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.

D.c. Department Of Behavioral Health (NPI 1871634170)

Field	Value
Entity Type	Organization
Organization	D.c. Department Of Behavioral Health
Address	35 K Street, N.e.
City	Washington
State	DC
ZIP	20002
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	February 9, 2007

Payer Source	Total Paid
Medicaid	$19.7M
Medicare	$0

Key Findings

This provider is effectively single-payer in practice: there is no Medicare billing on file and all reported federal revenue is Medicaid-based, with total Medicaid revenue of $19.7M. The absence of Medicare activity indicates the organization operates primarily within state Medicaid programs rather than serving a dual Medicare population.

Revenue is highly concentrated in a small set of crisis- and outreach-focused codes: the top three Medicaid codes (S9485, H0023, H2011) together account for 57.1% of the provider’s Medicaid revenue. Those three codes individually generate $5.8M (29.4%) for S9485, $3.2M (16.1%) for H0023, and $2.3M (11.5%) for H2011, signaling that crisis intervention and behavioral outreach are the core revenue drivers.

The code mix points to a community-focused crisis and outreach operation rather than a conventional primary care clinic: high-volume codes include S9485 (crisis intervention, per diem), H2011 (crisis intervention, per 15 minutes), and H0023 (behavioral health outreach). Supplementary services billed at scale — notably H0034 (medication training and support) and H0036 (community psychiatric supportive treatment) — show the provider also delivers medication support and community-based casework alongside crisis response.

Competitive standing for crisis and outreach services is dominant within the state: S9485 and H0023 both rank #1 of 4 providers in-state (100th percentile) and H2011 ranks #1 of 3 providers in-state (100th percentile), with S9484 also ranking #1 of 3 providers (100th percentile). The dataset characterizes volumes for those crisis/outreach codes as "typical, unremarkable volume" at this provider, but the #1 rankings and concentrated dollars nonetheless indicate a leading role in the local crisis services market.

The provider shows exceptionally high psychotherapy and assessment volume relative to peers, with multiple codes labeled as extreme outliers in state comparisons. Examples include 90834 (19.2K claims, $1.4M revenue; ranks #3 of 98 providers in-state, 98th percentile; extreme outlier), 90832 (19K claims, $1.1M revenue; ranks #2 of 67 providers, 98th percentile; extreme outlier), and 90792 (5K claims, $541K revenue; ranks #2 of 56 providers, 98th percentile; extreme outlier), indicating a large ongoing caseload of structured psychotherapy and psychiatric evaluations.

The provider bills both per-diem and per-hour crisis modalities, suggesting operational flexibility in crisis response: S9485 (per diem) averages $736 paid/claim and generated $5.8M, while S9484 (per hour) averages $244 paid/claim and generated $1.3M (6.8% of Medicaid revenue). This mix of per-diem and hourly crisis codes implies they operate multiple crisis delivery models (e.g., short-term stabilization and hourly interventions) rather than a single standardized encounter type.

Other billed services show breadth but mixed competitiveness: H0034 (medication training and support) generated $1.6M (8.0% of Medicaid revenue) and ranks #5 of 51 providers in-state (92th percentile; characterized as typical, unremarkable volume), while H0036 (community psychiatric supportive treatment) produced $583.9K (3.0%) but ranks #38 of 56 providers (33th percentile), suggesting strong capability in medication support but more modest standing for some supportive therapies. This pattern indicates the provider pairs a dominant crisis/outreach footprint with variable market position across ancillary behavioral health services.

The provider’s NPI tenure is long-standing: enumerated on 2007-02-09 (~19 years ago), which combined with $19.7M in Medicaid revenue and concentrated, high-volume billing for crisis and psychotherapy codes, suggests an established, large-scale community behavioral health operation focused on Medicaid populations. The longevity plus the state-leading ranks on key crisis/outreach codes point to an entrenched provider of publicly funded behavioral health services in Washington, DC.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9485	Crisis intervention mental health services, per diem	7,880	$740	$5.8M
H0023	Alcohol and/or drug outreach	31,120	$100	$3.2M
H2011	Crisis intervention service, per 15 minutes	22,520	$100	$2.3M
H0034	Medication training and support, per 15 minutes	28,620	$60	$1.6M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	19,170	$70	$1.4M
S9484	Crisis intervention mental health services, per hour	5,450	$240	$1.3M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	18,970	$60	$1.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	18,840	$30	$583.9K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	4,960	$110	$541K
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…	4,650	$110	$521.1K

Showing 1–10 of 20

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

D.c. Department Of Behavioral Health — 7 of 20 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

20 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	38	60	82,090	$90	$13.9M
S9485	Crisis intervention mental health services, per diem	1	10	4,130	$600	$2.8M
H0034	Medication training and support, per 15 minutes	5	50	5,030	$90	$1M
H0023	Alcohol and/or drug outreach	1	10	840	$100	$839.1K
H2011	Crisis intervention service, per 15 minutes	1	10	2,140	$100	$810.9K
S9484	Crisis intervention mental health services, per hour	1	10	1,180	$270	$619.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	98	130	290	$140	$579.2K
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…	28	120	1,050	$110	$409.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	25	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…	135	310	750	$70	$321.6K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as D.c. Department Of Behavioral Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Government Of The District Of Columbia Office Of Tax And Revenue	DC	Land Ambulance	$5.2M	$213.4M
Rcm Of Washington, Inc	DC	Intellectual Disabilities Intermediate Care Facility	$0	$53.9M
Dcps - Public Schools	DC	Local Education Agency (LEA)	$0	$46.2M
Wellness Health Services, LLC	DC	Home Health Agency	$0	$44.1M
Mcclendon Center	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$31.9M
Office Of The State Superintendent Of Education	DC	Bus	$0	$30.7M
Mt&g Enterprise, Inc	DC	Developmental Disabilities Clinic/Center	$0	$24.3M
Amazing Love Health Services	DC	Community/Behavioral Health Agency	$0	$18.5M
Pathways To Housing Dc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.1M
Absolute Healthcare Resources, LLC	DC	Case Management Agency	$0	$13.1M

D.c. Department Of Behavioral Health — Billing Profile & Reimbursement Data

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D.c. Department Of Behavioral Health — 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