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.

Health Management, Inc. (NPI 1174588958)

Field	Value
Entity Type	Organization
Organization	Health Management, Inc.
Address	1707 L St Nw Ste 900
City	Washington
State	DC
ZIP	20036
Taxonomy	Home Health Agency
NPI Enumerated	April 18, 2006

Payer Source	Total Paid
Medicaid	$70.9M
Medicare	$0

Key Findings

HEALTH MANAGEMENT, INC. shows no Medicare billing on file and $70.9M in lifetime Medicaid revenue, indicating the organization operates effectively as a Medicaid-focused home health agency rather than a dual Medicare/Medicaid provider. The absence of Medicare activity combined with sizeable Medicaid revenue points to a single-payer revenue profile concentrated in state Medicaid programs.

Revenue is extremely concentrated by code: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, signaling a narrow billing mix where a very small set of services drive nearly all topline Medicaid receipts. This concentration implies limited diversification across service lines and heightened sensitivity to changes in those specific service rates or coverage policies.

T1019 is the dominant revenue driver: 407.7K claims at $167 avg paid/claim produced $68.1M in revenue, representing 96.0% of the provider's total Medicaid revenue. T1019’s code description (personal care services, per 15 minutes) and its overwhelming share of revenue indicate the provider primarily delivers high-volume personal care services in community settings.

Despite its dominance by T1019, the provider’s position on that code is middling statewide: T1019 ranks #14 of 29 providers in-state (54th percentile; typical, unremarkable volume for this code). This ranking characterizes the organization as a large-volume operator in absolute terms but not a statewide leader on personal care relative to peers.

G0299 (direct skilled nursing services of an RN in the home setting) is a meaningful secondary line: 24.1K claims at $117 avg paid/claim generated $2.8M, or 4.0% of Medicaid revenue. G0299 ranks #5 of 32 providers in-state (87th percentile; typical, unremarkable volume for this code), suggesting the provider is comparatively stronger in delivering RN home visits than it is in the personal care code by percentile standing.

The combined claims and unit-payment profile (407.7K T1019 claims at $167 and 24.1K G0299 claims at $117) points to an operational model built on high-volume, time-based service delivery rather than procedure- or equipment-heavy care. These per-claim averages and claim counts reflect substantial frontline service throughput and imply staffing and scheduling models optimized for repeated short-interval visits.

The provider has an established tenure in the market, with NPI enumeration dated 2006-04-18 (~20 years ago), which supports the interpretation that its focused Medicaid business model is longstanding rather than newly adopted. This longevity may reflect stable relationships with state Medicaid programs and the provider’s adaptation to the regulatory environment for personal care services.

From a competitive and risk perspective, the combination of very high dependence on T1019 (96.0% of revenue) and a solid but not dominant state ranking on that code suggests the provider is operationally large but strategically concentrated; it is a significant Medicaid personal-care operator by revenue size while retaining exposure to payer or policy changes that affect the small set of codes that generate 100.0% of its Medicaid revenue.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	407,670	$170	$68.1M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	24,140	$120	$2.8M

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

Health Management, Inc. — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	14	30	405,140	$140	$47.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	5	30	13,380	$80	$1.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asap Services Corporation	DC	Home Health Agency	$0	$44.3M
Palisades Healthcare Partners Inc	DC	Home Health Agency	$0	$4.7M
Mindflower Limited Liability Company	DC	Professional Counselor	$0	$3.6M
Altasource Management Company, LLC.	DC	Case Management Agency	$0	$2.2M
Suburban/nrh Medical Rehabilitation Inc	DC	Rehabilitation Clinic/Center	$0	$1.8M
Capitol Oms PLLC	DC	Dentist	$0	$1.7M
Thomas Shin	DC	Oral and Maxillofacial Surgery (Dentist)	$0	$1.6M
Therapeutic Links Behavioral Health Services, LLC	DC	Clinical Social Worker	$0	$1.2M
Bio-medical Applications Of The District Of Columbia, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$936.8K
The Washington Dental Studio	DC	General Practice Dentistry	$0	$501.6K

Health Management, Inc. — Billing Profile & Reimbursement Data

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Health Management, Inc. — 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