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.

United Planning Organization (NPI 1346472412)

Field	Value
Entity Type	Organization
Organization	United Planning Organization
Address	301 Rhode Island Ave Nw
City	Washington
State	DC
ZIP	20001
Taxonomy	Methadone Clinic
NPI Enumerated	August 21, 2009

Payer Source	Total Paid
Medicaid	$6.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	395,930	$10	$3.6M
H0044	Supported housing, per month	2,210	$640	$1.4M
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	6,430	$70	$462.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	8,810	$30	$273K
H0001	Alcohol and/or drug assessment	1,160	$150	$172.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	4,710	$30	$127.3K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	17,380	$10	$121.7K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	620	$120	$72.8K
H2027	Psychoeducational service, per 15 minutes	3,320	$20	$69.7K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	10,220	$10	$51.1K

Showing 1–10 of 18

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

United Planning Organization — 3 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	2	10	351,390	$10	$3.7M
H0044	Supported housing, per month	19	20	7,960	$270	$3.2M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	103	130	290	$140	$579.2K
90837	In 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…	105	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	21	80	2,570	$60	$403K
99213	The 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…	290	320	620	$50	$313.6K
H2014	Skills training and development, per 15 minutes	14	30	1,560	$40	$198.5K
H2027	Psychoeducational service, per 15 minutes	8	30	1,320	$20	$133.9K
H0005	Alcohol and/or drug services; group counseling by a clinician	7	20	1,540	$30	$125.6K
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	1	10	740	$70	$107K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as United Planning Organization, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Human Touch Home Health Care Services Inc	DC	Home Health Agency	$0	$61.3M
Hillcrest Children's Center	DC	Adult Mental Health Clinic/Center	$0	$33.6M
Capitol Medical Supply Inc	DC	Durable Medical Equipment & Medical Supplies	$0	$18M
Ccbamdc Inc	DC	Adult Day Care Clinic/Center	$0	$11.6M
Volunteers Of America Chesapeake Inc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.9M
Some, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$5M
Bread For The City,inc.	DC	Federally Qualified Health Center (FQHC)	$0	$4.9M
Open Arms Housing	DC	Case Management Agency	$0	$3.3M
Ayesha Siddiqui	DC	Family Medicine Physician	$2.4M	$0
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$2.3M

United Planning Organization — Billing Profile & Reimbursement Data

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United Planning Organization — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References