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    OpenPayerNPI Medicare & MedicaidComprehensive Nursing Services, Inc
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    Comprehensive Nursing Services, Inc — Billing Profile & Reimbursement Data

    NPI 1902865801 · Nottingham, MD · Home Health Agency

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    Comprehensive Nursing Services, Inc is a home health agency provider located in Nottingham, Maryland. This profile covers 0 Medicare and 4 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
    OrganizationComprehensive Nursing Services, Inc
    Address8817 Belair Rd Ste 203
    CityNottingham
    StateMD
    ZIP21236
    TaxonomyHome Health Agency
    NPI EnumeratedMarch 20, 2006

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

    Payer SourceTotal Paid
    Medicaid$46.6M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and is effectively a single-payer Medicaid operation with reported Medicaid revenue of $46.6M. The NPI was enumerated on 2006-03-20 (~20 years ago), indicating an established presence in the market but concentrated exposure to Medicaid revenue flows.

    Revenue is extremely concentrated in a very small set of codes: the top three Medicaid codes account for 99.5% of the provider’s Medicaid revenue. Specifically, T1003 drives $44.3M (95.1%), T1002 contributes $1.8M (3.8%), and W1002 contributes $280.3K (0.6%), which together make up nearly the entirety of reported Medicaid income.

    The code mix indicates a home health nursing model driven overwhelmingly by short-interval LPN/LVN visits: T1003 (Lpn/lvn services, up to 15 minutes) represents the dominant service line by revenue and volume. This pattern suggests operations structured around frequent, task-oriented nursing encounters rather than longer, episodic skilled nursing visits.

    RN-delivered short visits appear limited: T1002 (Rn services, up to 15 minutes) accounts for $1.8M (3.8%) of Medicaid revenue and is the sole reporter in the state for that code (ranks #1 of 1; no state peer volume comparison available). That combination suggests either limited RN visit volume relative to LPN/LVN activity or unique billing practices for RN short visits that are not reflected in peer comparisons.

    W1002 (no description available) is a state-level statistical outlier in utilization: the provider ranks #1 of 27 in-state and at the 100th percentile, noted as "notably above typical state volume for this code," despite W1002 representing just $280.3K (0.6%) of Medicaid revenue. The high rank relative to peers flags W1002 as an atypical area of code use that merits review for service mix or coding practice differences.

    The provider also bills for hourly RN home nursing under S9123 (Nursing care, in the home; by registered nurse, per hour), which contributes $210.6K (0.5%) and ranks #6 of 12 in-state (55th percentile). This indicates supplemental RN hourly care exists but remains a minor component of overall Medicaid revenue compared with short-interval LPN/LVN services.

    Competitive standing is mixed: for the dominant LPN/LVN code T1003 the provider ranks #4 of 31 in-state (90th percentile), placing it among higher-volume state providers for that service, though the available descriptor calls the volume "typical, unremarkable." Overall, the provider is a sizable Medicaid home-health participant in-state for its principal code but not uniquely diversified across services.

    Because 95.1% of Medicaid revenue derives from a single code (T1003) and the top three codes together make up 99.5% of Medicaid revenue, the business is highly sensitive to changes in reimbursement policy, utilization review, or payer coding rules for those specific codes. Coupled with the absence of Medicare billing, this concentration amplifies operational and revenue risk tied to Medicaid policy or contract shifts.

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1003Lpn/lvn services, up to 15 minutes96,800$460$44.3M
    T1002Rn services, up to 15 minutes2,710$660$1.8M
    W1002N/A4,670$60$280.3K
    S9123Nursing 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)1,880$110$210.6K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maryland median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1003Lpn/lvn services, up to 15 minutes43039,540$490$22.3M
    T1002Rn services, up to 15 minutes1102,710$660$1.8M
    S9123Nursing 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)6101,690$150$967.2K
    W1002N/A130660$60$67.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hope's Horizon LLCMDSubstance Abuse Rehabilitation Facility$0$21.6M
    Aspire Wellness Center, Inc.MDMental Health Clinic/Center (Including Community Mental Health Center)$0$21.4M
    Leading By Example LLC.MDCommunity/Behavioral Health Agency$0$10.6M
    Neb Doctors Of Maryland LLCMDDurable Medical Equipment & Medical Supplies$0$7.3M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$6.7M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$6M
    Advantage Psychiatric Services LLCMDCommunity/Behavioral Health Agency$0$6M
    Leading By Example LLCMDCommunity/Behavioral Health Agency$0$5.4M
    Preferred Home Care LLCMDHome Health Agency$0$5M
    American Access Care Of Baltimore Asc LLCMDAmbulatory Surgical Clinic/Center$1.3M$798.9K

    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. Maryland Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Comprehensive Nursing Services, Inc — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland