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.

Psi Services Iii, Inc (NPI 1720271836)

Field	Value
Entity Type	Organization
Organization	Psi Services Iii, Inc
Address	5820 Dix St Ne
City	Washington
State	DC
ZIP	20019
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 22, 2007

Payer Source	Total Paid
Medicaid	$24.8M
Medicare	$0

Key Findings

PSI SERVICES III, INC is effectively a single-payer Medicaid provider: Medicare billing is listed as none (no Medicare billing on file) while reported Medicaid revenue is $24.8M, so the entirety of observed lifetime claims revenue in our dataset comes from Medicaid. This concentration means analyses of this entity’s business mix and financial exposure should focus on Medicaid policy and contracting dynamics.

Revenue is extremely concentrated in a small set of Medicaid service lines: the precomputed top three codes account for 94.5% of this provider’s total Medicaid revenue, driven primarily by H0036 (49.2%), H0025 (42.3%) and H0034 (2.9%). H0036 shows 165.2K claims at $74 avg paid/claim producing $12.2M revenue, and H0025 shows 116.6K claims at $90 avg paid/claim producing $10.5M revenue, confirming that a handful of codes dominate cash flow.

The code mix (H0036, H0025, H0034) and their descriptions indicate an operation focused on community-based behavioral health services and programmatic prevention/education rather than traditional office-based medical management. H0036 is community psychiatric supportive treatment billed in 15-minute units, H0025 is behavioral health prevention education targeting populations, and H0034 is medication training and support per 15 minutes, which together imply high-volume, short-unit, community-oriented service delivery.

Competitive standing varies by code: PSI is a major statewide player on H0025—ranking #3 of 25 providers in-state at the 92th percentile and described as notably above typical state volume—while its position on H0036 is more modest (rank #17 of 56, 71th percentile, characterized as typical/unremarkable volume). H0034 is also typical for the state (rank #19 of 51, 64th percentile), so the provider’s standout competitive strength is concentrated in prevention/education delivery (H0025) rather than across all community mental health services.

Although the majority of revenue is in short-unit community codes, PSI also bills conventional psychotherapy and E/M services at much smaller scale: 90837 appears with 4.5K claims and $573.3K revenue (2.3% of Medicaid revenue; rank #29 of 120, 76th percentile) and E/M codes 99214/99215/99213 collectively contribute only minor shares. This distribution suggests that while higher-intensity psychotherapy and office-based evaluation/management are part of the service mix, they are not the primary revenue drivers.

Operationally, the provider’s high claim counts for top codes (165.2K claims for H0036 and 116.6K claims for H0025) combined with relatively low avg paid/claim ($74 and $90 respectively) are consistent with a high-volume, brief-encounter delivery model or program-style interventions that rely on many short units. That service model has implications for capacity planning, workforce (many short visits vs. fewer long sessions), and auditing focus on correct unitization.

Given the heavy reliance on a tiny set of Medicaid procedure codes (94.5% of revenue from the top three), changes in Medicaid reimbursement, prior authorization, or coverage criteria for H0036 or H0025 would materially affect PSI’s revenue profile. The notably above-typical volume on H0025 (92th percentile; notably above typical state volume) makes that code a natural focus for payers and contractors reviewing utilization patterns and program impact.

PSI has an established presence with NPI enumerated on 2007-08-22 (~19 years ago), which supports the interpretation that these billing patterns reflect a sustained operational model rather than a short-term or newly emergent programmatic spike. Longevity combined with concentrated Medicaid exposure argues for engagement on contract design and program evaluation rather than assuming transient activity.

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	165,210	$70	$12.2M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	116,580	$90	$10.5M
H0034	Medication training and support, per 15 minutes	9,620	$80	$730.8K
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…	4,480	$130	$573.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	5,000	$40	$220K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1,400	$140	$191.9K
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…	750	$130	$100.2K
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…	460	$160	$73.3K
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…	1,060	$60	$67.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	450	$140	$64.9K

Showing 1–10 of 14

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

Psi Services Iii, Inc — 0 of 14 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

14 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	17	60	82,090	$90	$13.9M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	3	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	18	30	1,960	$230	$1.6M
H0034	Medication training and support, per 15 minutes	19	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…	29	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	29	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…	154	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…	132	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…	48	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.	39	80	370	$130	$124.7K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Psi Services Iii, 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
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
Kenilworth Avenue North Services	DC	Assisted Living Facility	$0	$6.7M

Psi Services Iii, Inc — Billing Profile & Reimbursement Data

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Psi Services Iii, 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