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.

Berhan Home Health Care Agency Inc (NPI 1841386067)

Field	Value
Entity Type	Organization
Organization	Berhan Home Health Care Agency Inc
Address	7826 Eastern Ave Nw
City	Washington
State	DC
ZIP	20012
Taxonomy	Home Health Agency
NPI Enumerated	October 5, 2006

Payer Source	Total Paid
Medicaid	$76.6M
Medicare	$0

Key Findings

BERHAN HOME HEALTH CARE AGENCY INC has an active NPI enumerated on 2006-10-05 (~20 years ago), indicating two decades of presence in the Washington, DC home health market; the taxonomy and code mix on file confirm operation as a Home Health Agency focused on community-based personal and skilled care. The enrollment tenure suggests an established local business rather than a newly formed provider.

This provider is effectively single-payer in practice: there is no Medicare billing on file (none) while total Medicaid revenue is $76.6M, so Medicaid accounts for the entirety of reported lifetime revenue in the available claims data. Analysts should treat this entity as Medicaid-dependent rather than balanced across federal payers.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, with T1019 alone representing $74.9M or 97.7% of the total. That level of concentration means a single service line drives nearly the entire revenue base reported to Medicaid.

The code mix signals a business model built around personal care services—T1019 (personal care services, per 15 minutes) is the dominant revenue driver—while skilled nursing (G0299, direct RN services, each 15 minutes) is present but represents a much smaller share ($1.8M, 2.3%). This suggests the agency primarily delivers long-duration personal care aide services in home settings with a limited but nonzero component of RN-level skilled visits.

On competitive standing for its top revenue code, T1019 revenue ranks #10 of 29 providers in-state (68th percentile; typical, unremarkable volume for this code), implying BERHAN is a moderate-sized participant for personal care relative to other in-state providers rather than a market leader. Its position in the upper-middle of the distribution is consistent with steady but not dominant market share.

G0299 (direct skilled nursing by RN) ranks #8 of 32 in-state (77th percentile; typical, unremarkable volume for this code), indicating the provider’s skilled-nursing activity is also within typical bounds but leans toward higher-than-median volume among peers; however, G0299 still contributes only $1.8M (2.3%) of Medicaid revenue. Together these ranks show competent participation across both community personal care and some skilled nursing without outsized statewide dominance.

Several listed home health/hospice and therapy codes (Q5001, G0152, G0151, G0156) have nonzero claim counts but report $0 avg paid/claim and $0 revenue in the Medicaid files; those codes nevertheless appear in state rankings (for example, Q5001 ranks #6 of 11, 50th percentile). These entries indicate activity recorded on claims that did not translate into paid Medicaid revenue in the dataset and therefore do not contribute to the $76.6M total.

From a business-implications perspective, the provider’s heavy reliance on a single revenue source (T1019 at 97.7%) creates operational sensitivity: reimbursement changes, policy shifts around personal care services, or changes in authorization practices could materially affect overall revenue. Given the lack of Medicare billing and the narrow revenue base, any strategic shifts to diversify services or payers would materially alter financial stability and competitive positioning.

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
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…	476,880	$160	$74.9M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	20,850	$90	$1.8M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	7,260	$0	$0
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	250	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	190	$0	$0
Q5001	Hospice or home health care provided in patient's home/residence	860	$0	$0

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

Berhan Home Health Care Agency Inc — 0 of 2 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
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…	10	30	405,140	$140	$47.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	8	30	13,380	$80	$1.3M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	5	10	1,340	$40	$222.3K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	7	10	1,440	$60	$155K
Q5001	Hospice or home health care provided in patient's home/residence	6	10	860	$20	$35.9K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	4	10	190	$0	$0

Nearby Providers

Other providers in the same ZIP code as Berhan Home Health Care Agency 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
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
Premier Health Services Inc.	DC	Home Health Agency	$0	$36.8M
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

Berhan Home Health Care Agency Inc — Billing Profile & Reimbursement Data

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Berhan Home Health Care Agency 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