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.

Absolute Healthcare Resources, LLC (NPI 1548657554)

Field	Value
Entity Type	Organization
Organization	Absolute Healthcare Resources, LLC
Address	1039 Bladensburg Rd Ne
City	Washington
State	DC
ZIP	20002
Taxonomy	Case Management Agency
NPI Enumerated	April 17, 2015

Payer Source	Total Paid
Medicaid	$13.1M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation: there is no Medicare billing on file and the provider reports $13.1M in lifetime Medicaid revenue, making Medicaid the sole material payer in the dataset. The absence of Medicare activity indicates a single-payer footprint in available claims data rather than a mixed Medicare/Medicaid patient mix.

Revenue for ABSOLUTE HEALTHCARE RESOURCES, LLC is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes account for 98.1% of total Medicaid revenue, with T1023 alone representing $11.2M (85.8% of Medicaid revenue). This concentration signals that a large share of the provider’s financial performance depends on the authorization, pricing, and continued use of a single high-volume service line.

The code mix aligns with the provider’s taxonomy as a Case Management Agency: the dominant code T1023 (47.5K claims, $236 avg paid/claim) is a screening service to determine program/treatment appropriateness, and the second-largest code H0036 (15.4K claims, $90 avg paid/claim; $1.4M revenue) is community psychiatric supportive treatment. Together these volumes and code descriptions indicate operations are centered on high-volume screening/case management encounters and recurring community-based psychiatric support rather than physician-driven episodic medical care.

ABSOLUTE HEALTHCARE RESOURCES is a statewide dominant provider for T1023: the provider ranks #1 of 32 in-state, at the 100th percentile, and is described as an "extreme outlier." That ranking and label indicate the provider operates at volumes for this screening/case-management code that are far above typical state peers and that it likely captures a leading share of this specific service in its market.

By contrast, the provider’s positions on other commonly billed behavioral health codes are modest or typical. H0036 ranks #39 of 56 providers in-state (31st percentile) and is characterized as a typical, unremarkable volume, while H0004 (behavioral health counseling, $222.1K) ranks #38 of 82 (54th percentile) and is likewise typical. These rankings suggest strong dominance is concentrated in T1023, while other service lines capture only routine market share.

Although the top three codes dominate revenue, the billing portfolio includes small volumes of standard therapy and evaluation codes (for example, 90837 with 41 claims and $5.7K revenue, 99214 with 237 claims and $13.7K revenue, and 90791 with 25 claims and $3.8K revenue), indicating the organization also delivers some face-to-face psychotherapy and E/M encounters but at negligible share relative to its case-management work. The presence of H2011 (190 claims, $10.5K revenue) is noted but contributes only 0.1% of total Medicaid revenue and is described as typical, unremarkable volume.

The provider has an established operational tenure in the public data: its NPI was enumerated on 2015-04-17 (~11 years ago), indicating multiple years of claims history during which the current concentration pattern was established. This tenure supports the interpretation that the T1023-centric model is deliberate and persistent rather than a short-term anomaly.

From a risk and strategic perspective, the provider’s heavy dependence on T1023 revenue (85.8% of Medicaid revenue) creates sensitivity to any state-level reimbursement changes, prior-authorization policy shifts, or auditing focus on that code. Monitoring utilization and reimbursement trends for T1023 and the related community psychiatric support code H0036 will be key to assessing near-term revenue stability and competitive positioning within the state.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	47,520	$240	$11.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	15,400	$90	$1.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	2,850	$80	$222.1K
H0034	Medication training and support, per 15 minutes	2,060	$100	$209.9K
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…	240	$60	$13.7K
H2011	Crisis intervention service, per 15 minutes	190	$60	$10.4K
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…	40	$140	$5.7K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	70	$80	$5.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$150	$3.8K
99205	The provider sees a new 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 provider…	10	$0	$0

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

Absolute Healthcare Resources, LLC — 1 of 9 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

10 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	39	60	82,090	$90	$13.9M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1	30	1,960	$230	$1.6M
H0034	Medication training and support, per 15 minutes	33	50	5,030	$90	$1M
H2011	Crisis intervention service, per 15 minutes	3	10	2,140	$100	$810.9K
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…	114	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	38	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…	201	310	750	$70	$321.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	70	80	370	$130	$124.7K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	39	50	520	$70	$98K
99205	The provider sees a new 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 provider…	38	40	120	$160	$75.3K

Nearby Providers

Other providers in the same ZIP code as Absolute Healthcare Resources, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Government Of The District Of Columbia Office Of Tax And Revenue	DC	Land Ambulance	$5.2M	$213.4M
Rcm Of Washington, Inc	DC	Intellectual Disabilities Intermediate Care Facility	$0	$53.9M
Dcps - Public Schools	DC	Local Education Agency (LEA)	$0	$46.2M
Wellness Health Services, LLC	DC	Home Health Agency	$0	$44.1M
Mcclendon Center	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$31.9M
Office Of The State Superintendent Of Education	DC	Bus	$0	$30.7M
Mt&g Enterprise, Inc	DC	Developmental Disabilities Clinic/Center	$0	$24.3M
D.c. Department Of Behavioral Health	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.7M
Amazing Love Health Services	DC	Community/Behavioral Health Agency	$0	$18.5M
Pathways To Housing Dc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.1M

Absolute Healthcare Resources, LLC — Billing Profile & Reimbursement Data

Sign up for Absolute Healthcare Resources, LLC — Billing Profile & Reimbursement Data policy alerts

Absolute Healthcare Resources, LLC — Billing Profile & Reimbursement Data

Sign up for Absolute Healthcare Resources, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References