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.

Capitol View Home Healthcare Agency (NPI 1326230103)

Field	Value
Entity Type	Organization
Organization	Capitol View Home Healthcare Agency
Address	1990 K St Nw Ste 460
City	Washington
State	DC
ZIP	20006
Taxonomy	Respite Care
NPI Enumerated	August 15, 2007

Payer Source	Total Paid
Medicaid	$26.2M
Medicare	$0

Key Findings

CAPITOL VIEW HOME HEALTHCARE AGENCY reports no Medicare billing on file and $26.2M in lifetime Medicaid revenue, making it effectively a single‑payer Medicaid provider in the available data. The absence of Medicare activity indicates the organization’s operational focus and revenue exposure are concentrated in state Medicaid programs rather than dual‑eligible or fee‑for‑service Medicare lines.

Revenue concentration is extreme within Medicaid: the precomputed top‑3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, indicating that nearly all billing is driven by a very small set of service lines. This high concentration suggests financial sensitivity to reimbursement or utilization changes affecting those specific codes.

T1019 is the dominant code for this provider, accounting for $25.5M of Medicaid revenue across 183.3K claims with a $139 avg paid/claim and representing 97.3% of this provider’s total Medicaid revenue. Because T1019 describes personal care services billed per 15 minutes under an individualized plan of treatment, the provider’s operations appear principally oriented toward minute‑based personal care/respite services rather than broader skilled home‑health episodes.

G0299 is a much smaller but present component of the mix, totaling $700.1K from 6.5K claims at a $107 avg paid/claim and representing 2.7% of Medicaid revenue. G0299 corresponds to direct RN skilled nursing time in the home/hospice setting, indicating the provider offers a limited skilled nursing capability alongside its dominant personal care services rather than a full skilled home‑health program.

Competitively, the provider is a modest participant in its primary Medicaid codes statewide: T1019 ranks #21 of 29 providers in‑state (29th percentile; typical, unremarkable volume for this code) and G0299 ranks #25 of 32 providers in‑state (23th percentile; typical, unremarkable volume for this code). These rank/percentile positions imply the agency is neither a statewide leader nor an extreme outlier in utilization for its core services.

The provider’s NPI has been enumerated since 2007-08-15 (~19 years ago), indicating a long tenure in the market that could support operational stability, established referral relationships, and familiarity with state Medicaid billing practices. Longevity does not, however, alter the observed revenue concentration risk tied to the handful of dominant codes.

Given the reliance on minute‑based personal care (T1019) for 97.3% of Medicaid revenue and the overall 100.0% concentration in the top three codes, the provider is highly exposed to policy, rate, or utilization shifts affecting those specific codes; monitoring state Medicaid reimbursement policy and any code‑level utilization trends will be material to its future revenue stability.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal 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…	183,270	$140	$25.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	6,540	$110	$700.1K

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

Capitol View Home Healthcare Agency — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal 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…	21	30	405,140	$140	$47.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	25	30	13,380	$80	$1.3M

Nearby Providers

Other providers in the same ZIP code as Capitol View Home Healthcare Agency, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amazing Grace Supports Inc	DC	In Home Supportive Care Agency	$0	$20.2M
Mba Non Profit Solutions, LLC	DC	Developmentally Disabled Services Day Training Agency	$0	$3.4M
Premier Support Services Inc	DC	Case Management Agency	$0	$2.9M
Hamid Saranjam	DC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.8M
District Endodontics PLLC	DC	Endodontics	$0	$1.8M
Kerman Dental LLC	DC	General Practice Dentistry	$0	$1.4M
Lifetree Health, Inc	DC	Primary Care Clinic/Center	$0	$1.2M
Kaveh Zand	DC	Endodontics	$0	$1M
Limitless Possibilities, LLC.	DC	Mental Health Counselor	$0	$741.8K
Capitol Breathe Free Sinus & Allergy Centers	DC	Otolaryngology Physician	$0	$527.4K

Capitol View Home Healthcare Agency — Billing Profile & Reimbursement Data

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Capitol View Home Healthcare Agency — 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