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.

National Children's Center, Inc. (NPI 1700099959)

Field	Value
Entity Type	Organization
Organization	National Children's Center, Inc.
Address	6200 2nd St Nw
City	Washington
State	DC
ZIP	20011
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	May 7, 2007

Payer Source	Total Paid
Medicaid	$101M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused provider: there is no Medicare billing on file and total Medicaid revenue is $101M, so the organization operates as a single-payer (Medicaid) billing profile at scale. The provider’s NPI was enumerated on 2007-05-07 (~19 years ago), indicating a long-tenured presence in the market and sustained Medicaid activity over many years.

Revenue is highly concentrated in a small set of residential habilitation and related services: the top 3 Medicaid codes together account for 91.2% of the provider’s total Medicaid revenue. The three largest drivers are T2016 ($58.9M, 58.3%), T2033 ($26.9M, 26.6%), and S5135 ($6.3M, 6.2%), so a handful of per-diem and per-15-minute service lines dominate the financial picture.

The code mix indicates the provider’s core operation is residential habilitation and care for individuals with intellectual/developmental disabilities: T2016 (Habilitation, residential, waiver; per diem) and T2033 (Residential care, NOS, waiver; per diem) together make up the majority of revenue, and multiple per-15-minute habilitation codes and companion care (S5135) further point to an institutional/residential-delivery model rather than episodic outpatient care.

T2016 is the single largest revenue source at $58.9M (58.3%) and the provider ranks #2 of 17 in-state (94th percentile) for this code; despite the label “typical, unremarkable volume for this code,” the absolute dollar concentration and high rank indicate substantial operational scale in residential habilitation within the state.

T2033 is a second major revenue pillar at $26.9M (26.6%) and the provider ranks #1 of 5 in-state (100th percentile) for that code, described as “notably above typical state volume for this code.” This ranking and share together signal market leadership in the residential care (NOS) waiver service line in its state peer set.

S5135 (Companion care, per 15 minutes) contributes $6.3M (6.2%) and the provider ranks #2 of 23 in-state (95th percentile), also characterized as “notably above typical state volume for this code.” The presence of high-volume companion-care billing alongside per-diem residential codes suggests the organization provides both facility-based and in-home/ADL support services.

The remainder of billed services are comparatively small and reinforce the specialty profile: codes such as T2021 (Day habilitation), H0025 (behavioral health prevention education), and 92507 (speech/communication services) appear at much lower revenue levels (e.g., H0025 $3.7M, 3.7% of Medicaid revenue), consistent with supplemental habilitation and behavioral supports rather than primary revenue drivers. Several lower-volume codes rank in typical percentile ranges, so they appear to be ancillary to the residential business model.

Because 91.2% of Medicaid revenue is concentrated in a narrow set of residential and habilitation codes, the provider’s financial performance and competitive position are sensitive to state Medicaid reimbursement rates and waiver policy changes for these services. The combination of very high per-diem claim counts (e.g., 112.3K claims for T2016 and 59.4K claims for T2033) and high in-state ranks suggests operational scale but also concentration risk if payment rules or utilization controls change.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	112,250	$530	$58.9M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	59,360	$450	$26.9M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	41,470	$150	$6.3M
T2021	Day habilitation, waiver; per 15 minutes	28,940	$150	$4.2M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	14,190	$260	$3.7M
T2015	Habilitation, prevocational, waiver; per hour	9,750	$80	$790K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	2,100	$70	$148.8K
T2019	Habilitation, supported employment, waiver; per 15 minutes	130	$110	$14.7K
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	40	$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

National Children's Center, Inc. — 2 of 8 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	2	20	55,360	$570	$32.9M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	1	10	17,290	$510	$12.7M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	10	30	6,580	$100	$2.8M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	2	20	7,550	$180	$2.5M
T2021	Day habilitation, waiver; per 15 minutes	7	30	7,310	$150	$2.2M
T2019	Habilitation, supported employment, waiver; per 15 minutes	10	10	6,250	$180	$1.1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	11	30	1,170	$130	$489K
T2015	Habilitation, prevocational, waiver; per hour	2	10	4,510	$90	$488.2K
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	2	10	1,480	$0	$0

Nearby Providers

Other providers in the same ZIP code as National Children's Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integrated Community Services, Inc.	DC	Home Health Agency	$0	$145.9M
Capital Care, Inc	DC	Home Health Agency	$0	$83.4M
Aba Inc	DC	In Home Supportive Care Agency	$0	$80.8M
Premium Select Home Care Inc	DC	Home Health Agency	$0	$63.9M
Ideal Nursing Services Inc	DC	Home Health Agency	$0	$58M
Total Care Services, Inc.	DC	Developmentally Disabled Services Day Training Agency	$0	$54.7M
Metro Homes Inc	DC	Developmental Disabilities Clinic/Center	$0	$45.1M
Citycare Health Services, Inc	DC	Community/Behavioral Health Agency	$0	$36.4M
Janilcar Inc	DC	Durable Medical Equipment & Medical Supplies	$0	$32.7M
Dc Health Care Inc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$24.2M

National Children's Center, Inc. — Billing Profile & Reimbursement Data

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National Children's Center, 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