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.

Mbi Health Services LLC (NPI 1396048070)

Field	Value
Entity Type	Organization
Organization	Mbi Health Services LLC
Address	4130 Hunt Pl Ne
City	Washington
State	DC
ZIP	20019
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 17, 2010

Payer Source	Total Paid
Medicaid	$270.4M
Medicare	$0

Key Findings

MBI HEALTH SERVICES LLC has no Medicare billing on file and is effectively a Medicaid-focused organization, reporting Total Medicaid revenue of $270.4M. The absence of Medicare revenue means payer risk and growth are tightly linked to Medicaid program policies and contracting in DC rather than a mixed Medicare/Medicaid strategy.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 89.0% of this provider's total Medicaid revenue. Those top drivers are H0036 ($137.9M, 51.0%), T1019 ($68.1M, 25.2%), and H0039 ($34.4M, 12.7%), indicating that a small set of service lines generates the bulk of receipts.

The code mix points to an operation centered on community-based behavioral health and intensive community supports: H0036 (community psychiatric supportive treatment), H0039 (assertive community treatment), and T1019 (personal care services) dominate revenue, while supplemental services such as medication training and per-diem ACT (H0034 at $6M and H0040 at $3.4M) suggest wraparound clinical and habilitative programming. This blend implies services delivered primarily through frequent, short face-to-face encounters and programmatic care coordination rather than episodic medical procedures.

MBI is a statewide leader in H0036: it reported 1.6M claims for H0036 with an $86 avg paid/claim and $137.9M in revenue, ranking #1 of 56 providers in-state (100th percentile; extreme outlier). That position reflects dominant scale for community psychiatric supportive treatment in DC and makes MBI the single largest in-state biller for this service.

For T1019 and H0039 the competitive picture is mixed: T1019 shows 493.4K claims, $138 avg paid/claim and $68.1M revenue and ranks #7 of 29 providers in-state (79th percentile; typical, unremarkable volume), whereas H0039 shows 291.3K claims, $118 avg paid/claim and $34.4M revenue and ranks #2 of 27 providers in-state (96th percentile; notably above typical state volume). Together these rankings indicate market dominance on some ACT-related services (H0039) while T1019 performance is sizable but not exceptional relative to a smaller peer set.

Beyond the top three, MBI posts multiple code-level extreme outlier standings that reinforce specialization: H0034 ($6M) ranks #1 of 51 providers in-state (100th percentile; extreme outlier), H0002 ($844.8K) ranks #1 of 48 providers (100th percentile; extreme outlier), and 90833 ($80.2K) ranks #1 of 21 providers (100th percentile; extreme outlier). These state-leading positions across several behavioral-health specific codes point to deep operational expertise in targeted community mental health services beyond just the highest-revenue items.

Operationally, the billing profile is driven by very high volumes of 15-minute unit codes (e.g., 1.6M claims for H0036, 493.4K claims for T1019, 291.3K claims for H0039), which implies a staffing and scheduling model optimized for frequent brief encounters, intensive case management, and community outreach. The mix of high claim counts and mid-range avg paid/claim values (for example, $86 for H0036, $138 for T1019, $118 for H0039) suggests margins and capacity will be sensitive to workforce costs, authorization processes, and unit-payment rates under Medicaid.

MBI’s NPI tenure (enumerated 2010-12-17 (~16 years ago)) combined with $270.4M in lifetime Medicaid revenue and multiple #1 statewide ranks indicates an established and entrenched Medicaid behavioral health operator in DC. For payer/provider analysts, the combination of long tenure, concentrated Medicaid dependence, and state-level dominance on several codes flags MBI as a key counterparty for Medicaid behavioral health contracting and network capacity discussions.

Medicaid: Complete Services Breakdown

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

57 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1,603,480	$90	$137.9M
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…	493,350	$140	$68.1M
H0039	Assertive community treatment, face-to-face, per 15 minutes	291,300	$120	$34.4M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	121,770	$80	$10.1M
H0034	Medication training and support, per 15 minutes	89,020	$70	$6M
H0040	Assertive community treatment program, per diem	3,460	$990	$3.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	27,450	$70	$1.9M
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…	17,320	$100	$1.7M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	12,980	$110	$1.4M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	8,930	$120	$1.1M

Showing 1–10 of 57

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

Mbi Health Services LLC — 10 of 25 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

57 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…	7	30	405,140	$140	$47.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1	60	82,090	$90	$13.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	2	30	150	$110	$5.8M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	16	20	5,670	$140	$3.7M
H0044	Supported housing, per month	23	20	7,960	$270	$3.2M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	2	30	6,580	$100	$2.8M
H0040	Assertive community treatment program, per diem	2	10	1,460	$970	$2M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	18	30	13,380	$80	$1.3M
H0034	Medication training and support, per 15 minutes	1	50	5,030	$90	$1M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	2	10	5,240	$150	$785.6K

Showing 1–10 of 57

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mbi Health Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aneela Kazi	DC	Child & Adolescent Psychiatry Physician	$185.9K	$0
Ikechi Nnawuchi	DC	Psychiatry Physician	$340	$134.9K
Vivienne Gomes	DC	Psychiatry Physician	$38.8K	$0
Emmanuel Kamdem-sango	DC	Psychiatric/Mental Health Nurse Practitioner	$9.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Psi Services Iii, Inc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.8M
Abundant Grace Health Services LLC	DC	Community/Behavioral Health Agency	$0	$21.9M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$16.8M
Family Preservation Services Of Dc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.7M
Lifeline, Inc	DC	Home Health Agency	$0	$12.2M
Mbi Health Services LLC	DC	Case Management Agency	$0	$10.9M
New Living Health Care Services LLC	DC	Community/Behavioral Health Agency	$0	$9M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$8.9M
Dental Dreams PLLC	DC	General Practice Dentistry	$0	$8.1M
Kenilworth Avenue North Services	DC	Assisted Living Facility	$0	$6.7M

Mbi Health 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

Related Providers

Nearby Providers

Frequently Asked Questions

References