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    OpenPayerNPI Medicare & MedicaidMt&g Enterprise, Inc
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    Mt&g Enterprise, Inc — Billing Profile & Reimbursement Data

    NPI 1831351022 · Washington, DC · Developmental Disabilities Clinic/Center

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    Mt&g Enterprise, Inc is a developmental disabilities clinic/center provider located in Washington, District of Columbia. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMt&g Enterprise, Inc
    Address201 20th St Ne
    CityWashington
    StateDC
    ZIP20002
    TaxonomyDevelopmental Disabilities Clinic/Center
    NPI EnumeratedJune 28, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$24.3M
    Medicare$0

    Key Findings

    This provider is effectively a single‑payer operation: there is no Medicare billing on file and total Medicaid revenue is $24.3M, so Medicaid constitutes the entirety of reported lifetime public-payer revenue for MT&G ENTERPRISE, INC. Analysts should treat all public-payer financial exposure as concentrated in Medicaid given the absence of Medicare activity.

    Revenue is extremely concentrated in a single Medicaid service line. The precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and T2016 alone is reported at $24.3M (100.0% of this provider's total Medicaid revenue), indicating that billing and cash flow are driven entirely by this per-diem habilitation code.

    The code mix and taxonomy align with a residential habilitation model: T2016 (Habilitation, residential, waiver; per diem) suggests the organization provides waiver-funded residential habilitation services consistent with its Developmental Disabilities Clinic/Center taxonomy. The claim-level detail—40.6K claims at a $598 avg paid/claim—points to per-diem billing for sustained residential care or day-to-day habilitation services rather than episodic medical procedures.

    Although volume is material in absolute terms (40.6K claims), the provider's state-level competitive standing on this code is modest. MT&G ENTERPRISE, INC ranks #11 of 17 providers in-state (38th percentile; typical, unremarkable volume for this code), so it is not a dominant in-state provider of T2016 services but does participate at a routine level.

    Tenure is long enough to indicate an established operation: the NPI was enumerated 2008-06-28 (~18 years ago), which suggests sustained participation in Medicaid waiver markets and potential operational stability in delivering residential habilitation services.

    The unit economics visible in the data are straightforward: a $598 avg paid/claim for T2016 implies per-diem reimbursement at that level drives the reported $24.3M Medicaid revenue; any changes to per-diem rates, waiver policy, or utilization would materially affect the provider given the single-code concentration.

    From an analytical perspective, the provider's narrow code mix limits visibility into other service lines or diversification: with top 3 codes accounting for 100.0% and T2016 fully representing reported Medicaid revenue, there is little on-file evidence of outpatient, clinic-based, or non-waiver services in the public-payer datasets. Researchers should therefore supplement with non-claims data if they need a broader view of operations.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem40,590$600$24.3M

    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.

    Full comparison — all codes billed, vs. District of Columbia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem112055,360$570$32.9M

    Nearby Providers

    Other providers in the same ZIP code as Mt&g Enterprise, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Government Of The District Of Columbia Office Of Tax And RevenueDCLand Ambulance$5.2M$213.4M
    Rcm Of Washington, IncDCIntellectual Disabilities Intermediate Care Facility$0$53.9M
    Dcps - Public SchoolsDCLocal Education Agency (LEA)$0$46.2M
    Wellness Health Services, LLCDCHome Health Agency$0$44.1M
    Mcclendon CenterDCMental Health Clinic/Center (Including Community Mental Health Center)$0$31.9M
    Office Of The State Superintendent Of EducationDCBus$0$30.7M
    D.c. Department Of Behavioral HealthDCMental Health Clinic/Center (Including Community Mental Health Center)$0$19.7M
    Amazing Love Health ServicesDCCommunity/Behavioral Health Agency$0$18.5M
    Pathways To Housing DcDCMental Health Clinic/Center (Including Community Mental Health Center)$0$15.1M
    Absolute Healthcare Resources, LLCDCCase Management Agency$0$13.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. District of Columbia Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. District of Columbia Distribution
    Mt&g Enterprise, Inc — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia