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.

Life Care Inc. (NPI 1194275172)

Field	Value
Entity Type	Organization
Organization	Life Care Inc.
Address	1427 Good Hope Rd Se
City	Washington
State	DC
ZIP	20020
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 13, 2016

Payer Source	Total Paid
Medicaid	$18.7M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation: there is no Medicare billing on file and total Medicaid revenue is $18.7M, so its commercial/Medicare exposure is negligible compared to Medicaid. The absence of Medicare claims makes this organization functionally single-payer (Medicaid) for the period on file.

Medicaid revenue is highly concentrated in a very small set of service lines: the precomputed top three codes account for 94.8% of the provider's Medicaid revenue, with H0039 generating $11M (59.1% of total) and H0036 generating $6.3M (33.8% of total). That level of concentration indicates the business is driven almost entirely by community-based 15-minute unit services rather than diversified outpatient billing.

The top revenue codes reflect an intensive community mental health model: H0039 (Assertive community treatment, face-to-face, per 15 minutes) and H0036 (Community psychiatric supportive treatment, face-to-face, per 15 minutes) together account for the majority of activity and revenue, and high claim volumes (H0039: 101.2K claims; H0036: 81.8K claims) suggest frequent, short-contact encounters typical of outreach, case management, or mobile team services. H0034 (Medication training and support, per 15 minutes) provides a smaller complementary revenue stream ($351.9K) consistent with medication adherence support integrated into community programs.

Competitive standing in-state is modest rather than dominant: although H0039 produces $11M for this provider, it ranks #7 of 27 providers in-state (77th percentile) and is labeled a "typical, unremarkable volume" in the dataset—indicating the provider is active in a common service niche rather than an outlier leader. H0036 and H0034 sit near median state activity (H0036: rank #29 of 56, 49th percentile; H0034: rank #26 of 51, 50th percentile), reinforcing that the provider is a routine participant in these community mental health services.

While the 15-minute community codes dominate revenue, more traditional outpatient and psychotherapy billing appears as secondary lines: 99215 ($212.3K, 1.1%), 99214 ($207K, 1.1%), and 90837 ($205.9K, 1.1%) each contribute modest sums. These E/M and longer psychotherapy services suggest the provider also maintains clinic-based evaluation and therapy capacity, but those activities are small relative to community-based billing.

Payment levels per unit are consistent with frequent short-unit delivery: H0039 has an average paid/claim of $109 and H0036 an average paid/claim of $77, reflecting reimbursement patterns for per-15-minute community interventions rather than higher-priced single-session psychotherapy. The combination of high claim counts and those average payments supports a high-volume, low-unit-reimbursement operational model.

The provider’s tenure is established but not long-standing: the NPI was enumerated on 2016-10-13 (~10 years ago), which indicates roughly a decade of enrollment—sufficient time to build recurring Medicaid program relationships and scale the community-treatment model reflected in claims counts and revenue.

Given the concentration of revenue in H0039 and H0036 and the state-ranking information, a payer or competitor should view this entity as a specialized community mental health provider with operational emphasis on frequent, brief face-to-face contacts. Its statewide ranks (mostly median-to-above-median percentiles) imply it is a reliable local service provider rather than a regional dominant center; contracting or network decisions should account for the provider’s heavy reliance on Medicaid-funded 15-minute community treatment units.

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	101,160	$110	$11M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	81,800	$80	$6.3M
H0034	Medication training and support, per 15 minutes	5,030	$70	$351.9K
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…	1,600	$130	$212.3K
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…	1,940	$110	$207K
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…	2,480	$80	$205.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	2,270	$70	$147.6K
H2014	Skills training and development, per 15 minutes	1,650	$60	$90.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	500	$80	$40.3K
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…	740	$40	$30.3K

Showing 1–10 of 16

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

Life Care Inc. — 0 of 16 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

16 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	29	60	82,090	$90	$13.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	7	30	150	$110	$5.8M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	31	30	1,960	$230	$1.6M
H0034	Medication training and support, per 15 minutes	26	50	5,030	$90	$1M
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…	41	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	43	80	2,570	$60	$403K
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…	98	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…	236	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…	27	120	300	$120	$287.3K
H2014	Skills training and development, per 15 minutes	11	30	1,560	$40	$198.5K

Showing 1–10 of 16

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preventive Measure Of Washington Dc, LLC	DC	Community/Behavioral Health Agency	$0	$85.8M
District Healthcare Services, LLC	DC	Community/Behavioral Health Agency	$0	$78.3M
Mj General, LLC	DC	Developmental Disabilities Clinic/Center	$0	$68.6M
One Care Dc Inc	DC	Community/Behavioral Health Agency	$0	$31M
Umbrella Therapeutic Services, Inc.	DC	Community/Behavioral Health Agency	$0	$29.8M
Inner City Family Services LLC	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$17.3M
Azure, LLC	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.2M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$10.2M
Kc Community Services Inc	DC	Case Management Agency	$0	$6.4M
The Family Wellness Center, Inc	DC	Community/Behavioral Health Agency	$0	$5.6M

Life 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