Community Care Nurses, INC.

Community Care Nurses, INC. was paid $1.80M by Medicaid between Jan 2018 and Mar 2022, across 2 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoCOMMUNITY CARE NURSES, INC.
NORTH KINGSTOWN, RI 02852

33aNPI1184743965assigned 03/29/2007

33bProvider typeHome Health Agency

28Total paid$1.80M

24GClaims14,787

24DCodes billed2

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Home Health Agency providers in Rhode Island

Rank by total paid#30 of 43

Median peer was paid$3.62M

This provider vs. median0.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	3,437	$484K
2019	5,271	$571K
2020	3,666	$425K
2021	2,255	$294K
2022	158	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5125	Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes	100%	14,721	885	$1.80M
T1001	Nursing assessment / evaluation	<1%	66	66	$6K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBENWAY, MARY (PRESIDENT)