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.

P&g Behavioral Health Services LLC (NPI 1154894152)

Field	Value
Entity Type	Organization
Organization	P&g Behavioral Health Services LLC
Address	2218 Rhode Island Ave Ne
City	Washington
State	DC
ZIP	20018
Taxonomy	Adult Mental Health Clinic/Center
NPI Enumerated	January 2, 2019

Payer Source	Total Paid
Medicaid	$14.1M
Medicare	$0

Key Findings

P&G BEHAVIORAL HEALTH SERVICES LLC is effectively a Medicaid-centric operation: the profile shows Total Medicaid revenue of $14.1M and the provider has no Medicare billing on file, making Medicaid the sole recorded public payer. The NPI was enumerated 2019-01-02 (~7 years ago), indicating a mid-term operational tenure but not a long-established legacy provider in the dataset.

Revenue is extremely concentrated in a very small set of services: the precomputed top-3 Medicaid codes account for 98.9% of this provider's total Medicaid revenue, with H0036 alone representing 91.6% of Medicaid revenue. That concentration signals that organizational revenue and utilization are highly dependent on a single CPT/HCPCS activity.

The single dominant service is H0036, Community psychiatric supportive treatment, face-to-face, per 15 minutes (128.8K claims, $100 avg paid/claim, $12.9M revenue). The claim volume and per-15-minute billing pattern indicate an operational model built around very high-frequency, short-interval community-based supportive contacts rather than episodic, long psychotherapy blocks.

Secondary clinical activity is present but small by revenue: 90837 (long psychotherapy) generated 6.8K claims, $117 avg paid/claim, $796.8K revenue (5.7% of Medicaid revenue) and 90791 (psychiatric evaluation) generated 1.7K claims, $138 avg paid/claim, $230.2K revenue (1.6% of Medicaid revenue). These figures show the organization offers standard diagnostic and longer psychotherapy services, but they are minor contributors to overall revenue compared with H0036.

State-level competitive standing is mixed: for its cash-weighted top code H0036 the provider ranks #18 of 56 in-state (69th percentile) and is described as "typical, unremarkable volume for this code," meaning it is a meaningful but not dominant producer of community psychiatric support in the state. For 90837 the provider ranks #19 of 120 (85th percentile) and for 90791 it ranks #15 of 80 (82th percentile), signaling relatively stronger market positions for psychotherapy and initial evaluation services despite their modest revenue shares.

A review of ancillary codes shows limited diversification beyond the primary community-support model: examples include H0004 (247 claims, $102 avg, $25.2K revenue, rank #63/82, 23th percentile), H0034 (100 claims, $79 avg, $7.9K revenue, rank #46/51, 10th percentile), and 90834 (32 claims, $84 avg, $2.7K revenue, rank #92/98, 6th percentile). These low-revenue, low-percentile results suggest the provider has not grown substantial parallel service lines to offset reliance on H0036.

Operational and payer-risk implications flow directly from the code mix: because H0036 is per-15-minute community psychiatric supportive treatment and supplies $12.9M of the $14.1M Medicaid revenue, any changes to Medicaid authorization, documentation requirements, or per-unit rates for that code would likely have an outsized impact on the provider's revenue stream. The absence of Medicare billing further concentrates reimbursement exposure to state Medicaid policy and managed-care contracting dynamics.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	128,790	$100	$12.9M
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…	6,810	$120	$796.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,670	$140	$230.2K
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…	420	$150	$61.5K
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,…	760	$50	$41.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	250	$100	$25.2K
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…	170	$70	$11.4K
H0034	Medication training and support, per 15 minutes	100	$80	$7.9K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	60	$80	$4.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	160	$20	$3.3K

Showing 1–10 of 12

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

P&g Behavioral Health Services LLC — 0 of 12 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

12 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	18	60	82,090	$90	$13.9M
H0034	Medication training and support, per 15 minutes	46	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,…	49	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…	19	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	63	80	2,570	$60	$403K
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…	213	320	620	$50	$313.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	15	80	370	$130	$124.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	92	100	520	$60	$118.3K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	41	50	520	$70	$98K
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…	19	60	180	$110	$59.9K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as P&g Behavioral Health Services LLC, 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
Goshen Healthcare & Management Services	DC	Community/Behavioral Health Agency	$0	$18.1M
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

P&g Behavioral Health Services LLC — Billing Profile & Reimbursement Data

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P&g Behavioral 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

Nearby Providers

Frequently Asked Questions

References