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.

Mcclendon Center (NPI 1396778361)

Field	Value
Entity Type	Organization
Organization	Mcclendon Center
Address	1338 N Capitol St Nw
City	Washington
State	DC
ZIP	20002
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicaid	$31.9M
Medicare	$0

Key Findings

MCCLENDON CENTER reports $31.9M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a Medicaid-focused provider in this dataset. The absence of Medicare claims indicates payer concentration at the state Medicaid level rather than a blended Medicare/Medicaid practice profile.

Revenue is highly concentrated in three procedure lines: H0036 ($13.5M, 42.3%), H0025 ($12.4M, 39.0%), and G9012 ($2.2M, 6.8%), which together account for 88.0% of the provider’s Medicaid revenue. This precomputed concentration means a small set of services drives the vast majority of reported Medicaid dollars.

The top codes describe community-oriented behavioral health services: H0036 is community psychiatric supportive treatment (face-to-face, per 15 minutes), H0025 is behavioral health prevention education service, and G9012 is other specified case management. Paid-per-claim averages reinforce operation style: H0036 averages $129 per claim, H0025 averages $85 per claim, and G9012 averages $1021 per claim, suggesting a mix of high-frequency lower-dollar interventions and episodic, higher-intensity case management encounters.

Competitive standing varies by code within the state. MCCLENDON CENTER is a standout for H0025 (ranks #1 of 25, 100th percentile; described as notably above typical state volume), is a typical-volume participant for H0036 (ranks #22 of 56, 62th percentile), and shows a unique state position for G9012 (ranks #1 of 1 with no peer comparison available), indicating leadership in prevention education and a potentially unique or centralized role for the specified case management service.

The clinical mix shows emphasis on community and brief-contact services rather than dominance of long psychotherapy encounters. Higher-volume community codes far outstrip psychotherapy and standard outpatient E/M revenue: for example, 90791 contributes $431.6K (1.4%) and ranks #6 of 80 (94th percentile, notably above typical), while psychotherapy codes such as 90837 and 90834 appear at much smaller revenue shares ($84.4K and $70.6K respectively), consistent with a program structured around group/brief/supportive interventions and care coordination.

The provider’s Medicaid dependence and the 88.0% revenue share from three codes create business sensitivity to Medicaid policy, reimbursement rate changes, or administrative edits affecting H0036, H0025, or G9012. Any state-level changes to payment rules or authorization for these specific services could materially affect MCCLENDON CENTER’s revenue profile.

MCCLENDON CENTER’s NPI was enumerated on 2006-07-10 (~20 years ago), indicating a long-standing operational presence; the claim volumes reported (e.g., 146K claims for H0025 and 104.4K claims for H0036) point to a high-throughput community behavioral health operation rather than a small outpatient clinic. That tenure combined with high claim counts suggests established referral or programmatic relationships within the state Medicaid system.

There are notable billing/payment artifacts in the dataset that merit attention: G9012’s $1021 avg paid/claim and $2.2M revenue imply intensive, higher-cost case management encounters, while several codes show $0 avg paid/claim (for example H0037, 99215, H0023), which may reflect non-paid program entries, bundled payments, or reporting conventions rather than measurable fee-for-service revenue. Analysts should review claim detail and contract/payment arrangements for these lines before drawing conclusions about service economics.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	104,400	$130	$13.5M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	146,040	$90	$12.4M
G9012	Other specified case management service not elsewhere classified	2,120	$1,020	$2.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	14,220	$90	$1.3M
H0034	Medication training and support, per 15 minutes	13,260	$80	$1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,570	$120	$431.6K
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…	4,640	$70	$329.4K
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…	2,860	$110	$317.9K
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,…	3,000	$40	$128.9K
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…	770	$110	$84.4K

Showing 1–10 of 20

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

Mcclendon Center — 1 of 17 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

20 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	22	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)	1	30	6,580	$100	$2.8M
G9012	Other specified case management service not elsewhere classified	1	10	2,120	$1,020	$2.2M
H0034	Medication training and support, per 15 minutes	15	50	5,030	$90	$1M
H0023	Alcohol and/or drug outreach	3	10	840	$100	$839.1K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	8	10	5,240	$150	$785.6K
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,…	21	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…	66	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	13	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…	82	310	750	$70	$321.6K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Mcclendon Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Government Of The District Of Columbia Office Of Tax And Revenue	DC	Land Ambulance	$5.2M	$213.4M
Rcm Of Washington, Inc	DC	Intellectual Disabilities Intermediate Care Facility	$0	$53.9M
Dcps - Public Schools	DC	Local Education Agency (LEA)	$0	$46.2M
Wellness Health Services, LLC	DC	Home Health Agency	$0	$44.1M
Office Of The State Superintendent Of Education	DC	Bus	$0	$30.7M
Mt&g Enterprise, Inc	DC	Developmental Disabilities Clinic/Center	$0	$24.3M
D.c. Department Of Behavioral Health	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.7M
Amazing Love Health Services	DC	Community/Behavioral Health Agency	$0	$18.5M
Pathways To Housing Dc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.1M
Absolute Healthcare Resources, LLC	DC	Case Management Agency	$0	$13.1M

Mcclendon Center — Billing Profile & Reimbursement Data

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Mcclendon Center — 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