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 Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada 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. Nevada (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.

Nursecore Management Services, LLC (NPI 1548204886)

Field	Value
Entity Type	Organization
Organization	Nursecore Management Services, LLC
Address	4423 W Flamingo Rd
City	Las Vegas
State	NV
ZIP	89103
Taxonomy	Home Health Agency
NPI Enumerated	June 16, 2006

Payer Source	Total Paid
Medicaid	$47.9M
Medicare	$0

Key Findings

NURSECORE MANAGEMENT SERVICES, LLC is effectively a single‑payer Medicaid operator: lifetime Medicaid revenue is $47.9M and there is no Medicare billing on file. The absence of any Medicare revenue on file indicates the organization’s patient mix and billing focus are concentrated entirely in the Medicaid population rather than split across traditional Medicare/Medicaid channels.

Revenue is extremely concentrated in a narrow set of in‑home nursing codes: the precomputed top three Medicaid codes account for 99.5% of this provider’s total Medicaid revenue. This concentration means most of the organization’s financial performance is driven by a small portfolio of hourly/skilled nursing services rather than a broad array of procedures.

The two highest‑revenue codes, S9124 and S9123, together constitute the vast majority of billed Medicaid services and reflect a labor‑intensive, hourly in‑home nursing model. S9124 (LPN, per hour) generated $26.4M (31.8K claims, $831 avg paid/claim) and represents 55.2% of the provider’s Medicaid revenue; S9123 (RN, per hour) generated $20M (20.9K claims, $958 avg paid/claim) and represents 41.8% of Medicaid revenue. These volumes point to a steady throughput of recurring, hourly home‑nursing visits as the core service line.

Operational staffing implications follow from the code mix: heavy billing for S9124 and S9123 implies sustained demand for both licensed practical nurses and registered nurses to deliver in‑home care at scale. The high claim counts (31.8K and 20.9K) and per‑claim reimbursement levels suggest payroll and scheduling for hourly visits will be primary cost and capacity management concerns for the business.

Competitive standing in state Medicaid for the provider’s top codes is modest to typical rather than dominant. S9124 ranks #3 of 7 in‑state (67th percentile; typical, unremarkable volume) and S9123 ranks #4 of 9 (63th percentile; typical, unremarkable volume), indicating NURSECORE is a routine market participant for those services but not the leading provider statewide.

Smaller ancillary codes play a minimal revenue role but show pockets of above‑average positioning: G0299 (direct skilled nursing, each 15 minutes) produced $1.2M (8.9K claims, $138 avg paid/claim) and is 2.6% of revenue, ranking #38 of 236 in‑state (84th percentile; typical, unremarkable volume). T1023 screening encounters are marginal to revenue ($242.9K, 1.9K claims, $128 avg paid/claim; 0.5% of revenue) and rank #9 of 33 (75th percentile; typical, unremarkable volume), suggesting limited but focused use of assessment/eligibility screening services.

Tenure is long-established: the NPI was enumerated 2006-06-16 (~20 years ago), indicating the organization has been operating in this market for roughly two decades. That tenure, combined with concentrated Medicaid revenue, suggests an entrenched Medicaid service orientation and experience in delivering in‑home nursing under state programs.

From a contracting and risk perspective, the heavy Medicaid concentration and dependence on a small set of hourly nursing codes imply financial sensitivity to state Medicaid reimbursement changes for S9124 and S9123. Given that the top three codes account for 99.5% of Medicaid revenue, any rate adjustments or utilization shifts for those specific codes would disproportionately affect the provider’s revenue and negotiating leverage.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	31,810	$830	$26.4M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	20,910	$960	$20M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	8,860	$140	$1.2M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1,900	$130	$242.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada Distribution

Nursecore Management Services, LLC — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	4	10	20,720	$590	$13.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	3	10	16,860	$390	$11.2M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	9	30	1,170	$140	$167.9K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	38	240	2,050	$10	$65.5K

Nearby Providers

Other providers in the same ZIP code as Nursecore Management Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dna Analytical Laboratory Lv LLC	NV	Clinical Medical Laboratory	$24.9M	$8.9K
Marizel Yukee	NV	Primary Care Nurse Practitioner	$19.7M	$0
Amador Medical, LLC	NV	Durable Medical Equipment & Medical Supplies	$0	$16.3M
Spring Valley Surgery Center, LLC	NV	Ambulatory Surgical Clinic/Center	$740.9K	$7.6M
Medical Investment Inc	NV	Durable Medical Equipment & Medical Supplies	$0	$8M
Heart & Heart LLC	NV	In Home Supportive Care Agency	$0	$7.4M
Las Vegas Pain Institute And Medical Center, LLC	NV	Pain Medicine (Anesthesiology) Physician	$0	$7.1M
Leslie Denton	NV	Emergency Medicine Physician	$7M	$0
Alliance Mental Health Specialists Suba Park Cheng PLLC	NV	Psychiatry Physician	$0	$5.1M
Las Vegas Personal Care	NV	Personal Care Attendant	$0	$4.9M

Nursecore Management Services, LLC — Billing Profile & Reimbursement Data

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Nursecore Management Services, LLC — 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