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.

Whitman-walker Clinic, Inc (NPI 1184616617)

Field	Value
Entity Type	Organization
Organization	Whitman-walker Clinic, Inc
Address	1525 14th St Nw
City	Washington
State	DC
ZIP	20005
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 19, 2005

Payer Source	Total Paid
Medicaid	$23.3M
Medicare	$0

Key Findings

WHITMAN-WALKER CLINIC, INC reports no Medicare billing on file and $23.3M in lifetime Medicaid revenue, making it effectively a Medicaid-focused provider in this dataset rather than a dual-payer operation. Analysts should treat Medicaid as the primary revenue stream when evaluating its payer exposure and contracting leverage.

Revenue is highly concentrated: the top 3 Medicaid codes account for 97.9% of the provider's total Medicaid revenue. The single largest line item is T1015 ($17.3M; 74.1% of Medicaid revenue), followed by G0467 ($5.3M; 22.7%) and T2023 ($264.4K; 1.1%), indicating the clinic’s finances are driven overwhelmingly by a very small set of service codes.

The code mix reflects an FQHC ambulatory primary-care and wraparound services model. High volumes and revenue for T1015 (Clinic visit/encounter, all-inclusive) and G0467 (FQHC visit, established patient) indicate day-to-day operations center on bundled clinic encounters, while the presence of codes such as T2023, T2022, 90853, and dental codes (D1110, D0120, D0220) shows additional case management, behavioral health group services, and dental care are offered alongside core primary care.

T1015 is a statewide outlier in volume: it ranks #4 of 97 providers in-state (97th percentile) and is described as notably above typical state volume for this code, signaling the clinic is one of the largest billers of the all-inclusive clinic visit in DC. G0467 also ranks very highly (#2 of 31 providers; 97th percentile) but is annotated as typical/unremarkable in volume for that peer set, suggesting the clinic is among the top billers for standard FQHC established-patient visits even if that pattern is common across large FQHCs.

Beyond the top two codes, complementary services generate comparatively small revenue but demonstrate service breadth. Case management codes such as T2023 ($264.4K; 1.1%) and T2022 ($199.8K; 0.9%) are present at modest, typical volumes (ranking in middle percentiles), and behavioral health group psychotherapy 90853 ($87.9K; 0.4%) and dental preventive code D1110 ($48.8K; 0.2%) show additional but limited Medicaid revenue streams.

The provider’s long tenure (NPI enumerated 2005-08-19, ~21 years ago) combined with an FQHC taxonomy supports the interpretation of an established community clinic with sustained Medicaid activity; this longevity may underpin the high volumes observed for core FQHC visit codes. Analysts assessing network stability or service continuity can consider this long-standing Medicaid presence as evidence of persistent operating capacity.

From a competitive and contracting perspective, dependence on a small set of high-revenue FQHC visit codes concentrates both negotiating leverage and revenue risk. Because T1015 and G0467 together dominate Medicaid revenue (see their individual shares above) payers and partners should expect most visit-based payments and utilization to flow through those bundles, making rate or policy changes for those codes disproportionately impactful on the clinic’s revenue.

Statistical characterizations in the data are mixed and should be interpreted contextually: T1015 is explicitly flagged as notably above typical state volume (an elevated outlier in utilization), while G0467—though ranked similarly high—carries a label of typical/unremarkable volume for its peer group. This suggests WHITMAN-WALKER is an unusually large user of the all-inclusive clinic encounter in-state, while its pattern for standard FQHC established-patient visits aligns with other large FQHCs in the state.

Medicaid: Complete Services Breakdown

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

62 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	102,730	$170	$17.3M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	73,260	$70	$5.3M
T2023	Targeted case management; per month	2,780	$100	$264.4K
T2022	Case management, per month	2,850	$70	$199.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	5,860	$20	$87.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,740	$30	$48.8K
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…	30,500	$1	$30.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	22,480	$1	$22.5K
D0120	Periodic oral evaluation - established patient	1,490	$10	$19.3K
D0274	N/A	1,260	$20	$18.9K

Showing 1–10 of 62

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

Whitman-walker Clinic, Inc — 4 of 25 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	4	100	160	$110	$1.9M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	2	30	5,420	$40	$946K
T2022	Case management, per month	7	10	2,540	$120	$728.6K
T2023	Targeted case management; per month	4	10	1,230	$180	$599.4K
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,…	26	130	290	$140	$579.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	8	310	750	$70	$321.6K
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…	15	320	620	$50	$313.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	46	120	300	$120	$287.3K
D0999	N/A	8	40	100	$60	$157.7K
D2392	Post 2 surface resin‑based composite	37	80	230	$120	$148.6K

Showing 1–10 of 62

Related Providers

Other providers that share a Tax Identification Number (TIN) with Whitman-walker Clinic, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Whitman-walker Clinic, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$4.3M
Robert Mckernan	DC	General Practice Dentistry	$0	$51.7K
Mary Toth	WY	Family Nurse Practitioner	$610	$33.9K
Deirdra Tiffany	DC	Family Nurse Practitioner	$4.5K	$0

Nearby Providers

Other providers in the same ZIP code as Whitman-walker Clinic, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wholistic Services, Inc.	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$70.8M
Maxim Healthcare Services, Inc.	DC	Home Health Agency	$0	$12.4M
Connected Psychological Services Inc	DC	Psychologist	$0	$2.7M
Headstart To Life, Inc.	DC	Developmentally Disabled Services Day Training Agency	$0	$2M
Didnity Health Care LLC	DC	Developmental Disabilities Clinic/Center	$0	$853.1K
N Street Village, Inc	DC	Case Management Agency	$0	$652.4K
Lifegate Health Services	DC	Addiction (Substance Use Disorder) Counselor	$0	$534.4K
Universal Home Health Care ,LLC	DC	Developmental Disabilities Clinic/Center	$0	$409.1K
Voz Speech Therapy LLC	DC	Multi-Specialty Clinic/Center	$0	$266.6K
Confident Care Medical LLC	DC	Family Nurse Practitioner	$0	$243.2K

Whitman-walker Clinic, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References