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.

Integrated Community Services, Inc. (NPI 1407244304)

Field	Value
Entity Type	Organization
Organization	Integrated Community Services, Inc.
Address	6323 Georgia Ave Nw Ste 350
City	Washington
State	DC
ZIP	20011
Taxonomy	Home Health Agency
NPI Enumerated	December 30, 2014

Payer Source	Total Paid
Medicaid	$145.9M
Medicare	$0

Key Findings

INTEGRATED COMMUNITY SERVICES, INC. is effectively a single-payer Medicaid operator: Total Medicare revenue: none (no Medicare billing on file) while total Medicaid revenue is $145.9M. The absence of any Medicare billing on file indicates the organization’s services and revenue base are concentrated almost entirely within state Medicaid programs.

Revenue is extremely concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes account for 98.4% of this provider's total Medicaid revenue, with T1019 alone representing $122.9M (84.2% of Medicaid revenue). This concentration means most of the provider’s financial performance is driven by personal care billing volume and the associated reimbursement rates.

The provider’s code mix points to a home- and community-based services (HCBS) and long-term services & supports (LTSS) operational model: T1019 (personal care services, per 15 minutes) accounts for the vast majority of revenue, while G0299 (direct skilled nursing services of an RN in the home, each 15 minutes) and T2016 (habilitation, residential, waiver; per diem) supply additional revenue tied to skilled nursing and waiver residential habilitation. Together these codes suggest a workforce and delivery model built around personal care aides, companion services, and home RNs rather than traditional Medicare home health billing.

Competitive standing within the state is strong for the provider’s dominant services: T1019 ranks #1 of 29 providers in-state (100th percentile; notably above typical state volume) and G0299 ranks #1 of 32 providers in-state (100th percentile; notably above typical state volume). By contrast, T2016 is modest by comparison, ranking #12 of 17 providers in-state (31th percentile; typical, unremarkable volume), indicating market leadership concentrated specifically in personal care and in-home skilled nursing.

The remaining Medicaid codes are minor contributors and generally unremarkable: S5135 generated $2.2M (1.5% of Medicaid revenue) and ranks #9 of 23 providers in-state (64th percentile; typical, unremarkable volume), H0025 produced $154.6K (0.1%) and ranks #20 of 25 (21th percentile; typical, unremarkable volume), and S9123 contributed $633 (0.0%) and ranks #4 of 16 (80th percentile; typical, unremarkable volume). These smaller lines do not materially diversify the provider’s revenue base away from the dominant personal care and waiver/skilled nursing codes.

The provider’s heavy reliance on T1019, T2016, and G0299 (together 98.4% of Medicaid revenue) creates operational sensitivity to Medicaid policy, payment-rate changes, or waiver program shifts affecting those codes. Any adjustment in state reimbursement rules, prior authorization, or program eligibility for personal care or waiver services could disproportionately affect this provider’s top-line Medicaid revenue.

INTEGRATED COMMUNITY SERVICES, INC. has been an established NPI-enumerated entity since 2014-12-30 (~12 years ago), giving it a multi-year operating history to build the large Medicaid footprint reflected in $145.9M of lifetime Medicaid revenue. The tenure supports the view that current market positions—especially the dominant personal care and in-home RN volumes—are longstanding and operationally embedded.

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
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…	792,580	$160	$122.9M
T2016	Habilitation, residential, waiver; per diem	27,680	$630	$17.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	52,770	$60	$3.2M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	11,740	$190	$2.2M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	470	$330	$154.6K
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)	630	$1	$630

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

Integrated Community Services, Inc. — 2 of 6 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

6 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…	1	30	405,140	$140	$47.5M
T2016	Habilitation, residential, waiver; per diem	12	20	55,360	$570	$32.9M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	20	30	6,580	$100	$2.8M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	9	20	7,550	$180	$2.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	1	30	13,380	$80	$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)	4	20	130	$20	$17.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
National Children's Center, Inc.	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$101M
Capital Care, Inc	DC	Home Health Agency	$0	$83.4M
Aba Inc	DC	In Home Supportive Care Agency	$0	$80.8M
Premium Select Home Care Inc	DC	Home Health Agency	$0	$63.9M
Ideal Nursing Services Inc	DC	Home Health Agency	$0	$58M
Total Care Services, Inc.	DC	Developmentally Disabled Services Day Training Agency	$0	$54.7M
Metro Homes Inc	DC	Developmental Disabilities Clinic/Center	$0	$45.1M
Citycare Health Services, Inc	DC	Community/Behavioral Health Agency	$0	$36.4M
Janilcar Inc	DC	Durable Medical Equipment & Medical Supplies	$0	$32.7M
Dc Health Care Inc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$24.2M

Integrated Community Services, Inc. — Billing Profile & Reimbursement Data

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Integrated Community Services, Inc. — 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