Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMy Own Place, Inc.
    Ask Trek AI about this page

    My Own Place, Inc. — Billing Profile & Reimbursement Data

    NPI 1114131281 · Washington, DC · Intellectual and/or Developmental Disabilities Residential Treatment Facility

    Customize your policy alerts

    Sign up for My Own Place, Inc. — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    My Own Place, Inc. is a intellectual and/or developmental disabilities residential treatment facility provider located in Washington, District of Columbia. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMy Own Place, Inc.
    Address817 Varnum St Ne
    CityWashington
    StateDC
    ZIP20017
    TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
    NPI EnumeratedMay 9, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$48.7M
    Medicare$0

    Key Findings

    Payer mix is effectively single-payer Medicaid: Total Medicare revenue: none (no Medicare billing on file) while Total Medicaid revenue: $48.7M, indicating the provider’s entire billed footprint in the available data is Medicaid-funded services. This profile should be interpreted as a Medicaid-centric provider rather than a mixed Medicare/Medicaid operator.

    Revenue is highly concentrated in three service lines: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, with one code overwhelmingly dominant. That concentration implies financial and operational reliance on a narrow set of waiver and companion-care services rather than a diversified outpatient or medical-surgical mix.

    Service-line implications from the top codes point to a residential habilitation model: the presence of T2016 (Habilitation, residential, waiver; per diem), T2017 (Habilitation, residential, waiver; 15 minutes) and S5135 (Companion care, adult; per 15 minutes) indicates operations centered on residential waiver habilitation and in-home or facility-based companion/ADL support. The mix of per-diem and 15-minute habilitation/companion codes is consistent with a licensed intellectual and/or developmental disabilities residential treatment facility delivering both daily room-and-board–style habilitation and time-based caregiver services.

    T2016 is the dominant revenue driver: 81.4K claims, $527 avg paid/claim, $42.9M revenue (88.2% of this provider's total Medicaid revenue) and it ranks #4 of 17 providers in-state (81th percentile; typical, unremarkable volume for this code). The scale and per-diem orientation of T2016 revenue suggest that most occupancy and primary habilitation services are billed through this single per-diem code, making it the critical operational and reimbursement risk if payer rules or utilization patterns change.

    S5135 is a meaningful secondary revenue stream focused on time-based companion care: 20.9K claims, $151 avg paid/claim, $3.2M revenue (6.5% of this provider's total Medicaid revenue) and it ranks #6 of 23 providers in-state (77th percentile; typical, unremarkable volume for this code). This code’s presence and volume indicate routine provision of 15-minute ADL/IADL support in addition to residential habilitation, representing an ancillary but steady source of Medicaid billings.

    T2017 represents a distinct 15-minute habilitation entry: 11.8K claims, $221 avg paid/claim, $2.6M revenue (5.4% of this provider's total Medicaid revenue) and it ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available). Being the sole in-state reporter of T2017 suggests either a niche service offering, a coding preference for documenting habilitation in 15-minute increments, or limited peer adoption in the state—worth flagging for analysts comparing service models across providers.

    Tenure and competitive posture: the NPI was enumerated on 2007-05-09 (~19 years ago), indicating long-standing enrollment and operational history in the Medicaid market. Despite $48.7M in Medicaid revenue and a heavy reliance on residential habilitation, the provider’s rank positions (e.g., #4 of 17 on T2016, #6 of 23 on S5135) characterize it as a sizable but not dominant statewide player on its top codes; it functions as a focused residential waiver operator with concentrated revenue streams rather than a broad-based dominant competitor.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem81,440$530$42.9M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes20,910$150$3.2M
    T2017Habilitation, residential, waiver; 15 minutes11,800$220$2.6M

    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.

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

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem42055,360$570$32.9M
    T2017Habilitation, residential, waiver; 15 minutes11011,800$220$2.6M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes6207,550$180$2.5M

    Nearby Providers

    Other providers in the same ZIP code as My Own Place, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anchor Mental Health AssociationDCMental Health Clinic/Center (Including Community Mental Health Center)$0$22M
    Hsc Home Care, LLCDCHome Health Agency$0$14.7M
    Providence Health Services IncDCFamily Medicine Physician$0$13.4M
    Providence HospitalDCGeneral Acute Care Hospital$0$12.2M
    American Health Care Services IncDCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$5.3M
    Hospital For Sick ChildrenDCSpecial Hospital$0$4.7M
    United Cerebral Palsy Of Washington & No. Virginia, Inc.DCDevelopmentally Disabled Services Day Training Agency$0$4.4M
    Gerald Family CareDCFamily Medicine Physician$0$3.2M
    Cheryl LeeDCDentist$0$2.5M
    Providence Opticians Designer Eyewear IncDCEyewear Supplier$0$2.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. District of Columbia Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. District of Columbia Distribution
    My Own Place, Inc. — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia