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.

Professional Healthcare Resources Of Washington Dc, Inc. (NPI 1497879910)

Field	Value
Entity Type	Organization
Organization	Professional Healthcare Resources Of Washington Dc, Inc.
Address	501 School St Sw
City	Washington
State	DC
ZIP	20024
Taxonomy	Home Health Agency
NPI Enumerated	March 19, 2007

Payer Source	Total Paid
Medicaid	$37.3M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only operator in the Medicare/Medicaid mix: there is no Medicare billing on file while total Medicaid revenue is $37.3M, indicating Medicaid is the exclusive source of reported program revenue in the dataset. The absence of Medicare claims suggests the organization focuses its service offerings and revenue generation within Medicaid-covered care models rather than traditional Medicare home health pathways.

Revenue is highly concentrated in a single service line: the top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, with T1019 alone representing $36.6M (98.0%) of the $37.3M total. G0299 and S9123 together make up the remaining reported Medicaid revenue ($734K and $4.2K respectively), so the provider’s financial performance is overwhelmingly driven by a single code.

The code mix and descriptions confirm this is primarily a personal-care-focused home health operation: T1019 (Personal care services, per 15 minutes) is the dominant revenue driver, while G0299 (direct skilled nursing, per 15 minutes) and S9123 (nursing care in the home, per hour) are small contributors. This pattern implies day-to-day operations are oriented around personal care assistance rather than predominantly skilled Medicare-style home health, consistent with the Home Health Agency taxonomy.

Competitive standing on the leading personal-care metric is modest statewide: T1019 activity ranks #17 of 29 providers in-state and is in the 43th percentile, described in the source as "typical, unremarkable volume for this code." Despite generating $36.6M from T1019, the rank and percentile indicate the provider is not a dominant state leader for personal care by volume.

Skilled nursing activity shows divergent competitive signals: G0299 (19.3K claims, $38 avg paid/claim, $734K revenue) ranks #11 of 32 and sits in the 68th percentile, indicating the provider is moderately above median among peers for direct skilled nursing in the home; by contrast, S9123 (32 claims, $130 avg paid/claim, $4.2K revenue) ranks #15 of 16 at the 7th percentile, reflecting very low relative volume for that hourly nursing code. These mixed percentiles suggest limited but nontrivial skilled nursing presence alongside a dominant personal-care business.

Several therapy and skilled-service codes show material claim volumes with $0 avg paid/claim and $0 reported revenue (examples include G0151: 11K claims, $0 avg/$0 revenue; G0152: 3.6K claims, $0 avg/$0 revenue; G0300: 3.2K claims, $0 avg/$0 revenue). The dataset therefore records billed activity in multiple home health service categories that do not appear as paid Medicaid revenue in this file, which may reflect reporting, reimbursement timing, or payment-accounting factors rather than absence of service delivery.

The provider has an established presence, with an NPI enumerated on 2007-03-19 (~19 years ago). Combined with the concentrated Medicaid revenue and heavy reliance on T1019, this longevity suggests a stable, Medicaid-focused home health operator that has specialized over time in personal care services for the populations covered by state Medicaid programs.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	294,810	$120	$36.6M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	19,320	$40	$734K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	30	$130	$4.2K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	10,960	$0	$0
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	3,600	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	60	$0	$0
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	3,220	$0	$0
G0493	Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to…	1,030	$0	$0
G0495	Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes	1,640	$0	$0
G0496	Skilled services of a licensed practical nurse (lpn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes	580	$0	$0

Showing 1–10 of 11

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

Professional Healthcare Resources Of Washington Dc, Inc. — 0 of 3 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	17	30	405,140	$140	$47.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	11	30	13,380	$80	$1.3M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	5	10	610	$130	$1.2M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	2	10	1,340	$40	$222.3K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	3	10	1,440	$60	$155K
Q5001	Hospice or home health care provided in patient's home/residence	3	10	860	$20	$35.9K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	15	20	130	$20	$17.2K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	5	10	190	$0	$0
G0493	Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to…	1	10	1,030	$0	$0
G0495	Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes	1	10	1,640	$0	$0

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Professional Healthcare Resources Of Washington Dc, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
D.c. Home Health Holdings LLC	DC	Respite Care	$0	$69.4M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$1.2M
Child And Family Services Agency	DC	Health Service Clinic/Center	$0	$487.6K
Daniel Howard	DC	Oral and Maxillofacial Surgery (Dentist)	$0	$173.8K
Olalesi Osunsade	DC	Diagnostic Radiology Physician	$101K	$0
Community Concierge Care LLC	DC	Family Nurse Practitioner	$0	$64.2K
Bahados PLLC	DC	Geriatric Medicine (Internal Medicine) Physician	$0	$60.1K
Taiye Oni	DC	Family Nurse Practitioner	$16.2K	$23.9K
Powell Shiau	DC	Chiropractor	$4K	$0

Professional Healthcare Resources Of Washington Dc, Inc. — Billing Profile & Reimbursement Data

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Professional Healthcare Resources Of Washington Dc, 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