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.

Community Connections Inc (NPI 1407872575)

Field	Value
Entity Type	Organization
Organization	Community Connections Inc
Address	801 Pennsylvania Ave Se Ste 201
City	Washington
State	DC
ZIP	20003
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 14, 2006

Payer Source	Total Paid
Medicaid	$69.4M
Medicare	$0

Key Findings

COMMUNITY CONNECTIONS INC is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $69.4M in lifetime Medicaid revenue, indicating its operations and revenue depend almost entirely on Medicaid payments rather than a mixed Medicare/Medicaid payer mix. This concentration makes Medicaid policy and rate changes especially material to the organization’s financial profile.

Revenue is extremely concentrated in a few community-based mental health services: the precomputed top 3 Medicaid codes account for 84.5% of the provider’s Medicaid revenue, with H0039 alone representing $40.1M (57.7%) of the $69.4M total. That concentration signals the organization primarily operates high-volume, targeted programs rather than a broad, evenly distributed outpatient practice.

The provider’s code mix and dollar volumes show an operational focus on intensive community-based services: H0039 (Assertive community treatment, face-to-face, per 15 minutes) at $40.1M and H0040 (Assertive community treatment program, per diem) at $5.9M indicate reliance on assertive community treatment models, while H0044 (Supported housing, per month) at $12.7M shows a substantial supported-housing service line. Together these codes suggest the organization delivers long-term, community-based psychiatric support and housing-related services rather than primarily short office visits or episodic care.

Competitive standing in-state is highly asymmetric: the provider ranks #1 of 27 for H0039 (100th percentile) and is described as an "extreme outlier, far above typical state volume for this code," and it also ranks #1 of 7 for H0040 (100th percentile; "notably above typical state volume"). These rankings indicate market dominance for assertive community treatment in its state, making it a major provider for those specific program lines.

While dominant on its headline programs, the provider shows more typical participation on ancillary behavioral health codes: H0036 generated $5M (7.2%) and H0025 generated $2.4M (3.4%), with H0036 ranking #25 of 56 (56th percentile) and H0025 ranking #7 of 25 (75th percentile). This pattern indicates a large-scale specialization in a few service lines combined with routine volumes for other community mental health services.

There is operational breadth beyond intensive community programs—evidence of outpatient and counseling activity appears in the billing mix: 99213 has 12K claims and $540.9K revenue (0.8%) and 90837 produced $149.6K (0.2%), showing the provider also bills standard E/M and psychotherapy codes alongside its community-treatment portfolio. These smaller line items suggest integrated clinical services are provided in addition to the high-volume programmatic work.

The provider’s dependence on large recurring units of time-based and monthly payments (H0039 billed per 15 minutes, H0044 per month, H0040 per diem) creates revenue sensitivity to utilization and rate changes for time- and program-based services. Given H0039’s status as an extreme outlier and its majority share of revenue, any policy, audit, or reimbursement shift affecting per-15-minute assertive community treatment payments would likely have outsized financial impact.

COMMUNITY CONNECTIONS INC has long tenure in the provider ecosystem, with its NPI enumerated on 2006-07-14 (~20 years ago), which supports the interpretation that its high volumes and specialized programs are established operations rather than a recent surge. That history, combined with top statewide ranks for key codes, suggests entrenched delivery of assertive community treatment and supported housing in the state market.

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	388,950	$100	$40.1M
H0044	Supported housing, per month	18,670	$680	$12.7M
H0040	Assertive community treatment program, per diem	5,340	$1,100	$5.9M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	94,190	$50	$5M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	43,920	$50	$2.4M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	6,390	$170	$1.1M
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…	12,020	$50	$540.9K
H0005	Alcohol and/or drug services; group counseling by a clinician	10,240	$40	$358.4K
H0034	Medication training and support, per 15 minutes	6,610	$40	$277.5K
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…	5,920	$50	$266.4K

Showing 1–10 of 31

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

Community Connections Inc — 3 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

31 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	25	60	82,090	$90	$13.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	1	30	150	$110	$5.8M
H0044	Supported housing, per month	3	20	7,960	$270	$3.2M
H2022	Community-based wrap-around services, per diem	4	10	6,320	$450	$3M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	7	30	6,580	$100	$2.8M
H0040	Assertive community treatment program, per diem	1	10	1,460	$970	$2M
H0034	Medication training and support, per 15 minutes	24	50	5,030	$90	$1M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	3	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,…	128	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…	40	120	1,050	$110	$409.5K

Showing 1–10 of 31

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Universal Home Healthcare Inc.	DC	Home Health Agency	$0	$69.8M
Iya Homes And Community Solutions, LLC	DC	Community/Behavioral Health Agency	$0	$11.3M
Psi Services 111 Inc.	DC	Developmentally Disabled Services Day Training Agency	$0	$5.4M
Husband Therapeutics	DC	Home Health Agency	$0	$2.7M
Juanita Bryant	DC	Retina Specialist (Ophthalmology) Physician	$1.9M	$239.4K
Accent On Health, LLC	DC	Internal Medicine Physician	$0	$1.3M
Grubbs Pharmacy Of Dc Inc	DC	Community/Retail Pharmacy	$106.5K	$935.3K
Alfred Burris	DC	Cardiovascular Disease Physician	$469.2K	$356.3K
Christopher Burris	DC	Ophthalmology Physician	$127.7K	$642.6K
Phase Ll Academy	DC	Specialist	$0	$751.8K

Community Connections Inc — Billing Profile & Reimbursement Data

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Community Connections 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