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    OpenPayerNPI Medicare & MedicaidD.c. Home Health Holdings LLC
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    D.c. Home Health Holdings LLC — Billing Profile & Reimbursement Data

    NPI 1225533086 · Washington, DC · Respite Care

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    D.c. Home Health Holdings LLC is a respite care provider located in Washington, District of Columbia. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationD.c. Home Health Holdings LLC
    Address955 L'efant Plaza Sw
    CityWashington
    StateDC
    ZIP20024
    TaxonomyRespite Care
    NPI EnumeratedMarch 26, 2018

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$69.4M
    Medicare$0

    Key Findings

    This entity is effectively a Medicaid-focused respite care operator: taxonomy is Respite Care and its billing mix is dominated by personal and non-hospital home services. The top Medicaid code is T1019 (personal care services, per 15 minutes), which accounts for $68M of the provider’s $69.4M lifetime Medicaid revenue and explains the practical focus on long-duration, non-skilled in-home assistance rather than traditional skilled home health.

    Revenue is extremely concentrated: the precomputed top-three Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, with T1019 alone representing 97.9% of Medicaid receipts. That degree of concentration signals heavy dependence on a single service line for revenue and creates sensitivity to reimbursement or policy changes affecting T1019.

    Payer mix is effectively single-payer Medicaid: there is no Medicare billing on file and total reported Medicaid revenue is $69.4M, so the organization’s scale and exposure are tied to Medicaid programs rather than a mixed Medicare/Medicaid portfolio. This profile implies strategy and operational processes are likely optimized for Medicaid authorization, documentation, and rates.

    Competitive standing on the dominant personal-care code is modest within the state: T1019 is reported at 478.6K claims, $142 avg paid/claim, $68M revenue and ranks #9 of 29 in-state (71st percentile) with a characterization of "typical, unremarkable volume." That rank indicates it is an established, mid-to-upper-tier provider for this code regionally but not a statewide leader.

    The secondary code G0299 (direct skilled nursing, per 15 minutes) represents a small clinical component: 13.4K claims, $109 avg paid/claim, $1.5M revenue (2.1% of total Medicaid revenue) and ranks #16 of 32 in-state (52nd percentile). This placement and share suggest the provider offers some RN in-home skilled visits but at a routine, non-dominant level relative to peers.

    S9123 shows an unusual reporting pattern: it appears with 968 claims but $0 avg paid/claim and $0 revenue while ranking #3 of 16 in-state (87th percentile) and is labeled "typical, unremarkable volume." The combination of nonzero claim counts with zero reported paid amounts suggests this code may be used for documentation or encounter reporting without associated Medicaid payments, and it therefore does not meaningfully contribute to revenue despite its high rank.

    Tenure and profile: the NPI was enumerated on 2018-03-26 (~8 years ago), indicating several years of operating history in the Medicaid market. Given the heavy reliance on T1019, analysts should view the provider as a mission-focused respite/personal care operator with concentrated Medicaid revenue and modest skilled-nursing activity, which carries programmatic and reimbursement-concentration risks to monitor.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…478,620$140$68M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes13,410$110$1.5M
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)970$0$0

    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.

    Full comparison — all codes billed, vs. District of Columbia median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…930405,140$140$47.5M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes163013,380$80$1.3M
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)320130$20$17.2K

    Nearby Providers

    Other providers in the same ZIP code as D.c. Home Health Holdings LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Professional Healthcare Resources Of Washington Dc, Inc.DCHome Health Agency$0$37.3M
    Unity Health Care, IncDCFederally Qualified Health Center (FQHC)$0$1.2M
    Child And Family Services AgencyDCHealth Service Clinic/Center$0$487.6K
    Daniel HowardDCOral and Maxillofacial Surgery (Dentist)$0$173.8K
    Olalesi OsunsadeDCDiagnostic Radiology Physician$101K$0
    Community Concierge Care LLCDCFamily Nurse Practitioner$0$64.2K
    Bahados PLLCDCGeriatric Medicine (Internal Medicine) Physician$0$60.1K
    Taiye OniDCFamily Nurse Practitioner$16.2K$23.9K
    Powell ShiauDCChiropractor$4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. District of Columbia Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. District of Columbia Distribution
    D.c. Home Health Holdings LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia