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    OpenPayerNPI Medicare & MedicaidKinara Health And Home Care Services LLC
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    Kinara Health And Home Care Services LLC — Billing Profile & Reimbursement Data

    NPI 1255857405 · Washington, DC · Mental Health Clinic/Center (Including Community Mental Health Center)

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    Kinara Health And Home Care Services LLC is a mental health clinic/center (including community mental health center) provider located in Washington, District of Columbia. This profile covers 0 Medicare and 13 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
    OrganizationKinara Health And Home Care Services LLC
    Address7603 Georgia Ave Nw Ste 301
    CityWashington
    StateDC
    ZIP20012
    TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
    NPI EnumeratedAugust 18, 2017

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

    Payer SourceTotal Paid
    Medicaid$48.5M
    Medicare$0

    Key Findings

    This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and total Medicaid revenue is $48.5M, indicating that all reported public-payer activity is concentrated in state Medicaid programs rather than Medicare. The lack of Medicare claims suggests the organization’s business model and patient mix are concentrated on Medicaid-eligible populations.

    Revenue is highly concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes account for 93.1% of this provider’s total Medicaid revenue, with a single code, H0036, representing $39.9M or 82.2% of Medicaid revenue. This concentration means most of billed dollars flow through community psychiatric supportive treatment services rather than a broad mix of service lines.

    The code mix points to a community-based, time-unit service delivery model combined with office-based clinical management: H0036 (Community psychiatric supportive treatment, per 15 minutes) dominates revenue, supported by H0034 (Medication training and support, per 15 minutes) and 99214 (moderate-complexity E/M office visits). Together these codes imply the provider delivers high-volume, short-interval psychosocial support and medication-support services while also providing substantive outpatient evaluation-and-management encounters.

    Claim-volume details reinforce a high-frequency service model: H0036 shows 458.4K claims, H0034 shows 32.2K claims, and H0004 shows 29.9K claims, indicating the organization bills many time-based units rather than a smaller number of long visits. The prevalence of per-15-minute codes (H0036, H0034, H0004) signals operational emphasis on repeated, brief face-to-face contacts as a primary revenue driver.

    Competitive standing in-state is mixed but generally strong for core service lines: H0036 ranks #5 of 56 providers in-state (93th percentile; typical, unremarkable volume for this code), H0034 ranks #3 of 51 (96th percentile; typical, unremarkable volume for this code), and 99214 ranks #14 of 305 (96th percentile; typical, unremarkable volume for this code). These ranks place the provider among the larger Medicaid billers for its main services in-state, even where the qualitative label describes the volumes as typical relative to peers.

    Behavioral therapy and counseling activity is a notable outlier versus peers: H0004 (Behavioral health counseling and therapy, per 15 minutes) accounts for $1.9M or 3.9% of Medicaid revenue and ranks #3 of 82 providers in-state (98th percentile; notably above typical state volume for this code). That elevated percentile for H0004 suggests the provider offers a stronger-than-average counseling/therapy footprint compared with state peers.

    The provider’s operational profile carries concentration sensitivity: with H0036 alone at $39.9M (82.2% of Medicaid revenue) and the top three codes totaling 93.1% of Medicaid revenue, changes in reimbursement policy, coverage rules, or utilization patterns for these specific codes would disproportionately affect overall revenue. Analysts should treat coverage or rate shifts for community psychiatric supportive treatment and related per-15-minute services as high-impact to the provider’s financial performance.

    The entity has an established but relatively recent presence in federal enrollment, with NPI enumeration on 2017-08-18 (~9 years ago), indicating it has had time to scale Medicaid relationships and claim volume in the state while remaining a newer entrant compared with long-standing provider organizations. This tenure is consistent with the rapid accumulation of high-volume, unit-based Medicaid billing observed above.

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes458,440$90$39.9M
    H0034Medication training and support, per 15 minutes32,160$100$3.3M
    99214The 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…16,770$120$1.9M
    H0004Behavioral health counseling and therapy, per 15 minutes29,890$60$1.9M
    90837In 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…6,670$100$640.5K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.1,980$140$285K
    H0002Behavioral health screening to determine eligibility for admission to treatment program3,850$70$262.1K
    99215The 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…580$150$85.7K
    99205The provider sees a new 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 provider…170$320$54.7K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…430$100$43.6K

    Showing 1–10 of 13

    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

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes56082,090$90$13.9M
    H0034Medication training and support, per 15 minutes3505,030$90$1M
    90837In 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…211201,050$110$409.5K
    H0004Behavioral health counseling and therapy, per 15 minutes3802,570$60$403K
    99214The 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…14310750$70$321.6K
    99213The 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…177320620$50$313.6K
    99215The 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…44120300$120$287.3K
    99204The provider sees a new 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 provider…5680100$120$131.8K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.1280370$130$124.7K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…57100520$60$118.3K

    Showing 1–10 of 13

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Specialty Home Care LLCDCRespite Care$0$85.1M
    Kbc Nursing Agency Hm Health IncDCHome Health Agency$0$82.4M
    Berhan Home Health Care Agency IncDCHome Health Agency$0$76.6M
    Ward & Ward Association, Inc.DCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$38.7M
    Alliance Home Healthcare & Equipment Services IncDCRespite Care$0$37.5M
    Premier Health Services Inc.DCHome Health Agency$0$36.8M
    Affordable Health Care Services LLCDCDevelopmental Disabilities Clinic/Center$0$25.8M
    Direct Care Home Health Services LLCDCHome Health Agency$0$14.3M
    Kahak, Inc.DCHome Health Agency$0$13.8M
    Dedicated Care Health Services, Inc.DCCommunity/Behavioral Health Agency$0$11.2M

    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
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. District of Columbia Distribution
    Kinara Health And Home Care Services LLC — 3 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia