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.

St. John's Community Services-dc (NPI 1780806828)

Field	Value
Entity Type	Organization
Organization	St. John's Community Services-dc
Address	2201 Wisconsin Ave Nw
City	Washington
State	DC
ZIP	20007
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	May 2, 2007

Payer Source	Total Paid
Medicaid	$99M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and $99M in lifetime Medicaid revenue, making its commercial/payer footprint effectively single-payer in Medicaid. The absence of Medicare activity means analyses should focus on Medicaid utilization, reimbursement, and state-level policy exposure rather than cross-payer comparisons.

Revenue is highly concentrated: the top 3 Medicaid codes account for 98.2% of this provider's total Medicaid revenue. Specifically, T2016 generated $83.9M (84.8% of Medicaid revenue), S5135 generated $8.3M (8.4%), and T2021 generated $4.9M (5.0%), indicating that a very small set of services drives nearly all reported Medicaid receipts.

The code mix (T2016 – Habilitation, residential, waiver; S5135 – Companion care, adult; T2021 – Day habilitation, waiver) signals that ST. JOHN'S COMMUNITY SERVICES-DC operates as a community-based residential habilitation and long-term support provider focused on residential per-diem habilitation, in-home companion supports, and day habilitation programs. The predominance of per-diem residential habilitation (T2016) suggests bed-based, ongoing care is the operational core rather than episodic clinical procedures.

On competitive standing within the state, the provider is a dominant participant for its two largest revenue codes: T2016 ranks #1 of 17 providers in-state at the 100th percentile and is described as notably above typical state volume, and S5135 ranks #1 of 23 providers in-state at the 100th percentile and is also notably above typical state volume. T2021 ranks #4 of 28 providers in-state at the 89th percentile and appears to be within a typical statewide volume band, indicating strong but not singular leadership in day habilitation.

The heavy reliance on one per-diem service (T2016 at $83.9M and 84.8% of Medicaid revenue) creates material concentration risk: changes to state waiver policy, per-diem rates, or utilization management for residential habilitation would disproportionately affect overall revenue. With top 3 codes making up 98.2% of Medicaid receipts, the provider has limited revenue diversification within Medicaid.

Smaller codes such as T2015 ($676.7K, 0.7% of Medicaid revenue, rank #4 of 11 at the 70th percentile), T2019 ($643.9K, 0.7%, rank #6 of 10 at the 44th percentile), and H0025 ($477.3K, 0.5%, rank #16 of 25 at the 38th percentile) are modest contributors. These services appear routine and unremarkable in-state and currently do not materially offset dependence on the top per-diem and companion-care lines.

The provider has an established tenure with NPI enumeration on 2007-05-02 (~19 years ago), which suggests institutional experience in Medicaid habilitation programs and likely operational stability in the local market. Longevity combined with #1 rankings on core codes implies entrenched capacity in residential and companion care services.

Given the lack of Medicare billing and dominant Medicaid orientation, strategic and risk analyses should prioritize state Medicaid contracting, waiver program changes, and reimbursement policy. The provider’s negotiating leverage and vulnerability will largely be determined by state-level decisions affecting T2016, S5135, and T2021 reimbursement and service definitions.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	163,550	$510	$83.9M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	55,650	$150	$8.3M
T2021	Day habilitation, waiver; per 15 minutes	36,850	$130	$4.9M
T2015	Habilitation, prevocational, waiver; per hour	6,770	$100	$676.7K
T2019	Habilitation, supported employment, waiver; per 15 minutes	5,460	$120	$643.9K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	3,340	$140	$477.3K

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

St. John's Community Services-dc — 2 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	1	20	55,360	$570	$32.9M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	16	30	6,580	$100	$2.8M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	1	20	7,550	$180	$2.5M
T2021	Day habilitation, waiver; per 15 minutes	4	30	7,310	$150	$2.2M
T2019	Habilitation, supported employment, waiver; per 15 minutes	6	10	6,250	$180	$1.1M
T2015	Habilitation, prevocational, waiver; per hour	4	10	4,510	$90	$488.2K

Nearby Providers

Other providers in the same ZIP code as St. John's Community Services-dc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medstar - Georgetown Medical Center, Inc.	DC	General Acute Care Hospital	$0	$45.6M
Mgmc, LLC	DC	General Practice Physician	$0	$18.1M
Mina Akhlaghi	DC	Dentist	$0	$2.1M
Medstar Georgetown Medical Center, Inc	DC	Internal Medicine Physician	$0	$923.4K
Anisa Omar	DC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$892K
Fred Mo	DC	Orthopaedic Surgery of the Spine Physician	$688.8K	$0
Parham Farid	DC	Diagnostic Radiology Physician	$642.7K	$0
Siamak Majidi	DC	Pediatric Dentistry	$0	$618.1K
Andrea Singer	DC	Internal Medicine Physician	$608.6K	$0
Ryan Hankins	DC	Urology Physician	$445K	$0

St. John's Community Services-dc — Billing Profile & Reimbursement Data

Sign up for St. John's Community Services-dc — Billing Profile & Reimbursement Data policy alerts

St. John's Community Services-dc — Billing Profile & Reimbursement Data

Sign up for St. John's Community Services-dc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References