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.

Not-for-profit Hospital Corporation (NPI 1801104732)

Key Findings

Field	Value
Entity Type	Organization
Organization	Not-for-profit Hospital Corporation
Address	1310 Southern Ave Se
City	Washington
State	DC
ZIP	20032
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 14, 2010

Payer Source	Total Paid
Medicaid	$62.2M
Medicare	$0

This provider reports no Medicare billing on file and is effectively a single-payer hospital in the available data set, with total Medicaid revenue of $62.2M. The absence of Medicare activity means analyses of its commercial/Medicare mix are not possible from these records and Medicaid dominates observed payer exposure.

Revenue concentration is high: the precomputed top-3 Medicaid codes account for 56.5% of the provider's Medicaid revenue, with 99283 contributing $16.7M (30.0%), 99284 contributing $9M (16.0%), and 99282 contributing $5.9M (10.6%). This concentration indicates a small set of ED E/M codes function as the primary revenue drivers.

The code mix is heavily weighted toward emergency department evaluation-and-management services and acute imaging: top codes include 99283, 99284, 99282 and imaging CPTs such as 70450 ($3.4M, 6.0%) and 74177 ($1.9M, 3.4%). This pattern aligns with the provider's General Acute Care Hospital taxonomy and suggests operational emphasis on emergency care, on-site CT imaging, and associated observation/outpatient throughput (G0378, G0463).

Competitive standing for ED services is strong within the state: 99283 ranks #4 of 38 providers (92th percentile), 99282 ranks #3 of 14 (85th percentile), and 99281 ranks #2 of 11 (90th percentile), all described as "typical, unremarkable volume for this code." These ranks indicate the hospital is a major statewide provider of mid-level ED visits even if volumes are labeled typical in the dataset.

Outpatient and ambulatory activity is material beyond the ED: 99213 shows $2.9M (5.2%) and ranks #31 of 316 providers (90th percentile), while G0463 outpatient clinic visits generate $900.7K (1.6%) and rank #4 of 11 providers (70th percentile). Together these figures point to a substantial ambulatory clinic footprint that supports follow-up and established-patient care.

Imaging and advanced diagnostic services contribute meaningfully but are not dominant: CT head without contrast (70450) produces $3.4M (6.0%), CT abdomen/pelvis with contrast (74177) $1.9M (3.4%), and CT angiography of the chest (71275) $744.2K (1.3%). State ranks for these imaging codes fall in mid-to-upper percentiles (e.g., 70450 at 71th, 74177 at 75th), implying competitive but not market-leading imaging volume in-state.

The facility reports higher relative volume in some therapy/rehabilitation services: 97032 (electrical stimulation therapy) accounts for $567.8K (1.0%) and ranks #1 of 4 providers in-state (100th percentile), described as "typical, unremarkable volume for this code." While overall revenue contribution is modest, the #1 rank suggests this provider is a go-to source in-state for that specific therapy modality.

Tenure is long enough to indicate established operations: NPI enumerated 2010-09-14 (~16 years ago). Combined with the above billing profile, the hospital appears to be an established acute-care and emergency-focused Medicaid provider with concentrated revenue risk tied to a small set of ED E/M codes.

Medicaid: Complete Services Breakdown

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

279 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	72,430	$230	$16.7M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	44,330	$200	$9M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	24,360	$240	$5.9M
99281	The provider sees a patient for the lowest level emergency department visit.	14,610	$250	$3.7M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	9,820	$340	$3.4M
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…	12,600	$230	$2.9M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	15,710	$120	$1.9M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	5,380	$350	$1.9M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	8,190	$190	$1.6M
G0378	Hospital observation service, per hour	13,010	$80	$1.1M

Showing 1–10 of 279

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

Not-for-profit Hospital Corporation — 1 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

279 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	11	30	4,480	$140	$3.5M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	8	30	540	$140	$3.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	4	40	190	$150	$3.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	4	10	6,080	$100	$2M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	3	10	5,170	$170	$1.9M
99281	The provider sees a patient for the lowest level emergency department visit.	2	10	1,890	$220	$1.6M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	8	30	3,790	$110	$1.4M
G0378	Hospital observation service, per hour	3	10	7,540	$130	$1.3M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	2	10	2,360	$50	$1.2M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	8	30	1,320	$110	$1M

Showing 1–10 of 279

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wilton Nedd	DC	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$1.2M	$0
Not-for-profit Hospital Corporation	DC	General Practice Physician	$0	$1M
Meena Kumar	DC	Nurse Practitioner	$141.9K	$432.1K
Rishi Bhatnagar	MD	Orthopaedic Surgery Physician	$317.3K	$80.4K
Gilbert Daniel	DC	Internal Medicine Physician	$308.7K	$43.5K
Satheesh Ramineni	OH	Adult Reconstructive Orthopaedic Surgery Physician	$314.9K	$0
Salman Chohan	MD	Urology Physician	$295.7K	$0
Russom Ghebrai	DC	Internal Medicine Physician	$127.4K	$125.5K
Ashte Collins	DC	Nephrology Physician	$235.3K	$0
Matthew Thompson	MD	Sports Medicine (Orthopaedic Surgery) Physician	$174K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Hope Health Services, LLC	DC	Adult Mental Health Clinic/Center	$0	$54.9M
Life Enhancement Services Of Dc, LLC	DC	Community/Behavioral Health Agency	$0	$38.3M
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

Not-for-profit Hospital Corporation — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References