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 Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Community Residences, Inc (NPI 1396820098)

Field	Value
Entity Type	Organization
Organization	Community Residences, Inc
Address	14160 Newbrook Dr
City	Chantilly
State	VA
ZIP	20151
Taxonomy	Adult Care Home Facility
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicaid	$33.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	64,030	$350	$22.5M
T2016	Habilitation, residential, waiver; per diem	8,090	$600	$4.8M
97139	Use 97139 to report therapeutic procedures that do not have a specific code.	14,990	$180	$2.8M
H2014	Skills training and development, per 15 minutes	490	$3,680	$1.8M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	10,660	$120	$1.3M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	2,910	$170	$500K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Community Residences, Inc — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	8	140	4,450	$1,150	$15.3M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	16	40	6,460	$450	$11.1M
H2014	Skills training and development, per 15 minutes	63	70	2,500	$1,380	$7M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	13	30	1,000	$500	$2.6M
T2016	Habilitation, residential, waiver; per diem	1	10	150	$960	$1.7M
97139	Use 97139 to report therapeutic procedures that do not have a specific code.	3	80	750	$300	$802.7K

Nearby Providers

Other providers in the same ZIP code as Community Residences, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Nichols Institute, Inc.	VA	Clinical Medical Laboratory	$2.3M	$46.9M
Love Hand Home Health, Inc	VA	Personal Care Attendant	$0	$25.3M
Eden Home Care LLC	VA	Home Health Agency	$0	$20.9M
Prima Home Health, Inc	VA	Home Health Agency	$0	$14.5M
Infuscience, LLC	VA	Home Infusion Therapy Pharmacy	$0	$9.7M
Angel Senior Home Care LLC	VA	Home Health Agency	$0	$9.1M
Inova Physician Partners, LLC	VA	Family Medicine Physician	$0	$9M
Agape Health Management Inc	VA	Adult Day Care Clinic/Center	$0	$7.7M
Microgen Health, Inc	VA	Clinical Medical Laboratory	$4.3M	$2.1M
Community Residences, Inc.	VA	Developmentally Disabled Services Day Training Agency	$0	$6.1M

Community Residences, Inc — Billing Profile & Reimbursement Data

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Community Residences, Inc — 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