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.

Direct Care Home Health Services LLC (NPI 1730676446)

Field	Value
Entity Type	Organization
Organization	Direct Care Home Health Services LLC
Address	7600 Georgia Ave Nw Ste 308
City	Washington
State	DC
ZIP	20012
Taxonomy	Home Health Agency
NPI Enumerated	April 18, 2018

Payer Source	Total Paid
Medicaid	$14.3M
Medicare	$0

Key Findings

DIRECT CARE HOME HEALTH SERVICES LLC is effectively a single-payer Medicaid operator: it has no Medicare billing on file and reports $14.3M in lifetime Medicaid revenue, indicating that its entire documented billing footprint is concentrated in state Medicaid programs rather than Medicare. The provider’s NPI has been enumerated since 2018-04-18 (~8 years ago), so this Medicaid-dominant activity represents roughly the business profile accumulated over that tenure.

Revenue concentration is extreme: the top 3 Medicaid codes together account for 99.9% of the provider’s total Medicaid revenue, with a single code, T1019, responsible for the lion’s share at $13.9M (96.7% of the provider’s Medicaid revenue). That level of dependence on one service line implies material exposure to payer policy or authorization changes affecting T1019.

The code mix indicates a personal-care–oriented operation rather than a traditional skilled Medicare-style home health agency: T1019 is described as personal care services billed per 15 minutes as part of an individualized plan of treatment, and it dominates revenue. Supporting clinical codes that would reflect substantial skilled care (G0299 for RN skilled visits; G0151 for PT; G0152 for OT) together make up only a small fraction of revenue, suggesting the agency’s on-the-ground services are primarily personal assistance rather than high-volume skilled therapy or nursing.

G0299 (direct skilled nursing RN visits) contributes $439.5K (3.1% of Medicaid revenue) and ranks #26 of 32 in-state (19th percentile); this low standing and modest revenue share indicate the provider is a minor participant in skilled nursing billing in the state and does not appear to scale RN home-health episodes relative to peers.

Therapy billing is minimal: G0151 (qualified PT) and G0152 (qualified OT) account for $22.2K (0.2%) and $5.8K (0.0%) respectively, with G0151 at #10 of 14 (31st percentile) and G0152 at #8 of 8 (0th percentile). Those ranks and dollar volumes imply the provider offers only limited physical and occupational therapy services compared with other in-state Medicaid home health providers.

Competitive standing on the dominant personal-care code is modest: T1019’s rank is #22 of 29 providers in-state (25th percentile) and is labeled a typical, unremarkable volume for this code, so while T1019 drives virtually all revenue for this entity, the provider is not a leading in-state billing outlier for that service. Other codes largely mirror that modest market position: G0299’s 19th percentile and G0151’s 31st percentile both reflect below-average to typical participation rather than market leadership.

Operational implications: given that 96.7% of Medicaid revenue comes from T1019 and the top three codes make up 99.9% of Medicaid revenue, the provider’s financial performance and growth trajectory are highly sensitive to utilization and reimbursement trends for personal care services. Strategic shifts in authorization rules, audit focus, or state definitions for T1019 could materially affect the business.

Service-level nuance: small amounts billed to codes like S9123 (132 claims, $3.7K) suggest occasional use of hourly RN home nursing for general care, but at a mid-pack rank (#8 of 16, 53rd percentile) this is not a defining part of the provider’s state footprint. Overall the pattern is consistent with a home-based personal care agency that maintains limited skilled nursing and therapy lines rather than a broad, clinically intensive home health operation.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	104,190	$130	$13.9M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	4,030	$110	$439.5K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	250	$90	$22.2K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	80	$80	$5.8K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	130	$30	$3.7K

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

Direct Care Home Health Services LLC — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	22	30	405,140	$140	$47.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	26	30	13,380	$80	$1.3M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	10	10	1,340	$40	$222.3K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	8	10	1,440	$60	$155K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	8	20	130	$20	$17.2K

Nearby Providers

Other providers in the same ZIP code as Direct Care Home Health Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Specialty Home Care LLC	DC	Respite Care	$0	$85.1M
Kbc Nursing Agency Hm Health Inc	DC	Home Health Agency	$0	$82.4M
Berhan Home Health Care Agency Inc	DC	Home Health Agency	$0	$76.6M
Kinara Health And Home Care Services LLC	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$48.5M
Ward & Ward Association, Inc.	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$38.7M
Alliance Home Healthcare & Equipment Services Inc	DC	Respite Care	$0	$37.5M
Premier Health Services Inc.	DC	Home Health Agency	$0	$36.8M
Affordable Health Care Services LLC	DC	Developmental Disabilities Clinic/Center	$0	$25.8M
Kahak, Inc.	DC	Home Health Agency	$0	$13.8M
Dedicated Care Health Services, Inc.	DC	Community/Behavioral Health Agency	$0	$11.2M

Direct Care Home Health Services LLC — Billing Profile & Reimbursement Data

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Direct Care Home Health Services LLC — 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