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    OpenPayerNPI Medicare & MedicaidMj General, LLC
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    Mj General, LLC — Billing Profile & Reimbursement Data

    NPI 1851603286 · Washington, DC · Developmental Disabilities Clinic/Center

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    Mj General, LLC is a developmental disabilities clinic/center provider located in Washington, District of Columbia. This profile covers 0 Medicare and 6 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
    OrganizationMj General, LLC
    Address2041 Martin Luther King Jr Ave Se Ste 230
    CityWashington
    StateDC
    ZIP20020
    TaxonomyDevelopmental Disabilities Clinic/Center
    NPI EnumeratedJuly 14, 2010

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

    Payer SourceTotal Paid
    Medicaid$68.6M
    Medicare$0

    Key Findings

    MJ GENERAL, LLC is effectively a Medicaid-focused provider with no Medicare billing on file and $68.6M in lifetime Medicaid revenue, indicating the organization’s entire documented payer footprint in this dataset is concentrated in state Medicaid programs. The absence of Medicare activity means comparisons and strategic observations should be anchored to Medicaid dynamics and in-state competition rather than national Medicare benchmarks.

    Revenue is highly concentrated in a tiny set of services: the top three Medicaid codes (T1019, G0300, G0299) together account for 99.7% of the provider’s total Medicaid revenue, signaling that a few service lines dominate its business model rather than a broad mix of reimbursed procedures. This concentration implies the provider’s financial performance and operational risk are tightly tied to reimbursement and utilization patterns for those codes.

    T1019 (personal care services, per 15 minutes) is the single largest revenue driver with $55.1M in revenue (80.3% of Medicaid revenue) across 479.1K claims, demonstrating that personal care delivered under individualized treatment plans is the core service offering. The provider ranks #8 of 29 in-state for T1019 (75th percentile), which suggests a substantial but not exceptional state footprint for this widely billed service — typical volume relative to peers rather than a dominant market position.

    G0300 (LPN skilled nursing in home health/hospice, per 15 minutes) is the second-largest revenue source at $11.5M (16.8% of Medicaid revenue) on 78.8K claims, and MJ GENERAL ranks #1 of 12 providers in-state (100th percentile). That code’s classification as an "extreme outlier, far above typical state volume" signals the provider is a major, possibly focused regional supplier of LPN-delivered skilled nursing in home settings, representing a notable competitive strength within the state Medicaid market.

    G0299 (RN skilled nursing in home health/hospice, per 15 minutes) contributes $1.8M (2.6% of Medicaid revenue) over 16.3K claims and ranks #14 of 32 providers in-state (58th percentile). This placement suggests more modest RN skilled-nursing activity relative to peers, indicating the provider’s clinical workforce and billing patterns are skewed toward LPN-delivered care rather than RN-delivered services.

    Other billed codes (S9124, T1001, G0151) are immaterial to overall revenue (each at 0.1% of Medicaid revenue) and show typical, unremarkable state-level volumes and ranks; these items appear to be peripheral services rather than core lines. Their low contribution reinforces that the provider’s operational focus and revenue risk are concentrated in personal care and LPN skilled nursing.

    The provider’s NPI was enumerated on 2010-07-14 (~16 years ago), signaling sustained market presence and suggesting institutional maturity; the lengthy tenure may help explain the accumulation of large Medicaid volumes and the established rank for high-volume codes. Long-term enrollment plus concentrated service delivery suggests established operational workflows for home-based personal care and LPN nursing.

    From a competitive standpoint, MJ GENERAL is a dominant in-state provider for G0300 (LPN home skilled nursing) but only a mid-to-upper-tier participant for T1019 (personal care) and a modest player for G0299 (RN home skilled nursing). Payers or analysts evaluating contracting, audit risk, or capacity should treat the provider as a specialist in LPN home skilled nursing and high-volume personal care services, with limited breadth beyond those lines.

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…479,080$120$55.1M
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes78,810$150$11.5M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes16,270$110$1.8M
    S9124Nursing care, in the home; by licensed practical nurse, per hour370$210$77.6K
    T1001Nursing assessment / evaluation1,400$60$77K
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes540$70$35.6K

    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

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal 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…830405,140$140$47.5M
    S9124Nursing care, in the home; by licensed practical nurse, per hour6101,740$230$3.8M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes143013,380$80$1.3M
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes110610$130$1.2M
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes9101,340$40$222.3K
    T1001Nursing assessment / evaluation3101,400$100$219.8K

    Nearby Providers

    Other providers in the same ZIP code as Mj General, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Preventive Measure Of Washington Dc, LLCDCCommunity/Behavioral Health Agency$0$85.8M
    District Healthcare Services, LLCDCCommunity/Behavioral Health Agency$0$78.3M
    One Care Dc IncDCCommunity/Behavioral Health Agency$0$31M
    Umbrella Therapeutic Services, Inc.DCCommunity/Behavioral Health Agency$0$29.8M
    Life Care Inc.DCMental Health Clinic/Center (Including Community Mental Health Center)$0$18.7M
    Inner City Family Services LLCDCMental Health Clinic/Center (Including Community Mental Health Center)$0$17.3M
    Azure, LLCDCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$10.2M
    Unity Health Care, IncDCFederally Qualified Health Center (FQHC)$0$10.2M
    Kc Community Services IncDCCase Management Agency$0$6.4M
    The Family Wellness Center, IncDCCommunity/Behavioral Health Agency$0$5.6M

    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
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. District of Columbia Distribution
    Mj General, LLC — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia