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.

Not-for-profit Hospital Corporation (NPI 1184932014)

Field	Value
Entity Type	Organization
Organization	Not-for-profit Hospital Corporation
Address	1310 Southern Ave Se
City	Washington
State	DC
ZIP	20032
Taxonomy	General Practice Physician
NPI Enumerated	September 14, 2010

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	18,100	$40	$723.8K
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…	1,870	$50	$97K
99203	The provider sees a new 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 provider…	1,200	$50	$57.7K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	1,120	$50	$52.5K
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,…	1,380	$30	$38.6K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	180	$80	$14.6K
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…	130	$80	$10.9K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	210	$40	$8K
99204	The provider sees a new 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 provider…	70	$80	$5.5K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	70	$60	$4K

Showing 1–10 of 18

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

Not-for-profit Hospital Corporation — 0 of 17 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	11	10	6,080	$100	$2M
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,…	34	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…	103	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…	23	320	620	$50	$313.6K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	6	10	240	$90	$310.5K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	11	10	670	$110	$290.5K
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…	76	120	300	$120	$287.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	65	70	320	$40	$259.9K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	14	20	2,740	$30	$202.4K
99204	The provider sees a new 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 provider…	48	80	100	$120	$131.8K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Not-for-profit Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Not-for-profit Hospital Corporation	DC	General Acute Care Hospital	$0	$62.2M
Wilton Nedd	DC	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$1.2M	$0
Meena Kumar	DC	Nurse Practitioner	$141.9K	$432.1K
Rishi Bhatnagar	MD	Orthopaedic Surgery Physician	$317.3K	$80.4K
Gilbert Daniel	DC	Internal Medicine Physician	$308.7K	$43.5K
Satheesh Ramineni	OH	Adult Reconstructive Orthopaedic Surgery Physician	$314.9K	$0
Salman Chohan	MD	Urology Physician	$295.7K	$0
Russom Ghebrai	DC	Internal Medicine Physician	$127.4K	$125.5K
Ashte Collins	DC	Nephrology Physician	$235.3K	$0
Matthew Thompson	MD	Sports Medicine (Orthopaedic Surgery) Physician	$174K	$0

Nearby Providers

Other providers in the same ZIP code as Not-for-profit Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Hope Health Services, LLC	DC	Adult Mental Health Clinic/Center	$0	$54.9M
Life Enhancement Services Of Dc, LLC	DC	Community/Behavioral Health Agency	$0	$38.3M
Wellness Healthcare Clinics. LLC	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.1M
Southern Ave Sp LLC	DC	Assisted Living Facility	$0	$20.2M
Community Of Hope, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$17.1M
Dental Dreams PLLC	DC	General Practice Dentistry	$0	$8.1M
Federal City Recovery Services Inc	DC	Substance Abuse Rehabilitation Facility	$0	$4.8M
Whitman-walker Clinic, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$4.3M
Paving The Way Multi Service Institute	DC	Community/Behavioral Health Agency	$0	$2.6M
Bio-medical Applications Of Southeast Washington, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M

Not-for-profit Hospital Corporation — Billing Profile & Reimbursement Data

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Not-for-profit Hospital Corporation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References