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.

Immaculate Health Care Services,inc (NPI 1598799124)

Field	Value
Entity Type	Organization
Organization	Immaculate Health Care Services,inc
Address	2512 24th St Ne
City	Washington
State	DC
ZIP	20018
Taxonomy	Respite Care
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicaid	$82.1M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: it has no Medicare billing on file and reports Total Medicaid revenue of $82.1M, indicating Medicaid is the exclusive documented public payer in the dataset. The NPI was enumerated on 2006-07-10 (~20 years ago), so the entity is an established, long-tenured local provider rather than a recent entrant.

Revenue is highly concentrated in a very small set of procedure codes: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. In particular, T1019 alone represents $77.5M (94.4% of the provider's Medicaid revenue), with T1019 showing 538K claims and a $144 avg paid/claim.

The code mix and volumes point to a core business of home-based personal care and respite-style services combined with supplemental skilled nursing visits. T1019 (Personal care services, per 15 minutes) dominates the book of business, while G0299 (RN skilled nursing in the home) and G0300 (LPN skilled nursing in the home) together make up the remainder of the billed Medicaid services, aligning with the provider taxonomy of Respite Care.

T1019 is a major revenue driver but is described in the peer data as "typical, unremarkable volume for this code"; the provider ranks #4 of 29 in-state and sits at the 89th percentile for T1019. This suggests the organization operates at substantial scale on a single high-volume service line relative to most in-state peers, but it is not a statistical outlier above typical peer activity.

G0299 (21.7K claims, $119 avg paid/claim, $2.6M revenue) ranks #6 of 32 in-state and is characterized as "typical, unremarkable volume for this code" at the 84th percentile, indicating the provider also commonly delivers intermittent registered-nurse skilled services in the home but at much lower total revenue than its personal-care line. The presence of measurable RN skilled-nursing billing suggests the operation includes clinical oversight or higher-acuity services alongside personal care.

G0300 (5.2K claims, $392 avg paid/claim, $2M revenue) ranks #4 of 12 in-state at the 73th percentile and is likewise labeled "typical, unremarkable volume for this code," indicating licensed practical nurse home visits are a modest but consistent revenue component; its comparatively high avg paid/claim vs. G0299 suggests a different billing or intensity profile for those LPN services.

Several ancillary codes show negligible revenue and may reflect administrative or token filings rather than meaningful revenue streams: T1001 accounts for $8.6K, S9123 accounts for $25, and S9122 shows 323 claims with $0 avg paid/claim and $0 revenue. Notably, S9122 ranks #1 of 1 providers in-state yet is listed at the 0th percentile with no state peer volume comparison available, implying a sole filer or reporting artifact rather than a substantive paid service line.

Taken together, the provider presents as a long-standing, Medicaid-centric respite/personal-care operator with an extreme revenue concentration in a single personal-care code (T1019) and supporting but much smaller skilled-nursing services (G0299, G0300). From a payer or competitor perspective, strategic attention should focus on T1019 volume management and program oversight because that single code drives the vast majority of billed Medicaid dollars and operational scale.

Medicaid: Complete Services Breakdown

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

6 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…	537,990	$140	$77.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	21,720	$120	$2.6M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	5,210	$390	$2M
T1001	Nursing assessment / evaluation	90	$100	$8.6K
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	$1	$30
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	320	$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

Immaculate Health Care Services,inc — 0 of 5 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

6 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…	4	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	6	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	4	10	610	$130	$1.2M
T1001	Nursing assessment / evaluation	5	10	1,400	$100	$219.8K
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)	16	20	130	$20	$17.2K
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	1	10	320	$0	$0

Nearby Providers

Other providers in the same ZIP code as Immaculate Health Care Services,inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
T & N Reliable Nursing Care,llc	DC	In Home Supportive Care Agency	$0	$103.2M
Innovative Life Solutions, Inc.	DC	Developmental Disabilities Clinic/Center	$0	$73.3M
Nya Health Services Inc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.6M
Life Stride, Inc.	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.4M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$19.3M
Goshen Healthcare & Management Services	DC	Community/Behavioral Health Agency	$0	$18.1M
P&g Behavioral Health Services LLC	DC	Adult Mental Health Clinic/Center	$0	$14.1M
Psychiatric Center Chartered,inc	DC	Psychiatry Physician	$0	$11.4M
Metropolitan Educational Solutions, LLC	DC	Case Management Agency	$0	$8.3M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$7.4M

Immaculate Health Care Services,inc — Billing Profile & Reimbursement Data

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Immaculate Health Care Services,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