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 Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

National Capital Treatment And Recovery (NPI 1558415968)

Field	Value
Entity Type	Organization
Organization	National Capital Treatment And Recovery
Address	521 N. Quincy Street
City	Arlington
State	VA
ZIP	22203
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	January 22, 2007

Payer Source	Total Paid
Medicaid	$80.2M
Medicare	$0

Key Findings

This provider reports $80.2M in Medicaid revenue and has no Medicare billing on file, making its publicly reported activity effectively single‑payer and dependent on Medicaid reimbursement streams. The absence of Medicare billing suggests its revenue profile and operational focus are concentrated on Medicaid-covered substance use disorder services rather than traditional Medicare-covered care pathways.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 94.1% of this provider’s Medicaid revenue, with H0010 alone representing $68.9M (85.8% of Medicaid revenue). That concentration implies the provider’s financial performance is closely tied to the volume and reimbursement of sub‑acute residential detox services.

The service mix is dominated by residential and structured addiction programs. H0010 (sub‑acute detoxification, residential addiction program inpatient) is the primary revenue driver (103.7K claims, $664 avg paid/claim), supported by partial hospitalization (S0201: 10.3K claims, $460 avg paid/claim) and intensive outpatient (H0015: 7.8K claims, $241 avg paid/claim), which together indicate a continuum of care from inpatient detox to day programs and outpatient treatment.

Competitive standing for the residential detox line is strong in‑state: H0010 ranks #2 of 25 providers in Virginia and sits in the 96th percentile, described as notably above typical state volume for this code. That rank positions the provider as one of the leading in‑state operators for sub‑acute residential detox services rather than a modest or marginal participant.

The provider reports disproportionately high volumes for certain ancillary and behavioral health services that support addiction care. 90791 (psychiatric evaluation) shows 8.3K claims for $900.6K and ranks #7 of 612 providers in‑state (99th percentile; extreme outlier), while 80305 (presumptive drug testing) has 37.6K claims for $338.8K and ranks #9 of 230 (97th percentile; notably above typical). These patterns suggest a high throughput of intake evaluations and routine laboratory screening embedded in clinical workflows.

Outpatient evaluation and management activity is notable across both new and established patient codes, indicating clinical capacity beyond counseling alone. Examples include 99212 with 8.9K claims and $240.4K (rank #16 of 975, 98th percentile; notably above typical) and 99205 with 2K claims and $206.1K (rank #7 of 257, 98th percentile), which together imply substantial medical evaluation volume supporting the behavioral health services.

Operational scale is evident from large claim counts that align with a high‑volume residential program: H0010 shows 103.7K claims and S0201 shows 10.3K claims, demonstrating sustained per‑diem and inpatient demand. Those claim volumes, combined with high counts of lab and E/M claims, point to resource intensity across both clinical staffing and ancillary services required to run a large detox and treatment operation.

The provider’s NPI has been enumerated since 2007-01-22 (~19 years ago), indicating a long‑standing presence in the market. This tenure, together with top‑rank positions on core addiction treatment codes, supports the assessment that the organization is an established Medicaid‑focused treatment provider in Virginia.

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	103,690	$660	$68.9M
S0201	Partial hospitalization services, less than 24 hours, per diem	10,270	$460	$4.7M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	7,760	$240	$1.9M
H2034	Alcohol and/or drug abuse halfway house services, per diem	9,230	$190	$1.8M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	8,260	$110	$900.6K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	37,650	$10	$338.8K
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…	4,320	$70	$293.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	8,910	$30	$240.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	7,510	$30	$232.7K
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…	2,220	$100	$230.4K

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

National Capital Treatment And Recovery — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	2	30	7,090	$420	$11.5M
S0201	Partial hospitalization services, less than 24 hours, per diem	11	80	1,870	$470	$2.9M
H2036	Alcohol and/or other drug treatment program, per diem	8	10	480	$660	$2.6M
H2034	Alcohol and/or drug abuse halfway house services, per diem	12	20	8,970	$160	$2.6M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	19	110	1,830	$220	$1.1M
H0006	Alcohol and/or drug services; case management	45	80	510	$200	$294.1K
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…	552	3,520	370	$70	$280.7K
T1012	Alcohol and/or substance abuse services, skills development	21	30	790	$60	$267.1K
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…	1,279	1,340	710	$90	$245K
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…	1,255	4,010	290	$50	$199.8K

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as National Capital Treatment And Recovery, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Privia Medical Group, LLC	VA	Internal Medicine Physician	$0	$81.2M
Pearl Healthcare Inc	VA	Home Health Agency	$0	$6.2M
Lindsay Smithen	VA	Ophthalmology Physician	$264.3K	$13.8K
Assaf Gordon	VA	Interventional Pain Medicine Physician	$256.5K	$0
Diane Hendel	VA	Family Nurse Practitioner	$148.7K	$0
Rajesh Bhojwani	VA	Diagnostic Radiology Physician	$120.3K	$0
Lillian Hunt	VA	Internal Medicine Physician	$99.6K	$0
Shirley Frimpong	VA	Family Nurse Practitioner	$85K	$0
Maria Kiely	VA	Surgery Physician	$20.6K	$0

National Capital Treatment And Recovery — Billing Profile & Reimbursement Data

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National Capital Treatment And Recovery — 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