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.

Hillcrest Children's Center (NPI 1740319854)

Field	Value
Entity Type	Organization
Organization	Hillcrest Children's Center
Address	915 Rhode Island Ave Nw
City	Washington
State	DC
ZIP	20001
Taxonomy	Adult Mental Health Clinic/Center
NPI Enumerated	March 5, 2007

Payer Source	Total Paid
Medicaid	$33.6M
Medicare	$0

Key Findings

HILLCREST CHILDREN'S CENTER is effectively a Medicaid-focused provider with Total Medicaid revenue of $33.6M and no Medicare billing on file, making it dependent on a single public payer for its entire reported revenue stream. The top 3 Medicaid codes alone account for 79.4% of that Medicaid revenue, with H0039 comprising $20.7M (61.5%) of the total.

The provider’s code mix is dominated by community-based, time-based behavioral health services: H0039 (Assertive community treatment, per 15 minutes), H0036 (Community psychiatric supportive treatment, per 15 minutes), and H0034 (Medication training and support, per 15 minutes) are the largest revenue drivers. This pattern indicates an operational model centered on intensive, community-delivered mental health care that likely relies on frequent, multidisciplinary contact and time-based billing rather than episodic inpatient or specialty procedures.

Revenue concentration is high: H0039 alone accounts for $20.7M (61.5%) and the top 3 codes together account for 79.4% of Medicaid revenue. That concentration creates sensitivity to rate, authorization, or programmatic changes affecting assertive community treatment and related community services.

On statewide competitive standing, H0039 volume places the provider as a major ACT supplier in the state (ranks #3 of 27 providers in-state, 92th percentile; notably above typical state volume for this code), and H0004 (Behavioral health counseling and therapy) ranks #2 of 82 providers (99th percentile; notably above typical state volume). These high ranks indicate HILLCREST is a prominent provider for both ACT-style services and counseling relative to in-state peers.

Other billed services show a mixed, generally typical footprint: H0036 (79.6K claims, $3.9M, 11.6%) ranks #30 of 56 (47th percentile; typical, unremarkable volume) and many E/M and psychotherapy codes (for example, 99214 and 90834) appear at mid-to-upper percentiles but do not approach the revenue concentration of the top ACT code. A small number of niche items show leadership (T1502 ranks #1 of 3, 100th percentile) but contribute only modest revenue relative to the H0039-dominated mix.

Operational breadth includes both per-15-minute and per-diem service lines: H2022 (Community-based wrap-around services, per diem) generated $741.2K (2.2%) and ranks #2 of 6 in-state (80th percentile), while S0281 (Medical home program, comprehensive care coordination) contributed $567.5K (1.7%) and ranks #6 of 8 (29th percentile). This combination of ACT, wrap-around, and care-coordination billing suggests they deliver both intensive field-based services and structured care-management programs.

The provider’s NPI has been active since 2007-03-05 (~19 years ago), indicating an established presence in the market that may reflect long-standing Medicaid relationships and program experience. That tenure, combined with dominance in specific community-based codes, supports positioning as an entrenched state-level provider of intensive outpatient and community mental health services.

A practical business risk and strategic consideration is payer concentration: with no Medicare revenue reported and $33.6M coming from Medicaid, any policy, rate, or eligibility changes in Medicaid programs for codes like H0039, H0036, or H0034 would disproportionately affect overall revenue. The current footprint suggests opportunity to either deepen leadership around ACT and counseling or to diversify payer mix and service lines if expansion beyond Medicaid is sought.

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	219,960	$90	$20.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	79,640	$50	$3.9M
H0034	Medication training and support, per 15 minutes	26,960	$80	$2.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	30,650	$50	$1.5M
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…	7,440	$120	$855.4K
H2022	Community-based wrap-around services, per diem	6,930	$110	$741.2K
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…	7,280	$80	$597K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	4,170	$140	$567.5K
H2014	Skills training and development, per 15 minutes	21,880	$20	$503.2K
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…	4,300	$110	$476.9K

Showing 1–10 of 31

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

Hillcrest Children's Center — 3 of 25 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

31 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	30	60	82,090	$90	$13.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	3	30	150	$110	$5.8M
H2022	Community-based wrap-around services, per diem	2	10	6,320	$450	$3M
H0040	Assertive community treatment program, per diem	7	10	1,460	$970	$2M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	16	30	1,960	$230	$1.6M
H0034	Medication training and support, per 15 minutes	6	50	5,030	$90	$1M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	6	10	5,240	$150	$785.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	41	130	290	$140	$579.2K
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…	30	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	2	80	2,570	$60	$403K

Showing 1–10 of 31

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Human Touch Home Health Care Services Inc	DC	Home Health Agency	$0	$61.3M
Capitol Medical Supply Inc	DC	Durable Medical Equipment & Medical Supplies	$0	$18M
Ccbamdc Inc	DC	Adult Day Care Clinic/Center	$0	$11.6M
Volunteers Of America Chesapeake Inc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.9M
United Planning Organization	DC	Methadone Clinic	$0	$6.4M
Some, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$5M
Bread For The City,inc.	DC	Federally Qualified Health Center (FQHC)	$0	$4.9M
Open Arms Housing	DC	Case Management Agency	$0	$3.3M
Ayesha Siddiqui	DC	Family Medicine Physician	$2.4M	$0
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$2.3M

Hillcrest Children's Center — Billing Profile & Reimbursement Data

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Hillcrest Children's Center — 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