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.

Community Of Hope, Inc. (NPI 1649601154)

Field	Value
Entity Type	Organization
Organization	Community Of Hope, Inc.
Address	4 Atlantic Street Sw
City	Washington
State	DC
ZIP	20032
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 9, 2013

Payer Source	Total Paid
Medicaid	$17.1M
Medicare	$0

Key Findings

COMMUNITY OF HOPE, INC. is operating as a Medicaid-centric Federally Qualified Health Center in Washington, DC with total Medicaid revenue of $17.1M and no Medicare billing on file; its NPI was enumerated on 2013-12-09 (~13 years ago), indicating more than a decade of presence in the market. This profile reads as effectively single-payer (Medicaid) in scale, rather than a balanced Medicare/Medicaid operation.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 96.5% of this provider's Medicaid receipts. In particular, T1015 generates $12.9M (75.7% of Medicaid revenue), followed by G0467 at $2M (11.7%) and T2022 at $1.6M (9.1%), so these three codes dominate the financial picture.

The code mix (T1015 – clinic visit/encounter, G0467 – FQHC established patient visit, and T2022 – case management, per month) signals that the provider’s operations are centered on high-volume, bundled clinic encounters and ongoing care coordination typical of FQHC primary-care models. Dental and behavioral health codes also appear in the top code list, suggesting integrated services are offered, but those codes represent much smaller shares of revenue compared with the core visit and case-management services.

On competitive standing for its principal codes, COMMUNITY OF HOPE is a major in-state player for T1015 (ranks #5 of 97, 96th percentile; described as notably above typical state volume). Its G0467 volume is also high (ranks #4 of 31, 90th percentile) and its T2022 ranking (#3 of 14, 85th percentile) places it above many peers but these latter two are described as typical, unremarkable volumes for the state.

Multiple dental procedure codes (for example D0150, D0120, D0330, D0220 and D1110) appear in the top Medicaid code list, often with mid-to-high state percentile ranks (many in the 70th–90th percentiles) but each contributes only modest dollars. This pattern suggests meaningful dental throughput relative to peers even though dental is a secondary revenue stream compared with the dominant clinic and case-management codes.

There are notable statistical outliers and zero/near-zero payment patterns in the claims mix: 99442 is flagged as an extreme outlier (ranks #1 of 32, 100th percentile) with 3.5K claims and $3.5K revenue despite being a very small share of total Medicaid dollars, and several high-claim codes (e.g., 99213 with 30K claims, D0999 with 8.7K claims, D0603 with 5K claims, and G2025 with 4.1K claims) report $0 avg paid/claim. These observations indicate substantial claim volumes in certain encounter or pandemic-era test/telehealth categories where recorded Medicaid payments are zero or minimal, which may reflect bundled payment structures, reporting conventions, or low per-claim reimbursement.

The provider’s reliance on a very small set of codes for virtually all Medicaid revenue (top three = 96.5%) creates revenue concentration risk: any policy, coverage, or rate change affecting T1015, G0467, or T2022 would materially affect overall receipts. From a payer or contracting perspective, this concentration underscores the importance of reviewing reimbursement terms and service definitions for those specific codes when negotiating with or monitoring this FQHC.

Payment-level signals further show many encounter-type codes with unusually low avg paid/claim values in the dataset (examples include 99214 at $1 avg paid/claim and several codes with $0 avg paid/claim), which supports the interpretation that much of the provider’s activity is recorded as high-volume encounters with limited per-claim Medicaid payments. Analysts should expect that reported revenue is driven more by visit volume and bundled FQHC reimbursement mechanisms than by high per-service fees.

Medicaid: Complete Services Breakdown

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

104 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	101,810	$130	$12.9M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	48,780	$40	$2M
T2022	Case management, per month	10,510	$150	$1.6M
T2023	Targeted case management; per month	630	$170	$104.4K
D0150	Comprehensive oral evaluation – new or established patient	1,360	$50	$67.9K
D0120	Periodic oral evaluation - established patient	2,430	$30	$60.7K
D0330	N/A	1,460	$40	$59.7K
D0220	Intraoral - periapical first radiographic image	4,330	$10	$47.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	940	$50	$45.9K
D1120	Prophylaxis–child	990	$40	$40.7K

Showing 1–10 of 104

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

Community Of Hope, Inc. — 2 of 21 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

104 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	5	100	160	$110	$1.9M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	4	30	5,420	$40	$946K
T2022	Case management, per month	3	10	2,540	$120	$728.6K
T2023	Targeted case management; per month	6	10	1,230	$180	$599.4K
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…	37	120	1,050	$110	$409.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	13	30	350	$110	$345.1K
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…	30	310	750	$70	$321.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	14	20	620	$110	$314.3K
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…	16	320	620	$50	$313.6K
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…	106	120	300	$120	$287.3K

Showing 1–10 of 104

Related Providers

Other providers that share a Tax Identification Number (TIN) with Community Of Hope, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Of Hope Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$6.3M
Community Of Hope, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$3.6M
Elwin Bustos	DC	Nephrology Physician	$305K	$0
Community Of Hope Inc.	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$205.9K
India Rogers	DC	General Practice Dentistry	$0	$94K
Community Of Hope Inc.	DC	Birthing Clinic/Center	$0	$53.3K
Leonard Friedman	DC	Ophthalmology Physician	$0	$10.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Not-for-profit Hospital Corporation	DC	General Acute Care Hospital	$0	$62.2M
New Hope Health Services, LLC	DC	Adult Mental Health Clinic/Center	$0	$54.9M
Life Enhancement Services Of Dc, LLC	DC	Community/Behavioral Health Agency	$0	$38.3M
Wellness Healthcare Clinics. LLC	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.1M
Southern Ave Sp LLC	DC	Assisted Living Facility	$0	$20.2M
Dental Dreams PLLC	DC	General Practice Dentistry	$0	$8.1M
Federal City Recovery Services Inc	DC	Substance Abuse Rehabilitation Facility	$0	$4.8M
Whitman-walker Clinic, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$4.3M
Paving The Way Multi Service Institute	DC	Community/Behavioral Health Agency	$0	$2.6M
Bio-medical Applications Of Southeast Washington, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M

Community Of Hope, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References