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.

Preventive Measure Of Washington Dc, LLC (NPI 1619279940)

Field	Value
Entity Type	Organization
Organization	Preventive Measure Of Washington Dc, LLC
Address	2124 Martin Luther King Jr Ave Se
City	Washington
State	DC
ZIP	20020
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 18, 2010

Payer Source	Total Paid
Medicaid	$85.8M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operation: there is no Medicare billing on file and lifetime Medicaid revenue is $85.8M. The absence of Medicare activity means analysts should treat this profile as Medicaid‑centric when assessing payer mix and reimbursement risk.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 95.2% of this provider's total Medicaid revenue, led by H0036 ($74.7M, 87.1% of Medicaid revenue), followed by H0025 ($5.3M, 6.2%) and H0034 ($1.6M, 1.9%). This concentration signals that a very small set of service lines drives nearly all reported Medicaid income.

Operationally, the dominance of H0036 (H0036 – Community psychiatric supportive treatment, face-to-face, per 15 minutes) — 839.3K claims and $74.7M in revenue — indicates a high-volume, time‑based community psychiatric support model focused on face‑to‑face contacts. The code mix (including H0025 prevention education and H0034 medication training/support) points to a community/behavioral health agency delivering recurring, hands‑on outpatient and community services rather than brief episodic medical visits.

Competitive standing within the state is strong on several specific codes: H0036 ranks #2 of 56 providers in-state (98th percentile), demonstrating market leadership on the agency’s primary revenue driver. The provider is also an extreme outlier on 90791 (rank #1 of 80, 100th percentile; described as an "extreme outlier, far above typical state volume for this code") and on T1017 (rank #1 of 24, 100th percentile; "extreme outlier"), indicating dominant statewide volumes for psychiatric evaluation and targeted case management relative to peers.

Several secondary codes show above‑typical activity: H0004 (behavioral health counseling and therapy) reports $1.1M and ranks #8 of 82 providers in-state (91th percentile; notably above typical state volume for this code), and H0025 (prevention education) contributes $5.3M and ranks #4 of 25 (88th percentile). These placements suggest the provider supplements its core supportive treatment work with counseling and prevention services at volumes higher than most peers.

The presence of both time‑based community treatment codes (H0036, H0034) and evaluation/management and psychotherapy codes (90791, 90837, 99213/99214) shows a mix of intensive community services plus traditional outpatient behavioral health evaluations and psychotherapy. While those outpatient E/M and psychotherapy lines are much smaller contributors to revenue, they indicate clinical breadth that supports the primary community treatment footprint.

The provider has an established operational tenure: NPI enumeration date is 2010-11-18 (~16 years ago), which supports interpreting current high volumes as the result of a multi‑year presence and likely established referral pathways within DC Medicaid. Analysts should view the provider as a long‑standing Medicaid behavioral health vendor rather than a recent entrant.

Because H0036 alone represents $74.7M (87.1% of Medicaid revenue) and the top three codes together account for 95.2% of revenue, the provider is commercially concentrated in a narrow set of programmatic services. That concentration creates sensitivity to any policy, utilization management, or reimbursement changes affecting those specific codes, so payers should prioritize review of service authorization, documentation standards, and program integrity controls for these codes.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	839,260	$90	$74.7M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	69,600	$80	$5.3M
H0034	Medication training and support, per 15 minutes	20,400	$80	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	20,830	$50	$1.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	5,320	$110	$590.1K
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…	6,770	$80	$568.5K
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…	8,790	$60	$501.1K
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…	4,080	$100	$407.6K
T1017	Targeted case management, each 15 minutes	8,550	$40	$350.4K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	4,910	$60	$304.2K

Showing 1–10 of 20

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

Preventive Measure Of Washington Dc, LLC — 4 of 18 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

20 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	2	60	82,090	$90	$13.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	26	30	150	$110	$5.8M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	4	30	6,580	$100	$2.8M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	26	30	1,960	$230	$1.6M
H0034	Medication training and support, per 15 minutes	9	50	5,030	$90	$1M
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,…	50	130	290	$140	$579.2K
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…	20	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	8	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…	57	310	750	$70	$321.6K
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…	40	320	620	$50	$313.6K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Preventive Measure Of Washington Dc, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preventive Measures, LLC	PA	Community/Behavioral Health Agency	$0	$14.4M

Nearby Providers

Other providers in the same ZIP code as Preventive Measure Of Washington Dc, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
District Healthcare Services, LLC	DC	Community/Behavioral Health Agency	$0	$78.3M
Mj General, LLC	DC	Developmental Disabilities Clinic/Center	$0	$68.6M
One Care Dc Inc	DC	Community/Behavioral Health Agency	$0	$31M
Umbrella Therapeutic Services, Inc.	DC	Community/Behavioral Health Agency	$0	$29.8M
Life Care Inc.	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.7M
Inner City Family Services LLC	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$17.3M
Azure, LLC	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.2M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$10.2M
Kc Community Services Inc	DC	Case Management Agency	$0	$6.4M
The Family Wellness Center, Inc	DC	Community/Behavioral Health Agency	$0	$5.6M

Preventive Measure Of Washington Dc, LLC — Billing Profile & Reimbursement Data

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Preventive Measure Of Washington Dc, LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References