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.

Premier Health Services Inc. (NPI 1780622142)

Field	Value
Entity Type	Organization
Organization	Premier Health Services Inc.
Address	7600 Georgia Ave Nw
City	Washington
State	DC
ZIP	20012
Taxonomy	Home Health Agency
NPI Enumerated	June 4, 2006

Payer Source	Total Paid
Medicaid	$36.8M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scale: there is no Medicare billing on file (none) while total Medicaid revenue is $36.8M, indicating that all recorded public payer activity is concentrated in Medicaid rather than Medicare. Analysts should treat Medicaid payment policy and state-level program changes as the primary drivers of revenue risk or growth for this entity.

Revenue is highly concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes by revenue account for 99.8% of the provider's total Medicaid revenue, with T1019 alone representing $35.8M (97.4%). That level of concentration means the provider’s financial performance is overwhelmingly tied to the utilization and reimbursement of T1019.

The code mix and service descriptors point to a home‑based personal care model rather than a medically skilled home‑health focus: T1019 (personal care services, per 15 minutes) accounts for 337.6K claims at $106 avg paid/claim and $35.8M revenue, indicating very high-volume, low-dollar-per-claim personal care delivery. Supporting codes include G0299 (direct skilled nursing in home, 10.2K claims, $78 avg paid/claim, $794.8K) and T1000 (private duty nursing, 340 claims, $346 avg paid/claim, $117.6K), which together suggest limited skilled-nursing and private-duty nursing activity relative to personal care.

Despite the large absolute Medicaid revenue, the provider is not a dominant statewide player on its top code: T1019 ranks #16 of 29 providers in-state at the 46th percentile, characterized in the data as typical/unremarkable volume. In other words, the provider’s T1019 revenue scale is substantial in dollar terms but falls in the middle of the state peer group rather than at the top.

For other Medicaid service lines the provider is a modest or lower-volume participant: G0299 ranks #21 of 32 (35th percentile) and is labeled typical/unremarkable; T1000 ranks #5 of 5 (0th percentile) despite a relatively high $346 avg paid/claim; S9124 ranks #5 of 6 (20th percentile). These ranks indicate that the provider does not lead the state in skilled nursing or private-duty nursing volumes and instead competes as a smaller participant on those codes.

The operational profile implied by high claim counts and low average unit payments (e.g., 337.6K claims at $106 avg for T1019) points to a labor‑intensive delivery model that relies on scale and repeated short‑interval visits. That cost and delivery structure makes the business sensitive to wage, staffing, and per‑unit rate changes affecting personal care services.

The provider has a long tenure in the NPI registry (NPI enumerated 2006-06-04 (~20 years ago)), which suggests established operations and likely sustained contractual relationships in the state Medicaid market. Longevity combined with the concentrated service mix can signal operational stability, but also persistence of the same revenue dependencies.

None of the top reported Medicaid codes are flagged as statistical outliers in the supplied labels; each is described as typical or unremarkable in volume relative to peers. Though the absolute dollar concentration in T1019 is very large ($35.8M), its percentile and the supplied descriptors indicate the provider’s utilization pattern sits within the normal range for state competitors rather than being an extreme outlier.

Medicaid: Complete Services Breakdown

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

4 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…	337,630	$110	$35.8M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	10,190	$80	$794.8K
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	340	$350	$117.6K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	450	$140	$60.8K

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

Premier Health Services Inc. — 0 of 4 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

4 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…	16	30	405,140	$140	$47.5M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	5	10	15,550	$370	$7.9M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	5	10	1,740	$230	$3.8M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	21	30	13,380	$80	$1.3M

Nearby Providers

Other providers in the same ZIP code as Premier Health Services Inc., 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
Affordable Health Care Services LLC	DC	Developmental Disabilities Clinic/Center	$0	$25.8M
Direct Care Home Health Services LLC	DC	Home Health Agency	$0	$14.3M
Kahak, Inc.	DC	Home Health Agency	$0	$13.8M
Dedicated Care Health Services, Inc.	DC	Community/Behavioral Health Agency	$0	$11.2M

Premier Health Services Inc. — Billing Profile & Reimbursement Data

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Premier Health Services 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