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.

Nya Health Services Inc (NPI 1447716733)

Field	Value
Entity Type	Organization
Organization	Nya Health Services Inc
Address	1615 Rhode Island Ave Ne
City	Washington
State	DC
ZIP	20018
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	February 12, 2019

Payer Source	Total Paid
Medicaid	$39.6M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the dataset: there is no Medicare billing on file while total Medicaid revenue is $39.6M, indicating the organization’s entire recorded federal payer footprint is concentrated in Medicaid. Analysts should treat Medicaid as the primary commercial/payer exposure when modeling revenue or utilization trends for this entity.

Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes account for 94.6% of this provider’s total Medicaid revenue, with H0036 alone representing $33.7M (85.1% of Medicaid revenue). That degree of concentration creates both operational leverage around a narrow service mix and material sensitivity to rate or policy changes affecting those codes.

The code mix signals a community‑based behavioral health operating model: H0036 (Community psychiatric supportive treatment, per 15 minutes) and H0034 (Medication training and support, per 15 minutes) are the dominant revenue drivers, supplemented by 99214 office/outpatient E/M visits. This suggests the provider delivers frequent, short‑interval psychosocial and medication support services in community or clinic settings, paired with moderate‑complexity medical management encounters.

H0036 shows very large volume with 369.9K claims at an $91 avg paid/claim and ranks #7 of 56 providers in‑state (89th percentile); the dataset labels this as a typical, unremarkable volume pattern for the code despite the absolute claim count. In short, the provider is a top‑tier state producer of H0036 activity by rank, but that level of activity is not flagged as exceptional relative to peers for this specific service.

Clinical evaluation and management activity is also notable: 99214 appears 12K claims with a $137 avg paid/claim generating $1.6M (4.1% of Medicaid revenue) and ranks #19 of 305 in‑state (94th percentile), described as typical, unremarkable volume. Additionally, 90791 (psychiatric evaluation) appears as $521.9K (1.3% of Medicaid revenue) and ranks #7 of 80 (92nd percentile), which the source flags as notably above typical state volume, indicating the provider is comparatively active in initial psychiatric assessments.

Despite the high volumes for core community treatment codes, several codes show minimal or zero paid revenue: H0039 (Assertive community treatment) is present with 40 claims but $0 revenue and a $0 avg paid/claim, and higher‑complexity E/M codes such as 99215 and common lower‑level visits like 99213 contribute trivial revenue. These patterns point to focused service lines rather than a broad, high‑complexity outpatient practice and may reflect administrative or payor adjudication outcomes for certain service types.

The provider’s NPI was enumerated on 2019-02-12 (~7 years ago), which means this Medicaid footprint has been established in a relatively short tenure. Evaluators should note that a relatively recent market entry (≈7 years) combined with large H0036 volume could reflect rapid scale-up of community psychiatric services or consolidation of community behavioral health activity in this entity.

From a competitive standpoint, the provider ranks in the top decile or near‑top decile for several of its highest‑volume codes within the state (e.g., H0036 #7/56, 99214 #19/305, 90791 #7/80). While many of those ranks are labeled “typical, unremarkable volume,” the percentile positions indicate the provider is a meaningful state‑level participant for community psychiatric supportive treatment and related evaluation services, making it an important comparator for payers and competitors focused on behavioral health capacity in Washington, DC.

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	369,910	$90	$33.7M
H0034	Medication training and support, per 15 minutes	19,580	$110	$2.1M
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…	11,980	$140	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	6,750	$100	$695.6K
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…	4,100	$140	$590.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,300	$160	$521.9K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,270	$130	$166.9K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	1,930	$70	$142.5K
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…	240	$110	$25.7K
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…	10	$230	$3.1K

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

Nya Health Services Inc — 0 of 11 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	7	60	82,090	$90	$13.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	21	30	150	$110	$5.8M
H0034	Medication training and support, per 15 minutes	10	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…	32	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	23	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…	19	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…	240	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…	112	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.	7	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…	69	100	520	$60	$118.3K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Nya Health Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
T & N Reliable Nursing Care,llc	DC	In Home Supportive Care Agency	$0	$103.2M
Immaculate Health Care Services,inc	DC	Respite Care	$0	$82.1M
Innovative Life Solutions, Inc.	DC	Developmental Disabilities Clinic/Center	$0	$73.3M
Life Stride, Inc.	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.4M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$19.3M
Goshen Healthcare & Management Services	DC	Community/Behavioral Health Agency	$0	$18.1M
P&g Behavioral Health Services LLC	DC	Adult Mental Health Clinic/Center	$0	$14.1M
Psychiatric Center Chartered,inc	DC	Psychiatry Physician	$0	$11.4M
Metropolitan Educational Solutions, LLC	DC	Case Management Agency	$0	$8.3M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$7.4M

Nya Health Services 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