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.

Innovative Life Solutions, Inc. (NPI 1275914095)

Field	Value
Entity Type	Organization
Organization	Innovative Life Solutions, Inc.
Address	3043 Bladensburg Rd Ne
City	Washington
State	DC
ZIP	20018
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	June 17, 2015

Payer Source	Total Paid
Medicaid	$73.3M
Medicare	$0

Key Findings

INNOVATIVE LIFE SOLUTIONS, INC. has no Medicare billing on file and reports $73.3M in lifetime Medicaid revenue, making it effectively a Medicaid-focused provider rather than a dual-payer operation. The absence of Medicare activity indicates the organization's revenue and service footprint are concentrated within state Medicaid programs.

Revenue is highly concentrated: the top three Medicaid codes (T2016, H0025, S5135) account for 98.8% of this provider's total Medicaid revenue, signaling a narrow service mix where a few long-duration service lines dominate financial results. This concentration implies that changes to reimbursement or eligibility for those specific waiver and community-support services would materially affect overall revenue.

The code mix (T2016 – Habilitation, residential, waiver; H0025 – Behavioral health prevention education; S5135 – Companion care, adult) indicates the provider operates primarily in residential habilitation and community-based support for individuals with developmental disabilities rather than delivering episodic clinical or office-based procedures. The prominence of per-diem and per-15-minute billing units suggests services are ongoing and time-based, consistent with residential and daily-support program models.

T2016 drives the vast majority of revenue: 79.6K claims at $795 avg paid/claim produced $63.3M in revenue, representing 86.4% of this provider's Medicaid revenue. The provider ranks #5 of 17 in-state for T2016 (75th percentile), which positions it as a meaningful participant in residential habilitation services within the state but not the dominant market leader.

H0025 and S5135 provide additional, smaller revenue streams: H0025 shows 13K claims at $471 avg paid/claim for $6.1M (8.3% of Medicaid revenue) and ranks #11 of 25 in-state (58th percentile), while S5135 shows 14.6K claims at $205 avg paid/claim for $3M (4.1% of Medicaid revenue) and ranks #8 of 23 in-state (68th percentile). Both codes are labeled typical/unremarkable in volume, indicating these services are standard adjuncts to the core residential habilitation business rather than outlier specialties.

Across its top codes the provider’s competitive standing is mid-to-upper range: rankings around the 58th–75th percentiles reflect steady, above-average participation in key in-state service lines but do not indicate statewide dominance. This pattern is consistent with a specialized, focused operator that captures meaningful share in residential habilitation without being the largest provider.

The provider's NPI was enumerated on 2015-06-17 (~11 years ago), indicating an established presence in the market; combined with the concentrated code mix and high reliance on waiver-based and time-driven services, this suggests a stable, specialized operation centered on developmental-disability residential and community supports.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	79,640	$800	$63.3M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	12,970	$470	$6.1M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	14,550	$210	$3M
T2021	Day habilitation, waiver; per 15 minutes	5,200	$120	$634.9K
T2015	Habilitation, prevocational, waiver; per hour	2,340	$100	$222.4K

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

Innovative Life Solutions, Inc. — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	5	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)	11	30	6,580	$100	$2.8M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	8	20	7,550	$180	$2.5M
T2021	Day habilitation, waiver; per 15 minutes	18	30	7,310	$150	$2.2M
T2015	Habilitation, prevocational, waiver; per hour	9	10	4,510	$90	$488.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
T & N Reliable Nursing Care,llc	DC	In Home Supportive Care Agency	$0	$103.2M
Immaculate Health Care Services,inc	DC	Respite Care	$0	$82.1M
Nya Health Services Inc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.6M
Life Stride, Inc.	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.4M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$19.3M
Goshen Healthcare & Management Services	DC	Community/Behavioral Health Agency	$0	$18.1M
P&g Behavioral Health Services LLC	DC	Adult Mental Health Clinic/Center	$0	$14.1M
Psychiatric Center Chartered,inc	DC	Psychiatry Physician	$0	$11.4M
Metropolitan Educational Solutions, LLC	DC	Case Management Agency	$0	$8.3M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$7.4M

Innovative Life Solutions, Inc. — Billing Profile & Reimbursement Data

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Innovative Life Solutions, 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