Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. District of Columbia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Hsc Home Care, LLC (NPI 1023202850)

Field	Value
Entity Type	Organization
Organization	Hsc Home Care, LLC
Address	1731 Bunker Hill Rd Ne
City	Washington
State	DC
ZIP	20017
Taxonomy	Home Health Agency
NPI Enumerated	September 5, 2007

Payer Source	Total Paid
Medicaid	$14.7M
Medicare	$0

Key Findings

HSC HOME CARE, LLC shows an effectively single-payer footprint: there is no Medicare billing on file while total Medicaid revenue is $14.7M, indicating operational dependence on Medicaid for its documented revenue stream. This concentration of payer exposure is a primary business risk and shapes the provider’s competitive dynamics in-state.

Revenue is highly concentrated in a very small set of services: the top three Medicaid codes account for 99.8% of this provider's total Medicaid revenue, with S9124 contributing $12.8M (87.4%), T1019 contributing $1.1M (7.4%), and T1001 contributing $724.4K (4.9%). This concentration means the provider’s financial performance is driven almost entirely by a handful of service lines.

The code mix and unit payments indicate a labor-intensive, in-home nursing model: S9124 (Nursing care in the home by LPN, per hour) accounts for very high volume (54.4K claims) and a relatively high average paid/claim ($236), while T1019 (personal care, per 15 minutes) posts high claim volume (35.2K) at a low average paid/claim ($31), and T1001 (nursing assessment) shows moderate volume (6.6K claims) with higher average paid/claim ($110). Together these patterns point to a focus on hourly licensed practical nursing and associated assessments rather than therapy-dominant services.

HSC is a dominant statewide provider for its primary nursing services: S9124 ranks #1 of 6 providers in-state and is at the 100th percentile, described as notably above typical state volume, signaling market leadership in LPN in-home nursing. That single code ($12.8M) represents the majority of the provider’s Medicaid revenue, underscoring de facto dominance in that service niche within the state.

The provider is also a statewide leader on nursing assessments: T1001 ranks #1 of 5 providers in-state and is at the 100th percentile (notably above typical state volume), which reinforces a strong position for clinical assessment services that likely support its nursing care delivery. These two top-ranked codes together indicate strategic strength in clinical nursing operations.

In contrast, HSC is a modest participant for Medicaid personal care services: T1019 ranks #24 of 29 providers in-state (18th percentile) and is characterized as typical/unremarkable volume despite producing $1.1M in revenue. This suggests the organization is less competitive in the lower-paid personal care segment even though it bills substantial claim volume.

Several billed codes show claim counts but report $0 avg paid/claim and therefore generate no recorded revenue (examples include S9131, S9128, T1000, and T1005). Notably, T1005 has 7.5K claims and ranks #1 of 8 providers in-state but reports $0 paid, which may reflect non-payable billing categories, managed-care pass-through reporting, or other data artifacts rather than direct revenue contribution.

The provider has an established operational history: NPI enumeration date is 2007-09-05 (~19 years ago), indicating long tenure in the market. Combined with the current Medicaid revenue concentration and code-level dominance in LPN nursing and nursing assessments, the historical presence suggests an entrenched Medicaid-focused home health operator rather than a recent entrant.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	54,370	$240	$12.8M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	35,230	$30	$1.1M
T1001	Nursing assessment / evaluation	6,590	$110	$724.4K
S9123	Nursing 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)	130	$200	$25.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	250	$40	$9.5K
T1005	Respite care services, up to 15 minutes	7,470	$0	$0
S9128	Speech therapy, in the home, per diem	830	$0	$0
S9131	Physical therapy; in the home, per diem	20	$0	$0
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	15,550	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. District of Columbia Distribution

Hsc Home Care, LLC — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	24	30	405,140	$140	$47.5M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	3	10	15,550	$370	$7.9M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	1	10	1,740	$230	$3.8M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	23	30	3,790	$110	$1.4M
T1001	Nursing assessment / evaluation	1	10	1,400	$100	$219.8K
T1005	Respite care services, up to 15 minutes	1	10	990	$80	$141.8K
S9123	Nursing 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)	9	20	130	$20	$17.2K
S9131	Physical therapy; in the home, per diem	5	10	100	$1	$20
S9128	Speech therapy, in the home, per diem	1	10	830	$0	$0

Nearby Providers

Other providers in the same ZIP code as Hsc Home Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
My Own Place, Inc.	DC	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$48.7M
Anchor Mental Health Association	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$22M
Providence Health Services Inc	DC	Family Medicine Physician	$0	$13.4M
Providence Hospital	DC	General Acute Care Hospital	$0	$12.2M
American Health Care Services Inc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.3M
Hospital For Sick Children	DC	Special Hospital	$0	$4.7M
United Cerebral Palsy Of Washington & No. Virginia, Inc.	DC	Developmentally Disabled Services Day Training Agency	$0	$4.4M
Gerald Family Care	DC	Family Medicine Physician	$0	$3.2M
Cheryl Lee	DC	Dentist	$0	$2.5M
Providence Opticians Designer Eyewear Inc	DC	Eyewear Supplier	$0	$2.1M

Hsc Home Care, LLC — Billing Profile & Reimbursement Data

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Hsc Home Care, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References