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.

Goshen Healthcare & Management Services (NPI 1043784028)

Field	Value
Entity Type	Organization
Organization	Goshen Healthcare & Management Services
Address	1715 Newton St Ne
City	Washington
State	DC
ZIP	20018
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 14, 2019

Payer Source	Total Paid
Medicaid	$18.1M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively single‑payer with $18.1M in lifetime Medicaid revenue; absence of Medicare activity means its financial footprint and risk profile are concentrated entirely in state Medicaid business rather than split across federal and state programs. The NPI was enumerated 2019-01-14 (~7 years ago), indicating roughly seven years of enrollment under this taxonomy.

Medicaid revenue is highly concentrated: the precomputed top three Medicaid codes account for 99.3% of the provider’s total Medicaid revenue, with H0036 alone representing $14.9M (82.5% of Medicaid revenue). This concentration suggests that a single service type dominates the organization’s billing and revenue base.

The code mix and volumes indicate a community behavioral health operating model focused on frequent, time‑based outpatient interactions: H0036 (Community psychiatric supportive treatment, face‑to‑face, per 15 minutes) drives volume and revenue, supported by medication training (H0034) and behavioral counseling (H0004). The large claim counts for these services are consistent with a program delivering routine, recurring supportive and medication‑related visits rather than episodic high‑acuity procedures.

H0036 shows very high utilization with 171.8K claims at an average paid amount of $87 per claim, which describes a high‑frequency, lower‑unit‑payment service line that carries the bulk of revenue. By contrast, H0034 (12.7K claims, $150 avg paid/claim) and H0004 (9.5K claims, $118 avg paid/claim) generate materially higher per‑claim payments but far fewer encounters, indicating supplementary roles in the care mix rather than primary revenue drivers.

Statewide competitive standing on the top codes is modest and described as typical: H0036 ranks #16 of 56 providers (73rd percentile) and is labeled a typical, unremarkable volume for that code; H0034 ranks #16 of 51 (70th percentile) and H0004 ranks #19 of 82 (78th percentile), both also in the typical range. These percentiles suggest the provider is neither a market leader nor an outlier in the state for these services, but a steady mid‑to‑upper‑quartile participant.

A small additional Medicaid activity line is H0002 (Behavioral health screening), which accounts for $132.3K (0.7% of Medicaid revenue) across 1.9K claims at $71 avg paid/claim and ranks #11 of 48 providers (79th percentile); this indicates screening and admission‑eligibility assessments are part of the service mix but not a major revenue source.

Because revenue is so heavily weighted to H0036 (82.5%) and the top three codes together make up 99.3% of Medicaid revenue, the provider’s financial performance is highly sensitive to policy, rate, or utilization changes affecting these specific community behavioral health codes. That concentration raises operational dependence on time‑based outpatient supportive services rather than a diversified portfolio of behavioral health offerings.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	171,830	$90	$14.9M
H0034	Medication training and support, per 15 minutes	12,700	$150	$1.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	9,520	$120	$1.1M
H0002	Behavioral health screening to determine eligibility for admission to treatment program	1,860	$70	$132.3K

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

Goshen Healthcare & Management Services — 0 of 4 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

4 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	16	60	82,090	$90	$13.9M
H0034	Medication training and support, per 15 minutes	16	50	5,030	$90	$1M
H0004	Behavioral health counseling and therapy, per 15 minutes	19	80	2,570	$60	$403K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	11	50	520	$70	$98K

Nearby Providers

Other providers in the same ZIP code as Goshen Healthcare & Management Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
T & N Reliable Nursing Care,llc	DC	In Home Supportive Care Agency	$0	$103.2M
Immaculate Health Care Services,inc	DC	Respite Care	$0	$82.1M
Innovative Life Solutions, Inc.	DC	Developmental Disabilities Clinic/Center	$0	$73.3M
Nya Health Services Inc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.6M
Life Stride, Inc.	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.4M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$19.3M
P&g Behavioral Health Services LLC	DC	Adult Mental Health Clinic/Center	$0	$14.1M
Psychiatric Center Chartered,inc	DC	Psychiatry Physician	$0	$11.4M
Metropolitan Educational Solutions, LLC	DC	Case Management Agency	$0	$8.3M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$7.4M

Goshen Healthcare & Management Services — Billing Profile & Reimbursement Data

Sign up for Goshen Healthcare & Management Services — Billing Profile & Reimbursement Data policy alerts

Goshen Healthcare & Management Services — Billing Profile & Reimbursement Data

Sign up for Goshen Healthcare & Management Services — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References