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.

Affordable Health Care Services LLC (NPI 1245693464)

Field	Value
Entity Type	Organization
Organization	Affordable Health Care Services LLC
Address	6561 N Capitol St Ne
City	Washington
State	DC
ZIP	20012
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	April 4, 2016

Payer Source	Total Paid
Medicaid	$25.8M
Medicare	$0

Key Findings

This provider is effectively single-payer in the available records: there is no Medicare billing on file and all documented lifetime federal billing is through Medicaid, totaling $25.8M in Medicaid revenue. The absence of Medicare activity makes Medicaid the sole measurable federal payer for evaluating this entity's billing footprint.

Revenue is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes (H0036, H0004, H0034) account for 99.7% of the provider's total Medicaid revenue. Specifically, H0036 accounts for $20M (77.5%), H0004 for $3.5M (13.6%), and H0034 for $2.2M (8.6%), indicating that nearly all Medicaid receipts flow from these time-based behavioral health services.

The code mix and the provider taxonomy (Developmental Disabilities Clinic/Center) point to an operational focus on community-based behavioral health supports and rehabilitation services rather than general medical care. Dominant codes — H0036 (community psychiatric supportive treatment), H0004 (behavioral health counseling and therapy), and H0034 (medication training and support) — are all per-15-minute, face-to-face or training-oriented services, which suggests the organization delivers high-volume, time-based outpatient psychosocial and medication-support interventions.

Competitive standing is mixed across the top codes: for H0036 the provider ranks #13 of 56 in-state (78th percentile) and is described as a typical, unremarkable volume participant, so it is not a statewide leader for community psychiatric supportive treatment despite the high aggregate dollars. In contrast, for H0004 the provider ranks #5 of 82 in-state (95th percentile) and is labeled notably above typical state volume, indicating a relatively strong market position specifically for behavioral health counseling.

H0034 (medication training and support) is reported at 16.1K claims generating $2.2M and ranks #13 of 51 providers in-state (76th percentile), another typical, unremarkable volume placement; collectively these percentile positions portray a provider that is dominant in a narrow subset of behavioral counseling services but otherwise modest across broader service lines.

Operational and revenue risk is concentrated because the business relies on per-15-minute, time-based codes: H0036 alone represents $20M or 77.5% of Medicaid revenue, and the top three codes together make up 99.7% of Medicaid receipts. This narrow service mix could make the provider sensitive to changes in reimbursement rates, utilization patterns, or regulatory coding guidance affecting those specific service lines.

There are several billed codes with recorded claims but zero Medicaid payments: H0039 shows 38 claims with $0 avg paid/claim and $0 revenue, and 99214 shows 44 claims with $0 avg paid/claim and $0 revenue. The presence of these zero-paid claim lines suggests encounter-level reporting or non-covered/zero-dollar adjudications rather than material revenue from office-based E/M or assertive community treatment services, reinforcing the view that revenue-generating activity is concentrated in Medicaid behavioral-health time codes.

The provider's NPI was enumerated on 2016-04-04 (~10 years ago), which indicates an established presence in the market long enough to accumulate $25.8M in Medicaid revenue. This tenure, combined with the high volume in H0036 and strong state ranking in H0004, suggests sustained specialization in community behavioral health supports for its patient population.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	204,480	$100	$20M
H0004	Behavioral health counseling and therapy, per 15 minutes	27,300	$130	$3.5M
H0034	Medication training and support, per 15 minutes	16,090	$140	$2.2M
H0002	Behavioral health screening to determine eligibility for admission to treatment program	950	$70	$66.3K
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…	40	$0	$0
H0039	Assertive community treatment, face-to-face, per 15 minutes	40	$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.

Claims Volume vs. District of Columbia Distribution

Affordable Health Care Services LLC — 1 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

6 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	13	60	82,090	$90	$13.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	22	30	150	$110	$5.8M
H0034	Medication training and support, per 15 minutes	13	50	5,030	$90	$1M
H0004	Behavioral health counseling and therapy, per 15 minutes	5	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…	267	310	750	$70	$321.6K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	18	50	520	$70	$98K

Nearby Providers

Other providers in the same ZIP code as Affordable Health Care Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Specialty Home Care LLC	DC	Respite Care	$0	$85.1M
Kbc Nursing Agency Hm Health Inc	DC	Home Health Agency	$0	$82.4M
Berhan Home Health Care Agency Inc	DC	Home Health Agency	$0	$76.6M
Kinara Health And Home Care Services LLC	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$48.5M
Ward & Ward Association, Inc.	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$38.7M
Alliance Home Healthcare & Equipment Services Inc	DC	Respite Care	$0	$37.5M
Premier Health Services Inc.	DC	Home Health Agency	$0	$36.8M
Direct Care Home Health Services LLC	DC	Home Health Agency	$0	$14.3M
Kahak, Inc.	DC	Home Health Agency	$0	$13.8M
Dedicated Care Health Services, Inc.	DC	Community/Behavioral Health Agency	$0	$11.2M

Affordable Health Care Services LLC — Billing Profile & Reimbursement Data

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Affordable Health Care Services LLC — 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