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.

Seat Pleasant Drugs Inc (NPI 1700945466)

Field	Value
Entity Type	Organization
Organization	Seat Pleasant Drugs Inc
Address	354 Eastern Ave Ne
City	Washington
State	DC
ZIP	20019
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	December 8, 2006

Payer Source	Total Paid
Medicaid	$148.3K
Medicare	$0

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
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	320	$180	$56.6K
A6250	Skin sealants, protectants, moisturizers, ointments, any type, any size	960	$50	$50.9K
A4927	Gloves, non-sterile, per 100	1,170	$20	$25.7K
A4245	Alcohol wipes, per box	270	$40	$9.6K
A4554	Disposable underpads, all sizes	50	$60	$3.2K
A4670	Automatic blood pressure monitor	30	$90	$2.3K

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

Seat Pleasant Drugs 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
A6250	Skin sealants, protectants, moisturizers, ointments, any type, any size	10	10	3,060	$220	$1.8M
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	11	10	1,870	$130	$502.3K
A4554	Disposable underpads, all sizes	15	20	3,210	$70	$459.6K
A4927	Gloves, non-sterile, per 100	11	20	2,220	$20	$182.1K
A4670	Automatic blood pressure monitor	6	10	80	$90	$178.4K
A4245	Alcohol wipes, per box	11	10	1,410	$50	$113.4K

Nearby Providers

Other providers in the same ZIP code as Seat Pleasant Drugs Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mbi Health Services LLC	DC	Community/Behavioral Health Agency	$0	$270.4M
Psi Services Iii, Inc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.8M
Abundant Grace Health Services LLC	DC	Community/Behavioral Health Agency	$0	$21.9M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$16.8M
Family Preservation Services Of Dc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.7M
Lifeline, Inc	DC	Home Health Agency	$0	$12.2M
Mbi Health Services LLC	DC	Case Management Agency	$0	$10.9M
New Living Health Care Services LLC	DC	Community/Behavioral Health Agency	$0	$9M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$8.9M
Dental Dreams PLLC	DC	General Practice Dentistry	$0	$8.1M

Seat Pleasant Drugs Inc — Billing Profile & Reimbursement Data

Sign up for Seat Pleasant Drugs Inc — Billing Profile & Reimbursement Data policy alerts

Seat Pleasant Drugs Inc — Billing Profile & Reimbursement Data

Sign up for Seat Pleasant Drugs Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References