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    OpenPayerNPI Medicare & MedicaidNursing Placement, Inc.
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    Nursing Placement, Inc. — Billing Profile & Reimbursement Data

    NPI 1710058904 · Pawtucket, RI · Home Health Agency

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    Nursing Placement, Inc. is a home health agency provider located in Pawtucket, Rhode Island. This profile covers 0 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNursing Placement, Inc.
    Address588 Pawtucket Ave
    CityPawtucket
    StateRI
    ZIP02860
    TaxonomyHome Health Agency
    NPI EnumeratedNovember 11, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$63.4M
    Medicare$0

    Key Findings

    NURSING PLACEMENT, INC. is effectively a single‑payer Medicaid provider: it has no Medicare billing on file and reports total Medicaid revenue of $63.4M. The entity’s NPI was enumerated 2006-11-11 (~20 years ago), indicating long tenure in the state market.

    Revenue is extremely concentrated: the precomputed top three Medicaid codes account for 97.7% of the provider’s total Medicaid revenue. Those top drivers are S5125, S5130, and T1001, which together dominate the payer mix and revenue profile.

    S5125 (Attendant care services; per 15 minutes) is the overwhelmingly dominant revenue source with 689.5K claims, $83 avg paid/claim, and $57.2M revenue (90.2% of this provider's total Medicaid revenue). The provider ranks #1 of 83 in-state for S5125 (100th percentile; extreme outlier), indicating statewide scale in minute‑based attendant care far above typical competitors.

    S5130 (Homemaker service, nos; per 15 minutes) and T1001 (Nursing assessment / evaluation) are meaningful secondary lines: S5130 shows 63.6K claims, $57 avg paid/claim, $3.6M revenue (5.7% of this provider's total Medicaid revenue) and ranks #3 of 34 in-state (94th percentile; notably above typical state volume), while T1001 shows 11.9K claims, $97 avg paid/claim, $1.2M revenue (1.8% of this provider's total Medicaid revenue) and ranks #1 of 42 in-state (100th percentile; extreme outlier). These figures suggest a core offering of homemaker and assessment services that complement the large attendant‑care business.

    The code mix indicates a labor‑intensive, in‑home personal care model: heavy use of per‑15‑minute codes (S5125 and S5130) and a high volume of attendant care claims imply sustained, minute‑based service delivery, while T1001 volume points to an integrated nursing assessment capability to support care plans. This operational profile aligns with agencies that provide ongoing personal care and clinical oversight in members’ homes.

    Smaller but notable service lines include S9122 (Home health aide or certified nurse assistant; per hour) at 7.6K claims, $110 avg paid/claim, $840.8K revenue (1.3% of total) and S5161 (Emergency response system; per month) at 17.3K claims, $33 avg paid/claim, $569.7K revenue (0.9% of total). These additional codes show the provider offers hourly aide services and a monitored emergency response product, but they represent a small share of overall Medicaid revenue relative to the attendant‑care footprint.

    Competitive standing is concentrated and asymmetric: the provider is a dominant statewide player for S5125 and T1001 (both 100th percentile ranks, described as extreme outliers) and a top competitor for S5130 (94th percentile, notably above typical state volume). In sum, NURSING PLACEMENT, INC. competes at a very different scale from most peers on its highest‑revenue codes.

    Given the heavy concentration (top three codes = 97.7% of Medicaid revenue) and the absence of Medicare billing, the provider’s financial performance appears sensitive to changes in Medicaid utilization or reimbursement policy for these specific codes. Any policy or utilization shifts affecting per‑15‑minute attendant and homemaker rates or authorization patterns would disproportionately affect this provider’s revenue base.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes689,520$80$57.2M
    S5130Homemaker service, nos; per 15 minutes63,640$60$3.6M
    T1001Nursing assessment / evaluation11,870$100$1.2M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour7,640$110$840.8K
    S5161Emergency response system; service fee, per month (excludes installation and testing)17,270$30$569.7K
    S5160Emergency response system; installation and testing560$50$26.1K
    T1004Services of a qualified nursing aide, up to 15 minutes20$10$310

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Rhode Island median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes18013,620$120$7.8M
    S5130Homemaker service, nos; per 15 minutes33010,010$100$1.9M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour4102,650$130$1M
    S5161Emergency response system; service fee, per month (excludes installation and testing)31017,270$40$654K
    T1001Nursing assessment / evaluation140460$100$164.4K
    S5160Emergency response system; installation and testing110500$50$18.4K
    T1004Services of a qualified nursing aide, up to 15 minutes3101,060$10$11.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gateway Healthcare IncRIMental Health Clinic/Center (Including Community Mental Health Center)$0$122.7M
    United Cerebral Palsy Of Rhode Island, Inc.RIDevelopmentally Disabled Services Day Training Agency$0$21.3M
    Lifetime Financial Management Inc.RIHome Health Agency$0$20.9M
    Addiction Recovery InstituteRICommunity/Behavioral Health Agency$180.1K$15.4M
    Blackstone Valley Community Health CareRIFederally Qualified Health Center (FQHC)$0$14.2M
    Blackstone Valley Community Health Care, Inc.RIFederally Qualified Health Center (FQHC)$0$12.4M
    United Cerebral Palsy Of Rhode Island, Inc.RIDevelopmentally Disabled Services Day Training Agency$0$9.6M
    Dr. Day Care, Inc.RICounselor$0$8.7M
    Sheila BrijadeRIPediatric Dentistry$0$7.7M
    Staff Solutions, Inc.RIHome Health Agency$0$6.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Rhode Island Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Nursing Placement, Inc. — 3 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island