community/Behavioral Health Agency	$0	$15.7M
Samer Saiedy	MD	Specialist	$3.8M	$0
Smarttrans Ambulance Service	MD	Ambulance	$532.3K	$193.6K
Wegmans Food Markets, Inc.	MD	Pharmacy	$286.9K	$0
Paul Meissner	MD	Podiatrist	$245.4K	$0
William Hahn	MD	Podiatrist	$152.9K	$0
Wendy Bohner	MD	Ophthalmology Physician	$145.1K	$0
Christine Fil	MD	Family Nurse Practitioner	$140.4K	$0
Cyrus Asadi	MD	Internal Medicine Physician	$101.6K	$0
Jillian Turlington	MD	Physician Assistant	$13.6K	$2.6K

Professional Nursing Services Inc — Billing Profile & Reimbursement Data

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Professional Nursing Services 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