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.

Southern Ave Sp LLC (NPI 1306433644)

Field	Value
Entity Type	Organization
Organization	Southern Ave Sp LLC
Address	4656 Livingston Rd. Se
City	Washington Dc
State	DC
ZIP	20032
Taxonomy	Assisted Living Facility
NPI Enumerated	December 21, 2020

Payer Source	Total Paid
Medicaid	$20.2M
Medicare	$0

Key Findings

SOUTHERN AVE SP LLC is effectively a single-payer Medicaid provider: total Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $20.2M. This indicates the organization’s billed activity and revenue base are concentrated entirely within state Medicaid programs rather than Medicare fee-for-service.

Medicaid revenue is extremely concentrated in a single service line: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with a single code (T2031) representing the full share of reported Medicaid dollars. This concentration signals a business model almost exclusively tied to one Medicaid-permitted service.

The dominant code T2031 (T2031 – Assisted living; waiver, per diem) accounts for $20.2M in revenue from 107K claims at an average paid amount of $189 per claim. That mix is consistent with per-diem, waiver-funded assisted living payments rather than episodic clinical procedures, aligning with the provider taxonomy listed as Assisted Living Facility.

In terms of operational volume and billing pattern, 107K claims for T2031 and an average paid/claim of $189 reflect high-frequency, routine per-diem billing rather than low-volume specialty services. This pattern suggests steady, recurring daily care placements as the primary revenue driver instead of intermittent medical episodes.

Competitive standing within the state is strong: the provider ranks #1 of 6 providers in-state for T2031 (100th percentile; notably above typical state volume for this code). That rank and percentile indicate SOUTHERN AVE SP LLC is a dominant statewide participant for Medicaid-assisted-living waiver per-diem services.

The entity’s NPI was enumerated on 2020-12-21 (~6 years ago), indicating a relatively recent market entry compared with many long-established facilities; despite that tenure, it has reached top statewide volume for T2031. This rapid attainment of scale in the assisted-living waiver per-diem line is noteworthy for competitive and contracting analyses.

Because 100.0% of Medicaid revenue is driven by T2031, the provider has concentrated financial exposure to changes in waiver policy, per-diem rates, or utilization management for assisted living services. Analysts should treat reimbursement rate adjustments or program eligibility shifts in the assisted-living waiver as primary risks to the provider’s revenue stability.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2031	Assisted living; waiver, per diem	106,950	$190	$20.2M

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

Southern Ave Sp LLC — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2031	Assisted living; waiver, per diem	1	10	31,030	$200	$6.9M

Nearby Providers

Other providers in the same ZIP code as Southern Ave Sp LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Not-for-profit Hospital Corporation	DC	General Acute Care Hospital	$0	$62.2M
New Hope Health Services, LLC	DC	Adult Mental Health Clinic/Center	$0	$54.9M
Life Enhancement Services Of Dc, LLC	DC	Community/Behavioral Health Agency	$0	$38.3M
Wellness Healthcare Clinics. LLC	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.1M
Community Of Hope, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$17.1M
Dental Dreams PLLC	DC	General Practice Dentistry	$0	$8.1M
Federal City Recovery Services Inc	DC	Substance Abuse Rehabilitation Facility	$0	$4.8M
Whitman-walker Clinic, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$4.3M
Paving The Way Multi Service Institute	DC	Community/Behavioral Health Agency	$0	$2.6M
Bio-medical Applications Of Southeast Washington, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M

Southern Ave Sp LLC — Billing Profile & Reimbursement Data

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Southern Ave Sp 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