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.

District Healthcare Services, LLC (NPI 1366939225)

Field	Value
Entity Type	Organization
Organization	District Healthcare Services, LLC
Address	2811 Pennsylvania Ave Se Ste Ll
City	Washington
State	DC
ZIP	20020
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 17, 2018

Payer Source	Total Paid
Medicaid	$78.3M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-centric operation: it has no Medicare billing on file and reports $78.3M in lifetime Medicaid revenue, making Medicaid the overwhelming payer driving its business activity. The absence of Medicare activity indicates limited exposure to Medicare patient populations or fee schedules.

Revenue is highly concentrated in a very small set of service lines: the precomputed top-three Medicaid codes account for 93.2% of the provider's Medicaid revenue. Specifically, H0036 generates $62M (79.1% of Medicaid revenue), H0034 generates $8.8M (11.3%), and 99214 generates $2.2M (2.8%), showing dependency on a few high-volume service codes.

The code mix points to a community behavioral health operating model focused on in‑person, community-based psychiatric supports and medication management: H0036 (Community psychiatric supportive treatment) has 681K claims and dominates revenue, and H0034 (Medication training and support) is the second-largest Medicaid revenue source. Complementary services billed include behavioral health counseling (H0004), targeted case management (T1017), and office-based E/M visits, indicating multidisciplinary care delivery across community and clinic settings.

On statewide competitive standing, the provider is a major player for several high-volume behavioral health services: H0036 ranks #3 of 56 providers in-state (96th percentile) and H0034 ranks #2 of 51 providers in-state (98th percentile), both described as notably above typical state volume. These ranks indicate the provider is among the largest statewide deliverers of community psychiatric supportive treatment and medication support.

Several codes show exceptional relative volume that signals specialization rather than routine billing patterns. H0002 (behavioral health screening) is characterized as an "extreme outlier, far above typical state volume" (rank #2 of 48, 98th percentile), and 90836 (psychotherapy add-on with E/M) ranks #1 of 10 providers in-state (100th percentile), suggesting the provider uses screening and combined psychotherapy+E/M workflows at rates uncommon among peers.

Office/outpatient E/M and psychotherapy are present but represent a much smaller share of revenue than community-based codes. 99214 accounts for 21.7K claims and $2.2M revenue (2.8% of Medicaid revenue) and ranks #11 of 305 providers in-state (97th percentile) with a label of "typical, unremarkable volume," while 99215 and psychotherapy codes (for example, 90837 with $763.2K) contribute modestly, indicating a secondary clinic-based service line supporting the dominant community care activity.

The provider's service-line concentration creates operational and reimbursement sensitivity: with H0036 and H0034 together contributing roughly 90.4% of Medicaid revenue ($62M + $8.8M), changes in state policy, rate-setting, or utilization controls for these codes would likely have outsized financial impact. Analysts should treat changes to community psychiatric supportive treatment and medication support policy as primary revenue risk vectors.

The organization has an established NPI history dating to 2018-04-17 (~8 years ago), and within that timeframe it has scaled to a significant Medicaid footprint. That tenure paired with high statewide ranks for multiple behavioral-health codes suggests a sustained, scalable focus on community psychiatric and medication support services rather than a new or transient billing pattern.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	680,960	$90	$62M
H0034	Medication training and support, per 15 minutes	55,110	$160	$8.8M
99214	The 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…	21,650	$100	$2.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	25,900	$60	$1.5M
99215	The 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…	9,210	$110	$1M
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…	6,880	$110	$763.2K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	8,870	$70	$629.6K
T1017	Targeted case management, each 15 minutes	5,890	$90	$506.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,240	$130	$160.9K
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…	1,700	$90	$144.8K

Showing 1–10 of 22

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

District Healthcare Services, LLC — 6 of 20 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	3	60	82,090	$90	$13.9M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	21	30	6,580	$100	$2.8M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	27	30	1,960	$230	$1.6M
H0034	Medication training and support, per 15 minutes	2	50	5,030	$90	$1M
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…	18	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	6	80	2,570	$60	$403K
99214	The 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…	11	310	750	$70	$321.6K
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…	103	320	620	$50	$313.6K
99215	The 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…	7	120	300	$120	$287.3K
99204	The 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…	36	80	100	$120	$131.8K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as District Healthcare Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preventive Measure Of Washington Dc, LLC	DC	Community/Behavioral Health Agency	$0	$85.8M
Mj General, LLC	DC	Developmental Disabilities Clinic/Center	$0	$68.6M
One Care Dc Inc	DC	Community/Behavioral Health Agency	$0	$31M
Umbrella Therapeutic Services, Inc.	DC	Community/Behavioral Health Agency	$0	$29.8M
Life Care Inc.	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.7M
Inner City Family Services LLC	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$17.3M
Azure, LLC	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.2M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$10.2M
Kc Community Services Inc	DC	Case Management Agency	$0	$6.4M
The Family Wellness Center, Inc	DC	Community/Behavioral Health Agency	$0	$5.6M

District Healthcare Services, LLC — Billing Profile & Reimbursement Data

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District Healthcare Services, 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