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.

One Care Dc Inc (NPI 1649769662)

Field	Value
Entity Type	Organization
Organization	One Care Dc Inc
Address	1628 Good Hope Rd Se
City	Washington
State	DC
ZIP	20020
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 4, 2018

Payer Source	Total Paid
Medicaid	$31M
Medicare	$0

Key Findings

ONE CARE DC INC is effectively a Medicaid-focused provider: there is no Medicare billing on file and the provider reports $31M in total Medicaid revenue. This makes the organization heavily dependent on state Medicaid reimbursement rather than Medicare or commercial payers for its operating revenue.

Revenue is extremely concentrated in a single service line: the precomputed top-3 Medicaid codes account for 96.4% of the provider's total Medicaid revenue, with H0036 alone representing $28.7M (92.6% of Medicaid revenue). The next two contributors are H0034 ($678.5K, 2.2%) and 99214 ($509.9K, 1.6%), so changes to reimbursement or utilization for these codes — especially H0036 — would materially affect the business.

The code mix indicates a community behavioral health operating model centered on frequent, short-interval supportive contacts and clinic-based medical management. H0036 (Community psychiatric supportive treatment, face-to-face, per 15 minutes) is the dominant activity, while H0034 (Medication training and support, per 15 minutes) and 99214 (moderate-complexity outpatient E/M visits) show the organization also delivers medication support and traditional E/M services.

Operationally, the claim volume and unit-based billing pattern for H0036 (341.4K claims, $84 avg paid/claim) suggest a workflow built around high-volume, 15-minute face-to-face encounters rather than long psychotherapy sessions. This is consistent with a community-support service model that emphasizes many brief contacts per patient, which has implications for staffing, scheduling, and productivity measures.

Statewide competitive standing is mixed but notable on the primary service: H0036 ranks #8 of 56 providers in-state (87th percentile) and is described as a typical, unremarkable volume for this code, indicating ONE CARE DC is one of the larger H0036 billers in DC but still within the usual provider distribution. For H0034 the provider ranks #21 of 51 (60th percentile) and for 99214 the provider ranks #74 of 305 (76th percentile); both are labeled typical, indicating modest-to-meaningful participation in those services without being an outlier.

The broader Medicaid code footprint shows clinical breadth beyond H0036 but at much smaller scale: H0004 ($444.5K, 1.4%) for behavioral health counseling, H0002 ($203.9K, 0.7%) for screening, and psychotherapy and psychiatric evaluation codes (90837, 90791, 90792) each contribute under 1% of total Medicaid revenue. This pattern indicates the organization provides a range of behavioral health services—therapy, screening, and evaluations—but those services are secondary revenue drivers compared with community psychiatric supportive treatment.

Concentration and payer mix create identifiable risk characteristics: with $31M concentrated almost entirely in Medicaid and heavily weighted to H0036 (92.6% of Medicaid revenue), the provider is sensitive to Medicaid policy, rate, or utilization changes affecting per-15-minute community psychiatric supportive treatment. The absence of Medicare revenue removes a diversification buffer that many behavioral health providers have.

The provider has been enumerated since 2018-05-04 (~8 years ago), indicating several years of operating history under its current NPI. Given that tenure and the current revenue profile, the organization appears to have built a Medicaid-centered service model focused on community psychiatric supportive treatment within its first decade of enrollment.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	341,390	$80	$28.7M
H0034	Medication training and support, per 15 minutes	8,180	$80	$678.5K
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…	3,400	$150	$509.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	5,700	$80	$444.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	3,400	$60	$203.9K
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…	1,410	$130	$188.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	880	$150	$130.2K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	720	$160	$113K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	160	$90	$14.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	110	$70	$7.2K

Showing 1–10 of 11

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

One Care Dc Inc — 0 of 11 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

11 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	8	60	82,090	$90	$13.9M
H0034	Medication training and support, per 15 minutes	21	50	5,030	$90	$1M
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…	54	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	26	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…	74	310	750	$70	$321.6K
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…	103	120	300	$120	$287.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	32	80	370	$130	$124.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	74	100	520	$60	$118.3K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	6	50	520	$70	$98K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	15	60	180	$110	$59.9K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preventive Measure Of Washington Dc, LLC	DC	Community/Behavioral Health Agency	$0	$85.8M
District Healthcare Services, LLC	DC	Community/Behavioral Health Agency	$0	$78.3M
Mj General, LLC	DC	Developmental Disabilities Clinic/Center	$0	$68.6M
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

One Care Dc Inc — Billing Profile & Reimbursement Data

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One Care Dc 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