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.

Howard University Hospital Corp (NPI 1487740957)

Key Findings

Field	Value
Entity Type	Organization
Organization	Howard University Hospital Corp
Address	2041 Georgia Ave Nw
City	Washington
State	DC
ZIP	20060
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicaid	$98.7M
Medicare	$0

HOWARD UNIVERSITY HOSPITAL CORP reports no Medicare billing on file and $98.7M in lifetime Medicaid revenue, making its publicly visible billing footprint effectively single-payer Medicaid in this dataset. The absence of Medicare revenue suggests analyses of senior-population exposure, Medicare-based reimbursement trends, and CMS-focused risk-adjustment impacts cannot be assessed from available claims.

Revenue concentration is high within a small set of emergency-department evaluation and management codes: the precomputed top 3 Medicaid codes account for 34.6% of the provider's total Medicaid revenue, with the leading individual codes being 99283 ($11.1M revenue; 14.3%), 99284 ($8.8M revenue; 11.4%), and 99282 ($6.9M revenue; 9.0%). This degree of concentration indicates the ED is a primary revenue driver and a strategic service line to monitor for utilization and reimbursement changes.

The Medicaid code mix is ED- and procedure-heavy: large volumes for 99283, 99284, 99282 and substantial imaging and endoscopy revenues such as 70450 ($6.1M), 43239 ($3.0M), 45380 ($2.7M) and 45378 ($2.1M) point to a hospital operating a busy emergency department with on-site CT and gastrointestinal procedural capacity. Combined high volumes of therapeutic/diagnostic codes (CT, EGD, colonoscopy) and procedure codes like 66984 ($3.7M for cataract surgery) suggest both acute care and ambulatory surgical services contribute meaningfully to Medicaid revenue.

Competitive standing by code is mixed: for several high-revenue services the provider ranks in the upper state percentiles but is not uniformly dominant—99283 ranks #7 of 38 (84th percentile) and 99285 ranks #6 of 26 (80th percentile), reflecting busy but not exclusive ED market share for moderate-to-high complexity visits. Conversely, the provider is a clear leader for specific services: 99282 ranks #1 of 14 (100th percentile; notably above typical state volume) and 66984 ranks #1 of 9 (100th percentile; notably above typical state volume), indicating outsized state-level volume for low-complexity ED visits and cataract surgery.

Several codes are flagged as statistical outliers in the state's distribution: 99282, 66984, 43239, 45380, and 45378 are explicitly described as "notably above typical" state volumes (100th, 100th, 94th, 100th, and 92nd percentiles respectively). These concentrated, above-typical volumes identify service lines where HOWARD UNIVERSITY HOSPITAL CORP functions as a regional hub and where small changes in utilization, network contracting, or reimbursement could disproportionately affect overall Medicaid revenue.

Physical and rehabilitative services also contribute materially: 97110 ($4.9M, 6.3%), 97140 ($2.4M, 3.1%), 97530 ($1.2M, 1.6%) and 97162 ($1.0M, 1.3%) show sustained therapy volumes, with 97110 ranked #3 of 27 providers in-state (92nd percentile). This combination of ED-driven acute care and higher-than-typical therapy volumes suggests the facility manages a broad case mix that includes post-acute and rehabilitative needs billed to Medicaid.

Imaging and ancillary acute-care services are meaningful revenue contributors beyond the ED: 70450 ($6.1M), 74177 ($1.8M) and 74176 ($1.7M) indicate high CT utilization tied to emergency and diagnostic workflows, while A/R codes such as 96361 ($1.7M) and 94640 ($1.5M) reflect frequent IV/respiratory interventions in the acute setting. For payer analysts, these patterns imply that any policy or payment changes targeting imaging, observation, or IV therapy could materially affect the provider's Medicaid revenue line items.

The provider's NPI has been enumerated since 2006-10-04 (~20 years ago), signaling long-standing presence in the local market; combined with the code-level rank information, the tenure plus the high-volume, specialized procedure mix supports classifying HOWARD UNIVERSITY HOSPITAL CORP as an established regional acute-care center with particular strengths in ED throughput, GI endoscopy, cataract surgery, and ancillary imaging services within the state's Medicaid population.

Medicaid: Complete Services Breakdown

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

378 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	48,320	$230	$11.1M
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.	39,780	$220	$8.8M
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.	34,680	$200	$6.9M
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.	17,780	$350	$6.1M
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.	30,530	$180	$5.6M
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…	24,310	$200	$4.9M
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	2,910	$1,290	$3.7M
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.	4,530	$660	$3M
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	4,010	$660	$2.7M
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	8,120	$300	$2.4M

Showing 1–10 of 378

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

Howard University Hospital Corp — 4 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

378 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.	5	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.	6	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.	9	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.	7	40	190	$150	$3.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	6	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.	1	10	5,170	$170	$1.9M
99281	The provider sees a patient for the lowest level emergency department visit.	5	10	1,890	$220	$1.6M
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…	3	30	3,790	$110	$1.4M
G0378	Hospital observation service, per hour	4	10	7,540	$130	$1.3M
0241U	N/A	3	10	7,270	$140	$1M

Showing 1–10 of 378

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Howard University	DC	Multi-Specialty Clinic/Center	$0	$26.1M
Cep America, LLC	DC	Emergency Medicine Physician	$0	$15.6M
Howard University Dialysis Center LLC	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.2M
Edward Longwe	DC	Oral and Maxillofacial Surgery (Dentist)	$0	$899.8K
Maren Shaw	DC	Dermatology Physician	$415K	$0
Isaac Opoku-asare	DC	Cardiovascular Disease Physician	$333.4K	$0
Surajudeen Bolarinwa	DC	Orthopaedic Surgery Physician	$278.8K	$0
Kristine Dettloff	DC	Diagnostic Radiology Physician	$262.8K	$0
Edris Meda	DC	Internal Medicine Physician	$225.8K	$0
Raymond Young	DC	Cardiovascular Disease Physician	$188.7K	$0

Howard University Hospital Corp — 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