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.

Life Enhancement Services Of Dc, LLC (NPI 1750682357)

Field	Value
Entity Type	Organization
Organization	Life Enhancement Services Of Dc, LLC
Address	1310 Southern Ave Se
City	Washington
State	DC
ZIP	20032
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 12, 2010

Payer Source	Total Paid
Medicaid	$38.3M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only biller: there is no Medicare billing on file and total Medicaid revenue is $38.3M, indicating the organization's revenue base and payer exposure are concentrated in Medicaid rather than a mixed Medicare/Medicaid practice. Analysts should treat this entity as single-payer dependent for the dataset provided, rather than as a dual-payer operation.

Revenue is highly concentrated in a very small set of service codes: the top three Medicaid codes account for 89.5% of the provider's total Medicaid revenue, with H0036 generating $30.7M (80.1% of Medicaid revenue), H2022 generating $2.3M (5.9%), and H0004 generating $1.3M (3.5%). This concentration means the provider’s financial profile is dominated by a few high-volume service lines rather than a broad mix of outpatient or medical E/M revenue.

The code mix and descriptions point to a community behavioral health operations model: H0036 (community psychiatric supportive treatment, face-to-face, per 15 minutes), H2022 (community-based wrap-around services, per diem), and H0004 (behavioral health counseling and therapy, per 15 minutes) together dominate billing, suggesting day-to-day service delivery oriented around frequent short-contact supportive services and per-diem wrap-around programs rather than primarily office-based primary care. The presence of these codes signals an emphasis on community-based psychosocial support and care coordination.

Operational intensity is evident from volumes and unit payments: the provider reported 330.2K claims for H0036 at $93 avg paid/claim, plus 15.9K claims for H2022 at $142 avg paid/claim and 15.8K claims for H0004 at $85 avg paid/claim. The extremely large claim count for H0036 implies a high-frequency, minute-based billing model (many brief, face-to-face supportive sessions), while H2022’s per-diem rate is higher on a per-claim basis and generates a material secondary revenue stream.

Competitive standing varies by service line within the state: for H2022 the provider ranks #1 of 6 in-state (100th percentile) and is characterized as notably above typical state volume, making it a state-level leader for wrap-around services; for the dominant H0036 the provider ranks #9 of 56 (85th percentile) and for H0004 ranks #11 of 82 (88th percentile), both described as typical or unremarkable volumes within their statewide distributions despite being above median. In short, the provider is a standout for wrap-around per-diem services and a high-volume but not extreme participant for community psychiatric supportive treatment.

Secondary clinical mix includes psychotherapy and evaluation codes but these represent small shares of revenue relative to the top three codes: 90837 produced $1.1M (2.9% of Medicaid revenue) and 90791 produced $363.5K (0.9%), while common E/M codes such as 99214 and 99213 together account for modest revenue. This indicates that while traditional psychotherapy and psychiatric evaluation are part of the service portfolio, they are not the primary revenue drivers compared with community-support and wrap-around services.

The provider has established tenure in the dataset (NPI enumerated 2010-11-12, ~16 years ago), which supports interpretation of the observed billing patterns as sustained operational behavior rather than a short-term anomaly. Combined with the revenue concentration in a few service lines, this longevity suggests an embedded contractual and operational focus on Medicaid-funded community behavioral health programs.

Because top-line Medicaid revenue is dominated by a few codes (top three = 89.5%), the provider’s financial and operational performance is concentrated and therefore sensitive to Medicaid policy, rate, or utilization changes affecting H0036, H2022, and H0004. Analysts evaluating reimbursement risk or network value should prioritize these codes when modeling revenue impact or negotiating program-level contracts.

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	330,210	$90	$30.7M
H2022	Community-based wrap-around services, per diem	15,930	$140	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	15,820	$90	$1.3M
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…	8,260	$140	$1.1M
H0034	Medication training and support, per 15 minutes	11,540	$90	$1.1M
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…	3,420	$140	$462.2K
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…	4,890	$90	$449.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,730	$130	$363.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	3,010	$70	$201.5K
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,…	2,770	$60	$157.9K

Showing 1–10 of 16

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

Life Enhancement Services Of Dc, LLC — 1 of 16 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

16 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	9	60	82,090	$90	$13.9M
H2022	Community-based wrap-around services, per diem	1	10	6,320	$450	$3M
H0034	Medication training and support, per 15 minutes	17	50	5,030	$90	$1M
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,…	22	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…	12	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	11	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…	72	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…	55	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…	120	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.	9	80	370	$130	$124.7K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Life Enhancement Services Of Dc, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Not-for-profit Hospital Corporation	DC	General Acute Care Hospital	$0	$62.2M
New Hope Health Services, LLC	DC	Adult Mental Health Clinic/Center	$0	$54.9M
Wellness Healthcare Clinics. LLC	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.1M
Southern Ave Sp LLC	DC	Assisted Living Facility	$0	$20.2M
Community Of Hope, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$17.1M
Dental Dreams PLLC	DC	General Practice Dentistry	$0	$8.1M
Federal City Recovery Services Inc	DC	Substance Abuse Rehabilitation Facility	$0	$4.8M
Whitman-walker Clinic, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$4.3M
Paving The Way Multi Service Institute	DC	Community/Behavioral Health Agency	$0	$2.6M
Bio-medical Applications Of Southeast Washington, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M

Life Enhancement Services Of Dc, LLC — Billing Profile & Reimbursement Data

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Life Enhancement Services Of Dc, 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