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    OpenPayerNPI Medicare & MedicaidJanilcar Inc
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    Janilcar Inc — Billing Profile & Reimbursement Data

    NPI 1144207911 · Washington, DC · Durable Medical Equipment & Medical Supplies

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    Janilcar Inc is a durable medical equipment & medical supplies provider located in Washington, District of Columbia. This profile covers 0 Medicare and 120 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationJanilcar Inc
    Address5001 New Hampshire Ave Nw
    CityWashington
    StateDC
    ZIP20011
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedDecember 22, 2005

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

    Payer SourceTotal Paid
    Medicaid$32.7M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-focused supplier: there is no Medicare billing on file and lifetime Medicare revenue is none, while lifetime Medicaid revenue totals $32.7M. The NPI was enumerated 2005-12-22 (~21 years ago), indicating long tenure in the market and suggesting established operational capability within the Medicaid DME/supplies channel.

    Revenue is highly concentrated in a few high-volume supply codes: the precomputed top three Medicaid codes (A6250, A4554, T4523) together account for 50.2% of this provider's Medicaid revenue. Those three are A6250 ($8.5M revenue; 32.3K claims; $264 avg paid/claim; 28.7%), A4554 ($3.3M revenue; 44.4K claims; $75 avg paid/claim; 11.2%), and T4523 ($3.1M revenue; 21.1K claims; $146 avg paid/claim; 10.3%).

    The mix of top codes indicates a business model centered on continence care, skin protection, and basic wound/supply items: A6250 (skin sealants/protectants), multiple incontinence brief codes (T4523, T4524, T4522, T4521, T4529, T4530), and wound-care items (A6260, A6253, A6212). Ancillary lines such as gloves (A4927), blood pressure monitors (A4670), and CGM supply allowance (A4239) diversify the catalog but the core operation is high-volume consumables distribution for incontinence and skin/wound management.

    State-level competitive standing is dominant on many Medicaid codes: the provider ranks #1 and at the 100th percentile in-state for a long list of products (for example A6250, A4554, T4523, A4927, A4670 and others), indicating it is the leading supplier in DC for these items. Two codes are flagged as extreme outliers — A4554 ("extreme outlier, far above typical state volume") and A4927 ("extreme outlier, far above typical state volume") — which reinforces that the provider captures unusually large market share on disposable underpads and gloves.

    Operational scale is evident from very large claim volumes across both low-unit-price and higher-unit-price items, reflecting high throughput: A4927 shows 50.1K claims for $1.2M revenue ($24 avg paid/claim), A4554 shows 44.4K claims for $3.3M revenue ($75 avg paid/claim), and A6250 shows 32.3K claims for $8.5M revenue ($264 avg paid/claim). This mix of high-claim, low-dollar items and substantial-dollar per-claim items suggests fulfillment and inventory operations built to handle large-volume distribution.

    There are several codes where this provider appears to be the sole or effectively sole in-state supplier (no peer volume comparison available / 0th percentile), including A4351 ($498.2K revenue), A4239 ($417.8K revenue), A6253 ($351.1K revenue), A6533 ($307.5K revenue), and E0246 ($183.1K revenue). Those sole-provider positions point to niche supply roles that complement the high-volume continence and consumable categories.

    The presence of pediatric incontinence codes (T4529, T4530), chronic-disease supply codes (A4239 for CGM supplies), and monitoring equipment (A4670 automatic blood pressure monitor, $1M revenue) indicates a patient-mix spanning pediatric and adult chronic care populations. Combined with the dominant position on basic supplies, this suggests the provider serves both routine long-term care needs and condition-specific management across Medicaid enrollees.

    Given the heavy Medicaid concentration (Medicaid $32.7M vs. no Medicare revenue), the provider's revenue profile is sensitive to state Medicaid policy and procurement practices. However, its long tenure (~21 years) and consistent rank‑one positions on many state codes imply operational stability and an entrenched role in DC's Medicaid DME/supplies market.

    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.

    120 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A6250Skin sealants, protectants, moisturizers, ointments, any type, any size32,340$260$8.5M
    A4554Disposable underpads, all sizes44,380$80$3.3M
    T4523Adult sized disposable incontinence product, brief/diaper, large, each21,070$150$3.1M
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each12,070$160$1.9M
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each16,220$110$1.7M
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each16,630$90$1.4M
    A6260Wound cleansers, any type, any size24,670$50$1.3M
    A4927Gloves, non-sterile, per 10050,130$20$1.2M
    A4670Automatic blood pressure monitor10,550$100$1M
    A6530Gradient compression stocking, below knee, 18-30 mmhg, each6,980$140$956.4K

    Showing 1–10 of 120

    • More pages

    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

    120 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A6250Skin sealants, protectants, moisturizers, ointments, any type, any size1103,060$220$1.8M
    T4523Adult sized disposable incontinence product, brief/diaper, large, each1101,870$130$502.3K
    A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each1103,210$160$498.6K
    A4554Disposable underpads, all sizes1203,210$70$459.6K
    A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service1102,840$150$419.1K
    A6253Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing1101,690$210$351.4K
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each1101,140$140$339.9K
    A6530Gradient compression stocking, below knee, 18-30 mmhg, each110600$130$328.3K
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each1101,860$100$306.7K
    A6533Gradient compression stocking, thigh length, 18-30 mmhg, each1103,340$90$306K

    Showing 1–10 of 120

    • More pages

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Integrated Community Services, Inc.DCHome Health Agency$0$145.9M
    National Children's Center, Inc.DCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$101M
    Capital Care, IncDCHome Health Agency$0$83.4M
    Aba IncDCIn Home Supportive Care Agency$0$80.8M
    Premium Select Home Care IncDCHome Health Agency$0$63.9M
    Ideal Nursing Services IncDCHome Health Agency$0$58M
    Total Care Services, Inc.DCDevelopmentally Disabled Services Day Training Agency$0$54.7M
    Metro Homes IncDCDevelopmental Disabilities Clinic/Center$0$45.1M
    Citycare Health Services, IncDCCommunity/Behavioral Health Agency$0$36.4M
    Dc Health Care IncDCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$24.2M

    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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. District of Columbia Distribution
    Janilcar Inc — 18 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia