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.

District Hospital Partners L P (NPI 1487640207)

Key Findings

Field	Value
Entity Type	Organization
Organization	District Hospital Partners L P
Address	900 23rd St Nw
City	Washington
State	DC
ZIP	20037
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 27, 2005

Payer Source	Total Paid
Medicaid	$136.3M
Medicare	$0

This provider has no Medicare billing on file and reports $136.3M in lifetime Medicaid revenue, making it effectively a Medicaid-centric operator rather than a dual-payer hospital in the available claims data. Analysts should treat Medicaid as the primary revenue stream when assessing this entity’s scale and network significance.

Revenue concentration is high: the precomputed top three Medicaid codes account for 39.1% of the provider’s total Medicaid revenue, with 97110 alone representing $17.4M (18.2%) and the emergency department E/M codes 99285 and 99284 each contributing $10M (10.5% and 10.4%, respectively). This concentration indicates a small set of service lines drive a large share of Medicaid revenue.

Service-line mix points to two primary operational drivers: high-volume emergency care and extensive physical/occupational therapy. ED-level services are material—99285 ($10M), 99284 ($10M), and 99283 ($8.5M) are among the top revenue codes—while rehabilitation-related codes such as 97110 ($17.4M), 97140 ($2.8M), and 97530 ($2.5M) signal sizable outpatient or hospital-affiliated therapy programs.

Competitive standing in-state is strongest in therapy and some procedure codes: 97110 ranks #2 of 27 (96th percentile; notably above typical state volume), 97140 ranks #2 of 20 (95th percentile; notably above typical), and 97530 ranks #3 of 40 (95th percentile). These percentiles and ranks indicate the provider is among the leading statewide performers for multiple rehab/therapy services, suggesting a market position as a major therapy provider for Medicaid patients.

By contrast, emergency department E/M volumes are high but not uniquely dominant statewide: 99285 ranks #5 of 26 (84th percentile; typical, unremarkable volume), 99284 ranks #7 of 34 (82nd percentile; typical, unremarkable volume), and 99283 ranks #8 of 38 (81st percentile; typical, unremarkable volume). These placements indicate substantial ED activity that is consistent with many peer hospitals, rather than absolute market dominance for emergency services.

The provider shows notable procedural and specialty service capacity beyond ED and therapy: high-revenue imaging and procedures such as 70450 ($3.3M, 3.5%), 74177 ($2.2M, 2.3%), 43239 ($2.8M, 2.9% and ranked #3 of 19; notably above typical state volume), and 77386 ($2.2M and ranked #1 of 2, labeled typical, unremarkable) point to functioning radiology, GI/endoscopy, and radiation oncology capabilities within the Medicaid population. These codes support an operational profile consistent with a full-service general acute care hospital.

Several codes show the provider at or near the top of state peer lists: 97161 ranks #1 of 13 (100th percentile; notably above typical state volume), 45378 ranks #1 of 13 (100th percentile; notably above typical state volume), and 11042 ranks #1 of 13 (100th percentile; notably above typical state volume). At the same time, some rank-ones (for example 0241U at #1 of 5, 100th percentile) are labeled 'typical, unremarkable volume,' indicating that top ranks for niche or small peer-group codes may reflect limited competitor counts rather than large absolute volumes.

The provider’s NPI was enumerated on 2005-09-27 (~21 years ago), indicating a long-standing enrollment in federal programs; this tenure supports that observed Medicaid billing patterns and specialty footprints are established rather than recent shifts. Analysts should consider historical stability when modeling referral relationships or capacity for continued Medicaid volumes.

Medicaid: Complete Services Breakdown

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

412 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	78,360	$220	$17.4M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	46,090	$220	$10M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	45,460	$220	$10M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	37,840	$230	$8.5M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	15,160	$530	$8M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	12,350	$270	$3.3M
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	34,840	$80	$2.8M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	3,810	$740	$2.8M
19083	Under ultrasound guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.	1,580	$1,650	$2.6M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	10,880	$230	$2.5M

Showing 1–10 of 412

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

District Hospital Partners L P — 7 of 25 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

412 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	2	10	5,630	$540	$4.4M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	5	30	4,480	$140	$3.5M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	7	30	540	$140	$3.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	8	40	190	$150	$3.3M
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	1	10	26,000	$80	$2.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	3	10	6,080	$100	$2M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	8	10	5,170	$170	$1.9M
99281	The provider sees a patient for the lowest level emergency department visit.	4	10	1,890	$220	$1.6M
77412	The provider delivers radiation therapy at level 3 complexity. This includes photon therapy delivered to multiple isocenters, photon therapy with active motion management, total skin electron…	2	10	4,190	$330	$1.4M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	2	30	3,790	$110	$1.4M

Showing 1–10 of 412

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohamed Koroma	DC	Gerontology Nurse Practitioner	$96.3K	$0
Leora Allen	MD	Adult Health Nurse Practitioner	$84K	$0
Farzad Najam	DC	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$82.1K	$0
Yasmin Al-atrache	AR	Physician Assistant	$61.7K	$0
Nicole Weidinger	DC	Family Nurse Practitioner	$44.4K	$0
District Hospital Partners LP	DC	Family Nurse Practitioner	$0	$40.9K
Karen Bauer	GA	Nurse Practitioner	$40.6K	$0
Janie Green	VA	Acute Care Nurse Practitioner	$26.1K	$0
Deanna Thomasson	DC	Family Nurse Practitioner	$25K	$0
Paul Gobourne	MD	Family Nurse Practitioner	$17.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Faculty Associates, Inc	DC	Anesthesiology Physician	$0	$75.7M
Baymark Health Services Of West Virginia, Inc.	DC	Substance Use Disorder Rehabilitation Clinic/Center	$571.6K	$6.4M
Medical Home Development Group	DC	Family Medicine Physician	$0	$6.7M
The Foundation For Contemporary Mental Health	DC	Public Health or Welfare Agency	$0	$5.4M
Dva Renal Healthcare Inc	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Miriam's Kitchen	DC	Case Management Agency	$0	$3.1M
Faysal Haroun	DC	Hematology & Oncology Physician	$2.4M	$0
Rishi Sood	DC	Vascular & Interventional Radiology Physician	$2.2M	$0
Matthew Forsthoefel	DC	Radiation Oncology Physician	$1.1M	$0
Mustafa Ali	DC	Internal Medicine Physician	$135.4K	$909.4K

District Hospital Partners L P — Billing Profile & Reimbursement Data

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District Hospital Partners L P — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References