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.

Wellness Health Services, LLC (NPI 1033685953)

Field	Value
Entity Type	Organization
Organization	Wellness Health Services, LLC
Address	1818 New York Ave Ne Ste 110
City	Washington
State	DC
ZIP	20002
Taxonomy	Home Health Agency
NPI Enumerated	October 18, 2018

Payer Source	Total Paid
Medicaid	$44.1M
Medicare	$0

Key Findings

WELLNESS HEALTH SERVICES, LLC is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $44.1M in lifetime Medicaid revenue. The practice’s NPI was enumerated on 2018-10-18 (~8 years ago), indicating several years of operation under its current registration.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes by revenue account for 94.2% of this provider's total Medicaid revenue. H0036 alone generates $37.2M in revenue (84.4% of the provider’s Medicaid revenue), with H0034 contributing $2.7M (6.2%) and 99214 contributing $1.5M (3.5%).

The code mix and volumes indicate a service model focused on community-based behavioral health and repeated short, face-to-face interventions. The predominance of H0036 (Community psychiatric supportive treatment, face-to-face, per 15 minutes) paired with H0034 (Medication training and support, per 15 minutes) and frequent E/M visits (99214) suggests operations centered on high-frequency, brief-contact psychiatric support and medication management rather than inpatient or broader medical home services.

Competitive standing in-state is meaningfully above average on several behavioral-health codes but not exclusive domination. H0036 ranks #6 of 56 providers in-state (91th percentile) and is described as typical, unremarkable volume despite its large dollar share; 99214 ranks #21 of 305 (93th percentile) and 90791 ranks #5 of 80 (95th percentile), with 90791 flagged as notably above typical state volume—together these ranks show the provider is a major, high-volume participant in community psychiatric and psychiatric evaluation services within the state.

Claims and payment-level detail reinforce the operational picture: H0036 shows 418.5K claims with an $89 avg paid/claim generating $37.2M revenue, H0034 shows 25.9K claims at $106 avg paid/claim for $2.7M, and 99214 shows 10.2K claims at $151 avg paid/claim for $1.5M. These counts reflect very high visit frequency for H0036 in particular, consistent with per-15-minute community psychiatric service delivery rather than infrequent high-value procedures.

There are small-volume and anomalous items in the billing mix that are unlikely to move revenue materially but are notable operationally: H0039 (Assertive community treatment) records 33 claims with a $0 avg paid/claim and $0 revenue, indicating billed encounters with no recorded payments, and several other outpatient codes (e.g., 90792, 90837) appear at modest volumes and revenue shares. These low- or zero-paid entries suggest pockets of either non-reimbursed activity or administrative reporting that do not contribute materially to the $44.1M Medicaid total.

Because Medicaid accounts for the entirety of reported lifetime public-payer revenue, the provider’s financial performance and negotiating leverage are tightly tied to Medicaid policy and rates. Any material changes to Medicaid reimbursement for H0036, H0034, or E/M codes like 99214 would disproportionately affect this provider given that the precomputed top 3 codes represent 94.2% of Medicaid revenue.

Operationally, the emphasis on per-15-minute community psychiatric codes implies scheduling, staffing, and revenue models built around frequent, short-duration patient contacts and intensive outpatient management. This profile suggests resource allocation heavily weighted to behavioral health clinicians and care coordination functions rather than episodic specialty or inpatient services.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	418,460	$90	$37.2M
H0034	Medication training and support, per 15 minutes	25,890	$110	$2.7M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	10,190	$150	$1.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	10,250	$80	$769K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,600	$160	$561.3K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	4,380	$70	$311.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	6,870	$40	$302.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,620	$140	$230.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,080	$170	$186.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,700	$70	$178.4K

Showing 1–10 of 15

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

Wellness Health Services, LLC — 0 of 14 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	6	60	82,090	$90	$13.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	23	30	150	$110	$5.8M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	29	30	1,960	$230	$1.6M
H0034	Medication training and support, per 15 minutes	8	50	5,030	$90	$1M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	12	130	290	$140	$579.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	51	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	18	80	2,570	$60	$403K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	21	310	750	$70	$321.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	211	320	620	$50	$313.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	18	120	300	$120	$287.3K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Wellness Health Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prudence Mancho	MD	Family Nurse Practitioner	$63.4K	$0

Nearby Providers

Other providers in the same ZIP code as Wellness Health Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Government Of The District Of Columbia Office Of Tax And Revenue	DC	Land Ambulance	$5.2M	$213.4M
Rcm Of Washington, Inc	DC	Intellectual Disabilities Intermediate Care Facility	$0	$53.9M
Dcps - Public Schools	DC	Local Education Agency (LEA)	$0	$46.2M
Mcclendon Center	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$31.9M
Office Of The State Superintendent Of Education	DC	Bus	$0	$30.7M
Mt&g Enterprise, Inc	DC	Developmental Disabilities Clinic/Center	$0	$24.3M
D.c. Department Of Behavioral Health	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.7M
Amazing Love Health Services	DC	Community/Behavioral Health Agency	$0	$18.5M
Pathways To Housing Dc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.1M
Absolute Healthcare Resources, LLC	DC	Case Management Agency	$0	$13.1M

Wellness Health Services, LLC — Billing Profile & Reimbursement Data

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Wellness Health Services, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References