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 Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Hartwood Foundation, Inc. (NPI 1447205927)

Field	Value
Entity Type	Organization
Organization	Hartwood Foundation, Inc.
Address	6800 Versar Ctr Dr. Suite 401
City	Springfield
State	VA
ZIP	22151
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$52.4M
Medicare	$0

Key Findings

HARTWOOD FOUNDATION, INC. is classified as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility and the Medicaid billing profile aligns with that service line: its listed top code, H2022 (Community-based wrap-around services, per diem), indicates the provider operates a per-diem, community-based wrap-around/residential support model for individuals with developmental or intellectual disabilities. This suggests care delivery centered on long-stay or day-based community supports rather than episodic medical procedures.

Medicaid revenue is heavily concentrated: total Medicaid revenue is $52.4M and the precomputed data shows the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, indicating nearly all Medicaid income is driven by a very narrow set of service codes. Such concentration means financial performance is closely tied to reimbursement and utilization trends for those specific codes.

At the code level, H2022 accounts for the entirety of the reported Medicaid revenue stream: 6K claims, $8737 avg paid/claim, $52.4M revenue (100.0% of this provider's total Medicaid revenue). The claim count and high average paid/claim are consistent with per‑diem wrap‑around billing for residential or intensive community-based supports.

#54 of 136 statewide ranking for H2022 (61th percentile) places HARTWOOD FOUNDATION as a mid‑tier, typical-volume provider for this code in Virginia; the data labels this as "typical, unremarkable volume for this code," so the provider is not a statewide leader nor an outlier in utilization. This ranking implies routine participation in the in‑state market rather than dominance.

The payer mix is effectively single‑payer: the provider reports no Medicare billing on file and all documented federal billing is $52.4M to Medicaid. Analysts should treat the entity as Medicaid‑dependent for revenue analysis and benchmarking, with no Medicare footprint to diversify payer risk.

Tenure is long-established: the NPI was enumerated on 2006-05-23 (~20 years ago), indicating roughly two decades of enrollment and potential continuity in Medicaid contracting and state relationships. This longevity supports the interpretation of an operationally stable, specialized community residential provider.

Operational implications of a near‑exclusive reliance on H2022 include sensitivity to per‑diem rate changes, state policy shifts on wrap‑around services, and utilization management for residential supports; because $52.4M is tied to this service mix, contract negotiations or rate adjustments for H2022 would likely have outsized impact on organizational revenue. Analysts should monitor state Medicaid rate-setting and program integrity activity affecting H2022.

From a competitive and contracting perspective, the narrow service mix (100.0% of Medicaid revenue coming from the top codes) and mid‑rank position mean HARTWOOD FOUNDATION may be well positioned for specialized Medicaid agreements focused on community‑based residential supports, but it is unlikely to command premium market leverage statewide based on the current H2022 ranking and the description of its volume as typical.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	6,000	$8,740	$52.4M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Hartwood Foundation, Inc. — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	54	140	4,450	$1,150	$15.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Fairfax Services Inc	VA	Developmentally Disabled Services Day Training Agency	$0	$35.1M
Fassity Home Care LLC	VA	Home Health Agency	$0	$11.4M
Multicultural Clinical Center	VA	Counselor	$0	$9.4M
Jacqueline K. Hoang Md PC	VA	Pediatrics Physician	$0	$8.6M
Global Healthcare Services, LLC	VA	Speech-Language Pathologist	$0	$8.3M
Anita Banerjee	VA	Cardiovascular Disease Physician	$837.8K	$740
Seema Sharma	VA	Internal Medicine Physician	$683.6K	$0
Charles Toner	VA	MOHS-Micrographic Surgery Physician	$666.1K	$0
Missale Mesfin	VA	MOHS-Micrographic Surgery Physician	$661.4K	$0
Tammy Lamb	VA	Diagnostic Radiology Physician	$610.2K	$0

Hartwood Foundation, Inc. — Billing Profile & Reimbursement Data

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Hartwood Foundation, 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