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.

Inner City Family Services LLC (NPI 1447556600)

Field	Value
Entity Type	Organization
Organization	Inner City Family Services LLC
Address	2307 Martin Luther King Jr Avenue Southeast
City	Washington
State	DC
ZIP	20020
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	February 7, 2011

Payer Source	Total Paid
Medicaid	$17.3M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reported total Medicaid revenue of $17.3M, making its claims footprint effectively single‑payer (Medicaid) in the available data. Analysts should treat Medicaid trends as synonymous with the provider's overall billing profile given the absence of Medicare activity.

Revenue concentration is extreme: the precomputed top three Medicaid codes account for 95.5% of this provider's total Medicaid revenue, with H0036 alone generating $15.8M (91.4% of this provider's total Medicaid revenue). That level of concentration means overall financial performance is highly dependent on utilization and reimbursement for a single service category.

The dominant code H0036 (Community psychiatric supportive treatment, face-to-face, per 15 minutes) shows 216.7K claims at $73 avg paid/claim and $15.8M revenue, signaling a business model centered on high-volume, time‑based community psychiatric support delivered in frequent short encounters. This operational mix implies staffing, scheduling, and revenue models optimized for numerous brief face‑to‑face contacts rather than a low-volume, high-intensity outpatient clinic.

Secondary revenue lines are present but comparatively small: 90834 accounts for $473.3K (2.7% of Medicaid revenue) across 6.2K claims at $76 avg paid/claim, and 99215 accounts for $224.6K (1.3% of Medicaid revenue) across 1.8K claims at $128 avg paid/claim. These codes indicate the provider also delivers standard psychotherapy sessions and some high-complexity E/M visits, suggesting clinical breadth beyond community support despite their modest revenue share.

Competitive standing by code is mixed and generally described as typical for in-state peers: for H0036 the provider ranks #12 of 56 in-state (80th percentile; typical, unremarkable volume for this code), so it is a notable but not dominant in-state supplier of community psychiatric supportive treatment. By contrast, 90834 ranks #9 of 98 in-state (92th percentile; typical, unremarkable volume for this code), reflecting relatively stronger placement among psychotherapy providers even though the revenue contribution is small.

A review of other billed codes reinforces the concentration thesis: codes such as H0034, 99214, H0004, and 90791 each contribute small single-digit shares of Medicaid revenue and sit around the median statewide percentiles (for example, H0034 at the 44th percentile and H0004 at the 52th percentile), indicating those services are provided at broadly typical volumes relative to peers rather than at outsized scale.

From an operational and payer-risk perspective, heavy reliance on per‑15‑minute community treatment billing makes the provider sensitive to changes in time‑based reimbursement policies, utilization reviews, or payer edits that affect H0036. Strategically, expanding higher-reimbursement E/M or psychotherapy encounters could reduce dependency on a single, high-volume code and improve revenue resilience.

The practice has an NPI enumeration date of 2011-02-07 (~15 years ago), demonstrating an established presence in the market focused on Medicaid behavioral health services; combined with the absence of Medicare billing, this tenure suggests long-standing specialization in community mental health for the Medicaid population.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	216,690	$70	$15.8M
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…	6,230	$80	$473.3K
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…	1,760	$130	$224.6K
H0034	Medication training and support, per 15 minutes	3,860	$50	$204.4K
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…	1,740	$100	$177.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	2,690	$60	$172.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,220	$110	$130.9K
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…	870	$70	$62.8K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	510	$50	$24.7K
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…	140	$70	$9.5K

Showing 1–10 of 12

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

Inner City Family Services LLC — 0 of 12 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

12 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	12	60	82,090	$90	$13.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	13	30	150	$110	$5.8M
H0034	Medication training and support, per 15 minutes	29	50	5,030	$90	$1M
H0004	Behavioral health counseling and therapy, per 15 minutes	40	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…	107	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…	141	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…	22	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.	28	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…	9	100	520	$60	$118.3K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	25	50	520	$70	$98K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Inner City Family Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preventive Measure Of Washington Dc, LLC	DC	Community/Behavioral Health Agency	$0	$85.8M
District Healthcare Services, LLC	DC	Community/Behavioral Health Agency	$0	$78.3M
Mj General, LLC	DC	Developmental Disabilities Clinic/Center	$0	$68.6M
One Care Dc Inc	DC	Community/Behavioral Health Agency	$0	$31M
Umbrella Therapeutic Services, Inc.	DC	Community/Behavioral Health Agency	$0	$29.8M
Life Care Inc.	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.7M
Azure, LLC	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.2M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$10.2M
Kc Community Services Inc	DC	Case Management Agency	$0	$6.4M
The Family Wellness Center, Inc	DC	Community/Behavioral Health Agency	$0	$5.6M

Inner City Family Services LLC — Billing Profile & Reimbursement Data

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Inner City Family Services 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