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.

Metro Homes Inc (NPI 1225213325)

Field	Value
Entity Type	Organization
Organization	Metro Homes Inc
Address	6001 Sligo Mill Rd Ne
City	Washington
State	DC
ZIP	20011
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	January 8, 2008

Payer Source	Total Paid
Medicaid	$45.1M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator: there is no Medicare billing on file (no Medicare billing on file) while reported lifetime Medicaid revenue is $45.1M. The absence of Medicare activity indicates the organization’s business and reimbursement exposure is concentrated entirely in Medicaid programs.

Revenue for Medicaid is extremely concentrated in a single service type: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and T2016 alone represents $43.7M (96.9% of Medicaid revenue). That concentration implies operational reliance on residential habilitation/waiver per-diem funding and sensitivity to any rate or policy changes affecting that code.

Operational profile and service mix are consistent with a residential developmental-disability habilitation provider: the dominant code T2016 (Habilitation, residential, waiver; per diem) and its scale (77.3K claims at $565 avg paid/claim) indicate the organization primarily delivers residential habilitation/waiver services rather than clinic-based or physician services. The presence of S5135 (Companion care, adult; per 15 minutes) and H0025 (Behavioral health prevention education service) as secondary codes suggests supplementary home- and community-based supports and prevention/education activities complement the residential program.

T2016 volume and economics: 77.3K claims, $565 avg paid/claim, $43.7M revenue; this provider ranks #6 of 17 in-state for T2016 (69th percentile; typical, unremarkable volume for this code). That rank positions the provider as a mid-to-upper-level participant in the state market for residential habilitation—meaning it is a meaningful, but not dominant, statewide player for that service line.

Secondary service lines are modest contributors in scale: H0025 shows 4K claims at $210 avg paid/claim for $848.4K revenue and ranks #14 of 25 in-state (46th percentile; typical, unremarkable volume for this code), while S5135 shows 4.9K claims at $113 avg paid/claim for $550.2K revenue and ranks #14 of 23 in-state (41th percentile; typical, unremarkable volume for this code). These ranks indicate routine, non-peak participation in behavioral-health prevention and companion care relative to peers rather than leadership in those markets.

Despite heavy revenue concentration in one per-diem code, the dataset’s characterization of all top codes as "typical, unremarkable volume" suggests the provider’s utilization is generally in line with peer patterns rather than being an extreme statistical outlier. Analysts should note the operational risk from concentration—policy, audit, or reimbursement changes affecting T2016 could materially change the provider’s revenue profile even though current volumes are not flagged as anomalous.

The provider has a long tenure in the registry (NPI enumerated 2008-01-08 (~18 years ago)), which supports the interpretation of an established Medicaid-facing operation with sustained activity in residential habilitation services. Longevity combined with the concentrated Medicaid footprint suggests stable, specialized service delivery rather than a newly entered or rapidly shifting business model.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	77,310	$570	$43.7M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	4,040	$210	$848.4K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	4,870	$110	$550.2K

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

Metro Homes Inc — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	6	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)	14	30	6,580	$100	$2.8M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	14	20	7,550	$180	$2.5M

Nearby Providers

Other providers in the same ZIP code as Metro Homes 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
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	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$24.2M

Metro Homes Inc — Billing Profile & Reimbursement Data

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Metro Homes 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