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.

Elite Healthcare Nursing Services, Inc. (NPI 1497894349)

Field	Value
Entity Type	Organization
Organization	Elite Healthcare Nursing Services, Inc.
Address	5411 Old Frederick Rd
City	Baltimore
State	MD
ZIP	21229
Taxonomy	Home Health Agency
NPI Enumerated	February 6, 2007

Payer Source	Total Paid
Medicaid	$45.5M
Medicare	$0

Key Findings

This provider effectively operates on a single-payer basis: there is no Medicare billing on file and all documented federal claims activity is through Medicaid, which totals $45.5M in lifetime Medicaid revenue. The absence of Medicare revenue means limited diversification across federal payers and reliance on state Medicaid policy and rates.

Revenue is extremely concentrated in a single procedure group: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, with T1003 alone representing $45.4M (99.8% of the provider's Medicaid revenue). This concentration indicates that changes to reimbursement or utilization of that single code would have outsized impact on the provider's topline.

The provider’s service mix is dominated by skilled nursing delivered by licensed practical nurses/licensed vocational nurses: T1003 (Lpn/lvn services, up to 15 minutes) accounts for 79.1K claims and an average paid per claim of $574, which aligns with its Home Health Agency taxonomy and suggests the operation is focused on high-volume, short-interval LPN/LVN home visits. The narrow set of billable services (T1003 and a minor W1002 component) implies an operational model centered on routine nursing encounters rather than a broad menu of home health therapies.

Despite the large dollar share from T1003, the provider’s competitive standing for that code is mid-to-upper-tier within Maryland: T1003 ranks #7 of 31 in-state (80th percentile) and is described as having "typical, unremarkable volume for this code," indicating steady participation but not dominance among state peers. The secondary code W1002 (1.7K claims, $63 avg paid/claim, $104.2K revenue) ranks #9 of 27 (69th percentile) and likewise reflects typical, unremarkable volume rather than outlier status.

Operational scale and throughput are significant for the dominant code: 79.1K T1003 claims signal high visit volume and operational capacity to deliver frequent LPN/LVN encounters, while the $574 average paid per T1003 claim indicates a substantial per-encounter reimbursement level in Medicaid. By contrast, W1002 contributes only $104.2K (0.2% of Medicaid revenue) with a $63 average paid/claim, underscoring how narrow the revenue base is.

The provider’s narrow code mix creates concentration risk and strategic exposure: with 99.8% of Medicaid revenue tied to T1003, any policy, audit, or rate changes impacting LPN/LVN billing would materially affect overall revenue. The lack of Medicare billing further limits channels for offsetting state-level Medicaid reimbursement shifts.

ELITE HEALTHCARE NURSING SERVICES, INC. has an established tenure in federal enrollment, with an NPI enumerated on 2007-02-06 (~19 years ago), indicating long-standing participation in payer networks. That longevity, combined with a concentrated Medicaid revenue stream, suggests a stable, specialized business model focused on LPN/LVN home health services within the Maryland Medicaid market.

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	79,140	$570	$45.4M
W1002	N/A	1,650	$60	$104.2K

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

Elite Healthcare 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	7	30	39,540	$490	$22.3M
W1002	N/A	9	30	660	$60	$67.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Time Organization, Inc	MD	Community/Behavioral Health Agency	$0	$39.4M
Compassionate Care Nursing Services	MD	Home Health Agency	$0	$36.6M
Win Team, LLC	MD	Community/Behavioral Health Agency	$0	$21M
Maryland Treatment Centers Inc	MD	Substance Abuse Rehabilitation Facility	$0	$19M
Time Organization, Inc	MD	Rehabilitation Clinic/Center	$0	$13.8M
National Pike Health Center	MD	Mental Health Counselor	$0	$13.2M
Ats Of Cecil County, LLC	MD	Methadone Clinic	$203.9K	$12.8M
Cep America LLC	MD	Emergency Medicine Physician	$0	$12M
St Agnes Healthcare Inc	MD	Internal Medicine Physician	$0	$11.5M
Time Organization, Inc.	MD	Community Health Clinic/Center	$0	$9.4M

Elite Healthcare Nursing Services, Inc. — Billing Profile & Reimbursement Data

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Elite Healthcare 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