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.

Dc Health Care Inc (NPI 1194102905)

Field	Value
Entity Type	Organization
Organization	Dc Health Care Inc
Address	4901 5th St Nw
City	Washington
State	DC
ZIP	20011
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	April 30, 2015

Payer Source	Total Paid
Medicaid	$24.2M
Medicare	$0

Key Findings

DC HEALTH CARE INC is effectively a Medicaid-focused provider with no Medicare billing on file; its lifetime Medicaid revenue is $24.2M and there is explicitly no Medicare revenue reported, indicating a single-payer operational footprint concentrated on state Medicaid programs rather than Medicare fee-for-service.

Revenue concentration is extremely high: the precomputed top-3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, with a single code, T2016, representing $23.9M (98.7% of Medicaid revenue). This indicates the business model is overwhelmingly driven by one service line rather than a diversified mix of Medicaid billable services.

The dominant code, T2016 (Habilitation, residential, waiver; per diem), accounts for the vast majority of revenue and implies DC HEALTH CARE INC operates primarily as a residential habilitation or waiver-based group home setting for individuals with intellectual and developmental disabilities. The per-diem nature of T2016 revenues suggests long-stay, bed-based care or sustained residential supports are the core service offering.

Competitive standing on the Medicaid side is modest: for T2016 the provider ranks #9 of 17 in-state and sits at the 50th percentile, which the data labels as typical, unremarkable volume for this code. Despite the large dollar share of its own revenue coming from T2016, DC HEALTH CARE INC is not an outlier or market leader statewide for that service — it performs at a middle-tier level among peers.

Secondary revenue streams are minimal and limited to support services: S5135 (Companion care, adult; per 15 minutes) accounts for $270.3K or 1.1% of Medicaid revenue and ranks #17 of 23 in-state (27th percentile), while H0025 (Behavioral health prevention education service) contributes $39.3K (0.2% of Medicaid revenue) and ranks #22 of 25 (13th percentile). These ranks indicate these ancillary services are offered at low volumes relative to other in-state providers and are not strategic revenue drivers.

Very small additional service billing is present for S9470 (Nutritional counseling, dietitian visit) with $1.9K reported, ranked #9 of 9 in-state; this represents a negligible share of revenue and suggests dietitian visits are used infrequently, likely as occasional adjunct care rather than a core program.

The provider has a stable administrative tenure, with its NPI enumerated on 2015-04-30 (~11 years ago). This duration supports the interpretation that the current concentration in residential habilitation services reflects an established operational focus rather than a recent shift in billing patterns.

Taken together, the data describe a specialized, waiver/residential habilitation operator: a single-payer (Medicaid) dependent provider whose financial profile is dominated by T2016 per-diem payments, with small, low-volume ancillary Medicaid services. From a payer or competitor perspective, the entity is a steady mid-ranked residential habilitation participant within the state rather than a large-scale dominant provider.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	55,360	$430	$23.9M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	2,410	$110	$270.3K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	230	$170	$39.3K
S9470	Nutritional counseling, dietitian visit	20	$110	$1.9K

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

Dc Health Care Inc — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	9	20	55,360	$570	$32.9M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	22	30	6,580	$100	$2.8M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	17	20	7,550	$180	$2.5M
S9470	Nutritional counseling, dietitian visit	9	10	750	$140	$297.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integrated Community Services, Inc.	DC	Home Health Agency	$0	$145.9M
National Children's Center, Inc.	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$101M
Capital Care, Inc	DC	Home Health Agency	$0	$83.4M
Aba Inc	DC	In Home Supportive Care Agency	$0	$80.8M
Premium Select Home Care Inc	DC	Home Health Agency	$0	$63.9M
Ideal Nursing Services Inc	DC	Home Health Agency	$0	$58M
Total Care Services, Inc.	DC	Developmentally Disabled Services Day Training Agency	$0	$54.7M
Metro Homes Inc	DC	Developmental Disabilities Clinic/Center	$0	$45.1M
Citycare Health Services, Inc	DC	Community/Behavioral Health Agency	$0	$36.4M
Janilcar Inc	DC	Durable Medical Equipment & Medical Supplies	$0	$32.7M

Dc Health Care Inc — Billing Profile & Reimbursement Data

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Dc Health Care 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