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.

Quality One Care Home Health Inc. (NPI 1528351285)

Field	Value
Entity Type	Organization
Organization	Quality One Care Home Health Inc.
Address	9221 Colesville Rd
City	Silver Spring
State	MD
ZIP	20910
Taxonomy	Home Health Agency
NPI Enumerated	May 27, 2011

Payer Source	Total Paid
Medicaid	$61.8M
Medicare	$0

Key Findings

QUALITY ONE CARE HOME HEALTH INC. is effectively a Medicaid-only provider in the available dataset: there is no Medicare billing on file while reported Medicaid revenue totals $61.8M. Its NPI was enumerated on 2011-05-27 (~15 years ago), indicating a sustained presence in the market rather than a new entrant.

Revenue at this provider is extremely concentrated in a very small set of procedure codes: the precomputed top 3 Medicaid codes account for 100.0% of its Medicaid revenue, with T1003 alone representing $57.8M (93.5% of Medicaid revenue), S9124 $3.7M (6.1%), and W1002 $239.6K (0.4%). This concentration means a handful of service lines drive virtually all billed Medicaid dollars for this entity.

The code mix points to a home nursing model built around high-frequency, short-duration visits: T1003 (T1003 – Lpn/lvn services, up to 15 minutes) accounts for the vast majority of revenue and shows 99.9K claims at an average paid/claim of $578. That profile is consistent with an operation that dispatches licensed practical/vocational nurses for brief, repeat in-home interventions rather than extended skilled nursing visits.

Complementary services are present but much smaller in scale: S9124 (Nursing care, in the home; by licensed practical nurse, per hour) shows 335 claims and $3.7M revenue, indicating an hourly nursing offering that is a distant second to the brief-visit LPN/LVN model. W1002 (no description available) contributes 3.7K claims and $239.6K revenue; while small in dollar terms, its claim volume suggests it is a recurring but low-paid line item.

Competitive standing for the primary revenue driver is notable: T1003 ranks #3 of 31 in-state and is in the 93th percentile, which places the provider among the larger state-level billers for that code. The source metadata also characterizes the T1003 volume as "typical, unremarkable," so while the provider ranks highly by percentile, the service itself may be commonly provided across comparable agencies.

The secondary codes show divergent in-state positions: S9124 ranks #3 of 3 providers in-state (0th percentile) and is labeled "typical, unremarkable volume," suggesting a very small peer set for that hourly LPN service with modest absolute scale here. In contrast, W1002 ranks #2 of 27 (96th percentile) and is labeled "notably above typical state volume," marking W1002 as a relative outlier where this provider bills more than most peers despite the code generating only $239.6K.

Operational scale implications are clear from claim counts: 99.9K claims for T1003 imply a high-frequency operational workflow and significant scheduling and workforce capacity for brief LPN/LVN visits, whereas 335 claims for S9124 and 3.7K claims for W1002 represent much smaller, likely more specialized or episodic service streams. These claim volumes suggest staffing and logistics optimized for many short encounters rather than fewer long visits.

From a risk/opportunity perspective, the provider’s heavy dependence on T1003 (93.5% of Medicaid revenue) concentrates exposure to reimbursement or policy changes affecting short LPN/LVN home visits; conversely, this concentration also signals a clear service niche that payers and partners can target for rate negotiations, care-management initiatives, or program design aimed at frequent in-home LPN interventions.

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 Code	Description	Claims	Avg Paid	Revenue
T1003	Lpn/lvn services, up to 15 minutes	99,950	$580	$57.8M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	340	$11,180	$3.7M
W1002	N/A	3,740	$60	$239.6K

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

Quality One Care Home Health Inc. — 1 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1003	Lpn/lvn services, up to 15 minutes	3	30	39,540	$490	$22.3M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	3	10	2,120	$320	$8.7M
W1002	N/A	2	30	660	$60	$67.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Project Redirect Inc	MD	Adult Mental Health Clinic/Center	$0	$48.4M
Automatic Nursing Care Services, Inc.	MD	Home Health Agency	$0	$43.8M
Mindoula Health Inc.	MD	Community/Behavioral Health Agency	$0	$29M
Symbral Foundation For Community Services Inc	MD	Intellectual Disabilities Intermediate Care Facility	$0	$17.3M
Mcs, PC	MD	Community/Behavioral Health Agency	$0	$14.5M
Vesta, Inc.	MD	Community/Behavioral Health Agency	$0	$9.9M
T S Trask Inc	MD	Community/Behavioral Health Agency	$0	$9.2M
Affiliated Sante Group	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.6M
Consonant Healing Medical Associates	MD	Surgery Physician	$0	$7.2M
Community Clinic, Inc	MD	General Practice Dentistry	$0	$6.5M

Quality One Care Home Health Inc. — Billing Profile & Reimbursement Data

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Quality One Care Home Health 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