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.
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 reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Maryland
How Case Management Registered Nurse compares to other specialties among Maryland providers
Case Management Registered Nurse share within Maryland
Case Management Registered Nurse is one of the more visible NUCC categories in Maryland
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Case Management Registered Nurse (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Case Management Registered Nurse ABMS/AOA estimate
Est. board-certified rate (Case Management Registered Nurse) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Case Management Registered Nurse US NPIs
Specialty board-certified rate — Case Management Registered Nurse estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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
Provider Details
| NPI | 1194281451 |
|---|---|
| Specialty | Case Management Registered Nurse |
| Gender | Female |
| NPI Issued | 02/12/2019 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm RICA BANFIELD's current license status, disciplinary history, and board certifications with the Maryland Board of Physicians in Maryland before relying on this page for a clinical or care decision.
How we sourced this profile
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.
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
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.
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.
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 →
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Frequently Asked Questions
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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