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.

Lifeline, Inc (NPI 1407430143)

Field	Value
Entity Type	Organization
Organization	Lifeline, Inc
Address	1615 Kenilworth Ave Ne
City	Washington
State	DC
ZIP	20019
Taxonomy	Home Health Agency
NPI Enumerated	May 10, 2021

Payer Source	Total Paid
Medicaid	$12.2M
Medicare	$0

Key Findings

LIFELINE, INC is effectively a single-payer Medicaid operator: it has no Medicare billing on file and reports $12.2M in total Medicaid revenue. Its NPI was enumerated on 2021-05-10 (~5 years ago), indicating roughly five years of enrollment activity during which Medicaid has been the sole recorded public payer.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicaid codes by revenue (T2016, 99509, H0025) account for 91.4% of the provider's total Medicaid revenue. This points to a narrow set of revenue drivers rather than a diversified Medicaid service mix.

The provider’s code mix is consistent with a home- and residential-support profile: T2016 (Habilitation, residential, waiver; per diem) is the dominant revenue driver at $8.4M (68.9% of Medicaid revenue), while 99509 (home health ADL/self-care visits) produced $1.7M (14.0%) across a very large volume of 143K claims. Together these codes suggest operations focused on waiver-funded residential habilitation coupled with high-volume in-home ADL support.

T2016 is the largest single revenue source ($8.4M, 68.9%) but LIFELINE ranks near the bottom of in-state peers on that code (rank #16 of 17; 6th percentile). In other words, although T2016 drives the bulk of this provider’s Medicaid dollars, the provider is a modest participant in this service relative to other Washington DC providers.

99509 shows a contrasting competitive position: 143K claims, $12 avg paid/claim, $1.7M revenue (14.0% of Medicaid revenue) and the provider ranks #1 of 16 in-state (100th percentile). This makes LIFELINE a state-leading provider for high-volume ADL/self-care home visits, characterized by very large claim counts and low average paid/claim.

H0025 and S5135 represent meaningful secondary revenue streams: H0025 generated $1M (8.5% of Medicaid revenue) and ranks #17 of 25 providers in-state (33rd percentile), while S5135 generated $1M (8.2%) and ranks #10 of 23 (59th percentile). These codes indicate the provider also delivers behavioral health prevention education and companion/adult IADL/ADL support, though neither is a dominant statewide position.

Smaller services such as T2021 (Day habilitation, waiver; per 15 minutes) account for a negligible share ($42.5K, 0.3%) and the provider ranks low on that code (rank #26 of 28; 7th percentile), underscoring that day habilitation is not a material line of business for LIFELINE. This further concentrates the revenue profile toward residential habilitation and in-home ADL services.

From a business risk and strategic lens, the provider’s heavy dependence on a few Medicaid codes—top three codes = 91.4% of Medicaid revenue—creates exposure to rate or policy changes for waiver/residential habilitation and high-volume ADL visit reimbursement. At the same time, the provider’s market-strength on 99509 (state rank #1 of 16) suggests operational capability and scale in delivering large volumes of in-home ADL services even as it remains a modest player on the large-dollar per-diem T2016 code within the state peer set.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	15,310	$550	$8.4M
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.	143,040	$10	$1.7M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	3,020	$350	$1M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	9,310	$110	$1M
T2021	Day habilitation, waiver; per 15 minutes	370	$120	$42.5K

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

Lifeline, Inc — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	16	20	55,360	$570	$32.9M
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.	1	20	5,670	$140	$3.7M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	17	30	6,580	$100	$2.8M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	10	20	7,550	$180	$2.5M
T2021	Day habilitation, waiver; per 15 minutes	26	30	7,310	$150	$2.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mbi Health Services LLC	DC	Community/Behavioral Health Agency	$0	$270.4M
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
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

Lifeline, Inc — Billing Profile & Reimbursement Data

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Lifeline, 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