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.

Insight, Inc. (NPI 1588754519)

Field	Value
Entity Type	Organization
Organization	Insight, Inc.
Address	13505 Hillendale Dr
City	Woodbridge
State	VA
ZIP	22193
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicaid	$60.7M
Medicare	$0

Key Findings

INSIGHT, INC. is effectively a single-payer Medicaid provider: it reports no Medicare billing on file and $60.7M in lifetime Medicaid revenue, with an NPI enumerated 2006-10-13 (~20 years ago), indicating a long-tenured presence in the market. This payer mix positions the organization as Medicaid-dependent rather than balanced across Medicare and Medicaid.

Revenue is highly concentrated in a single service line: the top 3 Medicaid codes account for 99.9% of this provider's total Medicaid revenue. In particular, H2022 alone represents $53.9M (88.8% of total Medicaid revenue), making that per-diem wrap-around service the dominant revenue driver for the entity.

The code mix and taxonomy (Intellectual and/or Developmental Disabilities Residential Treatment Facility) align: H2022 (Community-based wrap-around services, per diem) as the dominant code suggests the organization operates primarily as a community-based residential/wraparound program for individuals with intellectual or developmental disabilities. The large volume (5.6K claims) and high avg paid/claim ($9643) for H2022 are consistent with per-diem supports and sustained placements rather than short episodic care.

Nursing and clinical visit codes are present but secondary: T1003 (Lpn/lvn services, up to 15 minutes) accounts for $6.4M (10.6% of Medicaid revenue) over 781 claims with an avg paid/claim of $8249, while T1002 (Rn services, up to 15 minutes) contributes $310.5K (0.5%) across 574 claims with a $541 avg paid/claim. These figures indicate the provider bills for licensed nursing support as a meaningful adjunct service, but not as the primary revenue base.

Other ancillary home nursing (S9123) is minimal, with 150 claims, $334 avg paid/claim and $50.1K in revenue (0.1% of Medicaid revenue), reinforcing that intensive wrap-around per-diem services (H2022) are the dominant offering and in-home nursing is only a modest component of overall activity.

Competitive standing by in-state ranks shows the provider is a typical participant rather than a market leader for its top codes: H2022 ranks #60 of 136 providers in-state (56th percentile) and is described as a typical, unremarkable volume for this code, while T1003 ranks #22 of 29 (25th percentile) indicating below-median participation and T1002 ranks #26 of 55 (54th percentile) also typical. These ranks imply the provider is not a dominant statewide player on these codes despite heavy internal revenue concentration.

The financial profile of the claim mix shows high-dollar, per-diem billing dynamics: H2022 and T1003 have large avg paid/claim values ($9643 and $8249 respectively), meaning a relatively small number of high-dollar per-diem claims drive most revenue. That concentration creates potential exposure to changes in Medicaid per-diem rates, prior authorization policies, or service authorization patterns.

Operationally, the combination of a long-tenured NPI, taxonomy as an Intellectual and/or Developmental Disabilities Residential Treatment Facility, and a revenue base dominated by H2022 suggests a stable specialty operator focused on long-term community-based residential supports and embedded clinical nursing services rather than a general medical or acute-care provider. Analysts should treat performance as closely tied to Medicaid policy and reimbursement for wrap-around residential services.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	5,590	$9,640	$53.9M
T1003	Lpn/lvn services, up to 15 minutes	780	$8,250	$6.4M
T1002	Rn services, up to 15 minutes	570	$540	$310.5K
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)	150	$330	$50.1K

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

Insight, Inc. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	60	140	4,450	$1,150	$15.3M
T1003	Lpn/lvn services, up to 15 minutes	22	30	1,640	$720	$4.8M
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)	26	30	1,000	$500	$2.6M
T1002	Rn services, up to 15 minutes	26	60	510	$140	$263.9K

Nearby Providers

Other providers in the same ZIP code as Insight, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blessed Healthcare Professionals, Inc	VA	Home Health Agency	$0	$29.3M
Almosthome Residential Services, LLC	VA	Developmentally Disabled Services Day Training Agency	$0	$21.1M
Assured Health Home Care, Inc	VA	Home Health Agency	$0	$18.5M
All Is Well LLC	VA	Home Health Agency	$0	$16.3M
Nova Home Care Connection, LLC	VA	Home Health Agency	$0	$14.6M
1st Option Home Health,llc	VA	Home Health Agency	$0	$12M
The Arc Of Greater Prince William/insight	VA	Developmentally Disabled Services Day Training Agency	$0	$10.7M
Delicate Home Health Care Corp	VA	Home Health Agency	$0	$9M
Dedicated Care Health Services Inc	VA	Case Management Agency	$0	$6.1M
Anish Shah	VA	Nephrology Physician	$617K	$0

Insight, Inc. — Billing Profile & Reimbursement Data

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Insight, 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