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.

Rcm Of Washington, Inc (NPI 1609920644)

Field	Value
Entity Type	Organization
Organization	Rcm Of Washington, Inc
Address	64 New York Ave Ne
City	Washington
State	DC
ZIP	20002
Taxonomy	Intellectual Disabilities Intermediate Care Facility
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicaid	$53.9M
Medicare	$0

Key Findings

RCM OF WASHINGTON, INC has no Medicare billing on file and reports $53.9M in lifetime Medicaid revenue, making it effectively a Medicaid-centric provider with little to no Medicare business to offset payer risk. This concentration means analyses and contracting should treat the entity as single-payer focused rather than dual-payer.

Revenue is highly concentrated in three Medicaid codes: T2016 ($37.8M, 70.1% of Medicaid revenue), T2033 ($7.7M, 14.3%), and S5135 ($7.2M, 13.4%); together these top three codes account for 97.7% of the provider's Medicaid revenue. That concentration indicates the organization’s financial profile is driven almost entirely by a small set of residential and companion-care services.

The code mix and taxonomy align with residential and habilitation services: T2016 is habilitation residential waiver per diem, T2033 is residential care waiver per diem, and S5135 is companion care billed per 15 minutes. These codes plus the provider Taxonomy of Intellectual Disabilities Intermediate Care Facility suggest the operation is focused on long-stay residential habilitation and hands-on ADL/IADL support rather than outpatient medical services.

Competitive standing varies by service line: for T2016 the provider ranks #7 of 17 in-state (63th percentile) and is described as typical, unremarkable volume for this code; for T2033 it ranks #2 of 5 (75th percentile) and is also typical, unremarkable volume for this code; for S5135 it ranks #3 of 23 (91th percentile) but is still noted as typical, unremarkable volume for this code. Overall, the provider is a modest statewide participant with a relatively stronger standing in companion care versus peers.

Operational scale by claim shows different utilization patterns across the top codes: T2016 has 63K claims with $600 avg paid/claim, T2033 has 19.4K claims with $397 avg paid/claim, and S5135 has 37.4K claims with $193 avg paid/claim. These figures imply a mix of high per-diem revenue from residential habilitation and high-volume, lower-unit-value companion care billed in 15-minute increments.

Lower-revenue Medicaid codes represent a small share of activity: T2021 generated $497.4K (0.9% of Medicaid revenue) and ranks #22 of 28 (22th percentile), T2019 generated $450.3K (0.8%) and ranks #7 of 10 (33th percentile), and 99509 generated $272K (0.5%) and ranks #13 of 16 (20th percentile). These lines—day habilitation, supported employment, and home health ADL visits—appear secondary to the provider’s core residential habilitation and companion care business.

The provider has been enumerated since 2007-01-23 (~19 years ago), indicating an established presence in the market; combined with the concentrated revenue profile, this tenure suggests a stable, specialized operation focused on Medicaid-funded residential and support services rather than broader clinical service expansion.

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
T2016	Habilitation, residential, waiver; per diem	62,980	$600	$37.8M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	19,380	$400	$7.7M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	37,380	$190	$7.2M
T2021	Day habilitation, waiver; per 15 minutes	3,290	$150	$497.4K
T2019	Habilitation, supported employment, waiver; per 15 minutes	3,820	$120	$450.3K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	980	$280	$272K

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

Rcm Of Washington, Inc — 0 of 6 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
T2016	Habilitation, residential, waiver; per diem	7	20	55,360	$570	$32.9M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	2	10	17,290	$510	$12.7M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	13	20	5,670	$140	$3.7M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	3	20	7,550	$180	$2.5M
T2021	Day habilitation, waiver; per 15 minutes	22	30	7,310	$150	$2.2M
T2019	Habilitation, supported employment, waiver; per 15 minutes	7	10	6,250	$180	$1.1M

Nearby Providers

Other providers in the same ZIP code as Rcm Of Washington, Inc, 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
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	DC	Case Management Agency	$0	$13.1M

Rcm Of Washington, Inc — Billing Profile & Reimbursement Data

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Rcm Of Washington, 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