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.

Life Stride, Inc. (NPI 1851441588)

Field	Value
Entity Type	Organization
Organization	Life Stride, Inc.
Address	3005 Bladensburg Rd Ne
City	Washington
State	DC
ZIP	20018
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	January 12, 2007

Payer Source	Total Paid
Medicaid	$19.4M
Medicare	$0

Key Findings

LIFE STRIDE, INC. reports no Medicare billing on file and $19.4M in lifetime Medicaid revenue, making it effectively a single‑payer Medicaid provider at scale rather than a dual‑payer practice. This concentration in Medicaid implies its operational and reimbursement exposure is tied primarily to state Medicaid policy and contract dynamics rather than to Medicare payment trends.

This provider’s Medicaid revenue is highly concentrated: the precomputed top three Medicaid codes account for 94.8% of its total Medicaid revenue. Those three codes are H0036 ($9.6M, 49.5% of Medicaid revenue), H0025 ($5.2M, 26.6%), and H0034 ($3.6M, 18.8%), together forming the dominant revenue base for the organization.

The code mix—dominated by H0036 (Community psychiatric supportive treatment), H0025 (Behavioral health prevention education), and H0034 (Medication training and support)—indicates a service model built around community mental health supports, prevention/education programs, and medication adherence/training rather than high volumes of physician office E/M visits. Lower dollar shares for codes like 99213 ($227.2K, 1.2% of Medicaid revenue) and 90837 ($133.6K, 0.7%) reinforce that the operation is centered on behavioral health programmatic services and recurring contact interventions.

Competitive standing varies by service line: for medication training and support (H0034) LIFE STRIDE ranks #4 of 51 providers in‑state and sits in the 94th percentile, indicating a strong, above‑typical presence in that niche. For behavioral health prevention education (H0025) it ranks #6 of 25 and is in the 79th percentile—an above‑typical but not dominant position. For community psychiatric supportive treatment (H0036) it ranks #19 of 56 at the 67th percentile, a typical in‑state volume for that code.

Operational implications of claim volume: the provider reports very large claim counts for its top codes (e.g., H0036: 128.1K claims; H0025: 65.3K claims; H0034: 30.9K claims), which is consistent with a high-frequency, per‑15‑minute or per‑encounter service model that depends on recurrent patient contact. That usage profile suggests capacity and workflows oriented to frequent, shorter encounters rather than episodic, high‑complexity visits.

The reliance on a few programmatic codes creates revenue concentration risk—94.8% of Medicaid revenue is tied to three codes—so shifts in coverage policy, prior authorization, or unit pricing for H0036, H0025, or H0034 would disproportionately affect total revenue. Analysts should treat these three service lines as strategic revenue drivers and monitoring points for payer policy changes.

Standard E/M and longer psychotherapy codes are present but represent a small share of revenue and volume, implying limited billings for office‑based medical evaluation or long individual psychotherapy relative to community support services. Examples include 99213 at 2.3K claims and $227.2K (1.2% of Medicaid revenue) and 90837 at 1.2K claims and $133.6K (0.7%), which are modest compared with the dominant programmatic codes.

LIFE STRIDE’s NPI was enumerated on 2007-01-12 (~19 years ago), indicating a long tenure in the market that likely contributed to the development of its programmatic Medicaid footprint and the scale reflected in its claim volumes and $19.4M Medicaid lifetime revenue. This longevity supports interpretation of its current code mix as established operational focus rather than a recent strategic pivot.

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	128,080	$80	$9.6M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	65,310	$80	$5.2M
H0034	Medication training and support, per 15 minutes	30,860	$120	$3.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	9,060	$60	$561.6K
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…	2,270	$100	$227.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,170	$110	$133.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	260	$140	$36.1K
H0005	Alcohol and/or drug services; group counseling by a clinician	410	$60	$24K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	340	$50	$15.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	110	$50	$5.7K

Showing 1–10 of 14

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

Life Stride, Inc. — 0 of 13 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	19	60	82,090	$90	$13.9M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	6	30	6,580	$100	$2.8M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	23	30	1,960	$230	$1.6M
H0034	Medication training and support, per 15 minutes	4	50	5,030	$90	$1M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	58	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	20	80	2,570	$60	$403K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	293	310	750	$70	$321.6K
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…	90	320	620	$50	$313.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	112	120	300	$120	$287.3K
H2027	Psychoeducational service, per 15 minutes	23	30	1,320	$20	$133.9K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Life Stride, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
T & N Reliable Nursing Care,llc	DC	In Home Supportive Care Agency	$0	$103.2M
Immaculate Health Care Services,inc	DC	Respite Care	$0	$82.1M
Innovative Life Solutions, Inc.	DC	Developmental Disabilities Clinic/Center	$0	$73.3M
Nya Health Services Inc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.6M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$19.3M
Goshen Healthcare & Management Services	DC	Community/Behavioral Health Agency	$0	$18.1M
P&g Behavioral Health Services LLC	DC	Adult Mental Health Clinic/Center	$0	$14.1M
Psychiatric Center Chartered,inc	DC	Psychiatry Physician	$0	$11.4M
Metropolitan Educational Solutions, LLC	DC	Case Management Agency	$0	$8.3M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$7.4M

Life Stride, Inc. — Billing Profile & Reimbursement Data

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Life Stride, 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