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.

Anchor Mental Health Association (NPI 1417029935)

Field	Value
Entity Type	Organization
Organization	Anchor Mental Health Association
Address	1001 Lawrence St Ne
City	Washington
State	DC
ZIP	20017
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	November 14, 2006

Payer Source	Total Paid
Medicaid	$22M
Medicare	$0

Key Findings

ANCHOR MENTAL HEALTH ASSOCIATION is effectively a Medicaid-focused provider: it reports no Medicare billing on file and $22M in total Medicaid revenue, indicating the organization’s service footprint and revenue base are almost entirely dependent on Medicaid payers. The provider’s NPI was enumerated on 2006-11-14 (~20 years ago), so this Medicaid-centric billing profile reflects a long-tenured operation in the market.

Revenue concentration is high: the precomputed top 3 Medicaid codes account for 71.7% of the provider’s total Medicaid revenue, with H0039 making up 36.7%, H0036 26.7%, and S0281 8.3%. This level of concentration means a large share of the organization’s financial performance is tied to continued reimbursement and utilization of a small set of services.

The code mix signals an intensive, community-based behavioral health model: H0039 (Assertive community treatment, per 15 minutes) and H0036 (Community psychiatric supportive treatment, per 15 minutes) together dominate revenue, and high claim counts for these codes (103.3K and 96K claims respectively) point to frequent, short-interval contacts and team-based outreach rather than episodic outpatient only. The presence of S0281 (Medical home program; comprehensive care coordination and planning) as a top revenue driver reinforces that care coordination and longitudinal case management are central to the provider’s operations.

Competitive standing is mixed by service line: ANCHOR ranks #1 of 8 providers in-state on S0281 (100th percentile; notably above typical state volume) which suggests a leadership position in billing for medical home/care coordination services, while for H0039 it ranks #5 of 27 (85th percentile; typical, unremarkable volume) and for H0036 it ranks #24 of 56 (58th percentile; typical, unremarkable volume), indicating strong but not dominant market positions on its other primary services. Several psychotherapy and supportive-service codes such as 90832 (rank #4 of 67, 95th percentile; notably above typical) and H0034 (rank #7 of 51, 88th percentile; typical) show above-average utilization in some ambulatory therapy segments.

Operational characteristics implied by payment units and service types: the top codes are per-15-minute and per-diem services (H0039, H0036, H0040) plus a per-encounter program code (S0281), which suggests the organization runs high-frequency, billable-contact programs (e.g., ACT teams, supportive community services, medication training) and also bills for program-level care coordination. This mix typically requires multidisciplinary staff and continuous engagement with high-need patients, which aligns with the large claim volumes reported for the top codes.

While most high-volume Medicaid codes are characterized in the source as 'typical, unremarkable volume' within the state, S0281 is identified as 'notably above typical state volume' and 90832 as 'notably above typical state volume,' marking these two services as statistical outliers where ANCHOR outperforms peers. These outlier positions suggest programmatic strengths in care coordination (S0281) and brief psychotherapy contact models (90832) that could be highlighted in network or contract negotiations.

There is a modest representation of traditional outpatient psychotherapy and office visits: 90837 ($682.5K, 3.1% of Medicaid revenue), 90834 ($497.8K, 2.3%), 90832 ($432.7K, 2.0%) and E/M codes 99214/99213 show additional, smaller revenue streams that complement the provider’s community-treatment focus. These lines are meaningful but far smaller than the ACT and community-support revenue drivers, indicating a blended model but with heavier emphasis on community-based, wrap-around services.

A few reported codes show claims with $0 average paid (H2021, H0046), which indicates either reporting distinctions, non-fee-for-service arrangements, or zero-reimbursement claim records for certain wrap-around or unspecified mental health services; this nuance could warrant follow-up if assessing contract performance or encounter reporting accuracy. Given the concentrated revenue base (71.7% in top three codes) and reliance on Medicaid alone, payer policy changes or reimbursement adjustments for the top codes would likely have a material impact on the organization’s financial profile.

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	103,340	$80	$8.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	95,950	$60	$5.9M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	12,240	$150	$1.8M
H0034	Medication training and support, per 15 minutes	26,550	$60	$1.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	16,120	$50	$806K
H0040	Assertive community treatment program, per diem	2,020	$360	$730.2K
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…	7,500	$90	$682.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	6,820	$70	$497.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	8,170	$50	$432.7K
S9484	Crisis intervention mental health services, per hour	1,180	$290	$337.2K

Showing 1–10 of 25

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

Anchor Mental Health Association — 3 of 23 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

25 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	24	60	82,090	$90	$13.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	5	30	150	$110	$5.8M
H0040	Assertive community treatment program, per diem	3	10	1,460	$970	$2M
H0034	Medication training and support, per 15 minutes	7	50	5,030	$90	$1M
H0023	Alcohol and/or drug outreach	2	10	840	$100	$839.1K
H2011	Crisis intervention service, per 15 minutes	2	10	2,140	$100	$810.9K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	1	10	5,240	$150	$785.6K
S9484	Crisis intervention mental health services, per hour	2	10	1,180	$270	$619.3K
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,…	74	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…	15	120	1,050	$110	$409.5K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Anchor Mental Health Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
My Own Place, Inc.	DC	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$48.7M
Hsc Home Care, LLC	DC	Home Health Agency	$0	$14.7M
Providence Health Services Inc	DC	Family Medicine Physician	$0	$13.4M
Providence Hospital	DC	General Acute Care Hospital	$0	$12.2M
American Health Care Services Inc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.3M
Hospital For Sick Children	DC	Special Hospital	$0	$4.7M
United Cerebral Palsy Of Washington & No. Virginia, Inc.	DC	Developmentally Disabled Services Day Training Agency	$0	$4.4M
Gerald Family Care	DC	Family Medicine Physician	$0	$3.2M
Cheryl Lee	DC	Dentist	$0	$2.5M
Providence Opticians Designer Eyewear Inc	DC	Eyewear Supplier	$0	$2.1M

Anchor Mental Health Association — Billing Profile & Reimbursement Data

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Anchor Mental Health Association — Billing Profile & Reimbursement Data

Sign up for Anchor Mental Health Association — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References