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.

Wellness Healthcare Clinics. LLC (NPI 1417432733)

Field	Value
Entity Type	Organization
Organization	Wellness Healthcare Clinics. LLC
Address	4660 Martin Luther King Jr Ave Sw Ste A2
City	Washington
State	DC
ZIP	20032
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 2, 2018

Payer Source	Total Paid
Medicaid	$24.1M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file and all recorded public-payer activity is Medicaid-only, with Total Medicaid revenue of $24.1M. The absence of Medicare claims means analyses of Medicare-facing business lines or fee schedules are not applicable for this entity and Medicaid drives virtually all reimbursement risk and volume.

Revenue is highly concentrated in a very small set of procedure codes: the precomputed top three Medicaid codes account for 94.5% of the provider’s total Medicaid revenue. That concentration indicates that a single service mix change or policy adjustment affecting those codes could materially alter the provider’s overall revenue.

H0036 is the dominant revenue driver: 224.7K claims at $95 avg paid/claim produced $21.3M in revenue, representing 88.5% of the provider’s Medicaid revenue. In-state competitive data show this volume ranks #11 of 56 providers (82th percentile) and is labeled as "typical, unremarkable volume for this code," meaning the provider achieves very large scale on a common community psychiatric supportive-treatment billing pattern rather than an atypically high utilization outlier.

The mix of codes billed points to an outpatient behavioral health model centered on brief, frequent, face-to-face supportive contacts plus medication support: along with H0036, the provider reports substantial H0034 activity (7K claims, $690.7K revenue) and multiple therapy and assessment codes (H0004, 90791, 90834). This combination—high-volume 15-minute supportive treatment plus medication training/support and standard psychotherapy/diagnostic codes—is consistent with a community mental health clinic workflow that emphasizes repeated short contacts and medication management.

Secondary but measurable revenue lines include office E/M and psychiatric evaluation visits: 99214 produced $756.1K (3.1% of Medicaid revenue) from 5.5K claims and ranks #46 of 305 providers in-state (85th percentile; typical, unremarkable volume for this code), while 90791 generated $272.7K (1.1% of Medicaid revenue). These figures indicate the organization also bills for longer evaluations and moderate-complexity outpatient visits, but those services remain a small share of total revenue relative to H0036.

Competitive standing is mixed by service line: the provider’s H0036 volume gives it a high statewide percentile but not the top rank (#11/56), so it is a major regional participant in community psychiatric supportive treatment without being the single dominant provider. For E/M codes like 99214 the provider sits at the 85th percentile statewide—a strong placement among many competitors—but those codes still account for only a few percent of revenue.

Operationally, the revenue profile reflects a high-volume, low-dollar-per-claim model: the largest single code pays about $95 per claim on average and accounted for $21.3M of the $24.1M Medicaid total. That structure suggests the provider relies on throughput and frequent short encounters to generate revenue, which has implications for staffing models, appointment scheduling, and sensitivity to per-encounter reimbursement policy changes.

The provider’s tenure is relatively short: NPI enumerated 2018-10-02 (~8 years ago). Given the rapid build-up to $24.1M in Medicaid revenue concentrated in a few behavioral-health codes, the profile is consistent with a clinic that scaled outpatient supportive and medication-support services quickly within its state Medicaid market.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	224,690	$100	$21.3M
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…	5,520	$140	$756.1K
H0034	Medication training and support, per 15 minutes	7,050	$100	$690.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	3,820	$90	$335.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,930	$140	$272.7K
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…	2,160	$110	$235.2K
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…	1,620	$100	$162.1K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	490	$260	$124.9K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	1,090	$70	$78.3K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	470	$110	$51.2K

Showing 1–10 of 15

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

Wellness Healthcare Clinics. LLC — 0 of 15 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

15 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	11	60	82,090	$90	$13.9M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	19	30	6,580	$100	$2.8M
H0034	Medication training and support, per 15 minutes	23	50	5,030	$90	$1M
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…	90	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	34	80	2,570	$60	$403K
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…	46	310	750	$70	$321.6K
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…	95	320	620	$50	$313.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	72	120	300	$120	$287.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	13	80	370	$130	$124.7K
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…	26	100	520	$60	$118.3K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Wellness Healthcare Clinics. LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Not-for-profit Hospital Corporation	DC	General Acute Care Hospital	$0	$62.2M
New Hope Health Services, LLC	DC	Adult Mental Health Clinic/Center	$0	$54.9M
Life Enhancement Services Of Dc, LLC	DC	Community/Behavioral Health Agency	$0	$38.3M
Southern Ave Sp LLC	DC	Assisted Living Facility	$0	$20.2M
Community Of Hope, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$17.1M
Dental Dreams PLLC	DC	General Practice Dentistry	$0	$8.1M
Federal City Recovery Services Inc	DC	Substance Abuse Rehabilitation Facility	$0	$4.8M
Whitman-walker Clinic, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$4.3M
Paving The Way Multi Service Institute	DC	Community/Behavioral Health Agency	$0	$2.6M
Bio-medical Applications Of Southeast Washington, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M

Wellness Healthcare Clinics. LLC — Billing Profile & Reimbursement Data

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Wellness Healthcare Clinics. LLC — 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