2026 NPPES data Case Management Registered Nurse NPI 1194281451
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RICA BANFIELD

Case Management Registered Nurse in BALTIMORE, Maryland. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
491
Medicare Part D claims · 67 beneficiaries · Case Management Registered Nurse avg: 1K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$16
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RICA BANFIELD is a Case Management Registered Nurse ([object Object]) practicing in BALTIMORE, Maryland with a Medicare Part D prescribing footprint of 491 claims across 67 beneficiaries — 18% brand-name prescribing . Industry payments of $16 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RICA BANFIELD filed 491 Medicare Part D claims in 2023 across BALTIMORE, Maryland. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

RICA BANFIELD at a glance

Quality data not reported

NPI registry status

Active

Issued 02/12/2019

NPI 1194281451

Primary specialty

Case Management Registered Nurse

Mid-sized

5,464 US NPIs in this specialty

Medicare Part D claims

491 54% vs specialty avg

2023 prescription claims

Specialty avg: 1,066

Specialty distribution in Maryland

How Case Management Registered Nurse compares to other specialties among Maryland providers

Maryland providers

Case Management Registered Nurse share within Maryland

1. Case Management Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Case Management Registered Nurse share within Maryland

Specialty board-certification context

Estimated specialty board-certified rate — Case Management Registered Nurse (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Case Management Registered Nurse ABMS/AOA estimate

Est. board-certified rate (Case Management Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Case Management Registered Nurse) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

RICA BANFIELD is a Case Management Registered Nurse provider practicing in BALTIMORE, Maryland, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1194281451. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

RICA BANFIELD appears in the CMS NPPES registry as a Case Management Registered Nurse provider at 2832 HUNTINGDON AVE, BALTIMORE, MD, 21211, with a listed phone of (240) 423-9364. NPI 1194281451 was issued on 02/12/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BANFIELD most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 491 prescription claims written by this provider, covering 67 Medicare beneficiaries and totaling roughly $31K in drug spend, split 18% brand-name and 82% generic by claim count, with an opioid prescribing rate of 25.7%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Case Management Registered Nurse is a mid-sized specialty nationwide, with 5,464 enrolled providers across 53 states and an average of 1,066 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2832 HUNTINGDON AVE
BALTIMORE, MD 21211

Provider Details

NPI 1194281451
Specialty Case Management Registered Nurse
Gender Female
NPI Issued 02/12/2019

Hospital and facility affiliations

Facilities where RICA BANFIELD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CHOWDHURY MEDICAL ASSOCIATES LLC
KENSINGTON, MD
SEASONS MEDICAL GROUP OF MARYLAND PC
COLUMBIA, MD
ST AGNES HEALTHCARE INC
BALTIMORE, MD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for RICA BANFIELD. Source: openpaymentsdata.cms.gov.

Total received

$16

Largest payer

Alkermes, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

RICA BANFIELD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 491 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

491
Total Claims
$31K
Total Drug Cost
67
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
492
Total Day Supply
9,922
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$19K
Generic Drug Cost
$12K
Opioid Claims
126 (25.7% rate)

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
2.38
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Oxycodone Hcl
38
Tramadol Hcl
35
Oxycontin
Oxycodone Hcl
27
Lacosamide
25
Potassium Chloride
24
Amlodipine Besylate
23
Clonazepam
16
Metformin Hcl
16
Methadone Hcl
15
Myrbetriq
Mirabegron
15

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Case Management Registered Nurse Overview

How RICA BANFIELD fits within the Case Management Registered Nurse landscape nationally.

5,464
Case Management Registered Nurse Providers in US
53
States with Case Management Registered Nurse
1,066
Avg Claims per Provider

RICA BANFIELD's 491 claims are below the specialty average of 1,066.

Nearby Case Management Registered Nurse Providers in Maryland

Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as BANFIELD.

Compare Case Management Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is RICA BANFIELD's specialty?
RICA BANFIELD specializes in Case Management Registered Nurse and practices in BALTIMORE, Maryland.
How much does RICA BANFIELD prescribe under Medicare Part D?
In 2023, RICA BANFIELD wrote 491 Medicare Part D claims totaling $31K in drug costs for 67 beneficiaries.
Where is RICA BANFIELD located?
RICA BANFIELD is located at 2832 HUNTINGDON AVE, BALTIMORE, MD, 21211. Phone: (240) 423-9364.
What is RICA BANFIELD's NPI number?
RICA BANFIELD's National Provider Identifier (NPI) is 1194281451, issued on 02/12/2019.
Does RICA BANFIELD prescribe more brand-name or generic drugs?
RICA BANFIELD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $19K in brand drug costs.
Does RICA BANFIELD prescribe opioids?
Yes, RICA BANFIELD had 126 opioid claims in 2023 with an opioid prescribing rate of 25.7%.
How many Case Management Registered Nurse providers are there in the US?
There are 5,464 Case Management Registered Nurse providers across 53 states in the US. The average Case Management Registered Nurse provider writes 1,066 Medicare Part D claims per year.
What drugs does RICA BANFIELD prescribe most often?
Based on 2023 Medicare Part D data, RICA BANFIELD's most frequently prescribed drugs include Oxycodone Hcl, Tramadol Hcl, Oxycontin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICA BANFIELD accept Medicare?
RICA BANFIELD appears in CMS Medicare data with 491 Part D claims and 67 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICA BANFIELD's credentials?
RICA BANFIELD's NPI is 1194281451. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology