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.

Total Care Services, Inc. (NPI 1902028442)

Field	Value
Entity Type	Organization
Organization	Total Care Services, Inc.
Address	5780 2nd St Ne
City	Washington
State	DC
ZIP	20011
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	May 3, 2007

Payer Source	Total Paid
Medicaid	$54.7M
Medicare	$0

Key Findings

TOTAL CARE SERVICES, INC. is effectively a single-payer Medicaid operator: it has no Medicare billing on file and reports $54.7M in lifetime Medicaid revenue, indicating its entire documented federal-payer footprint is concentrated in Medicaid rather than Medicare. This single-payer orientation suggests care and revenue models are built around state Medicaid program rules and rates rather than Medicare.

Revenue is highly concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes account for 98.3% of the provider's total Medicaid revenue. The dominant role of these three codes implies material financial dependence on a narrow set of service lines and on continued Medicaid coverage and reimbursement for those services.

T2016 is the largest revenue driver: 56.2K claims, $540 avg paid/claim, $30.4M revenue (55.5% of this provider's total Medicaid revenue). As a Habilitation, residential, waiver per-diem code, T2016’s predominance indicates the provider operates substantial residential habilitation or waiver-based residential programs serving people with developmental disabilities. The state ranking (#8 of 17, 56th percentile) shows the provider has typical statewide volume for this residential habilitation service rather than a dominant market share.

99509 is a second major revenue source: 102.8K claims, $199 avg paid/claim, $20.4M revenue (37.4% of this provider's total Medicaid revenue). This code (home health visits for ADL support) ranking at #2 of 16 providers in-state and the characterization as “notably above typical” (93th percentile) signals that the organization has a particularly strong footprint in home-based ADL/self‑care support relative to peers, and that a large portion of its operations consist of high-volume, recurring home-visit services.

S5135 contributes a meaningful but smaller share: 15.8K claims, $187 avg paid/claim, $3M revenue (5.4% of this provider's total Medicaid revenue). As companion care per 15 minutes, S5135’s presence alongside T2016 and 99509 suggests a mixed service model combining residential habilitation, hands-on home health ADL assistance, and time-based companion/IADL supports rather than a single modality of care. Its state rank (#7 of 23, 73th percentile) places it in a typical to above-typical activity band for this service.

Other listed Medicaid codes (T2021, S9470, T1005) contribute only marginal revenue (for example, T2021 shows $892.9K, S9470 $21K, T1005 $8.7K) and rank relatively low among state peers; this pattern reinforces that the provider’s revenue mix is dominated by residential habilitation and home-based ADL services rather than ancillary habilitation or counseling lines. The minimal revenue from these additional codes suggests limited diversification outside the core three codes.

Competitive standing is mixed by service line: the provider is a major statewide participant for 99509 (rank #2 of 16, notably above typical volume), while for T2016 and S5135 it occupies more modest, typical positions in-state (T2016 #8 of 17, 56th percentile; S5135 #7 of 23, 73th percentile). This means TOTAL CARE SERVICES, INC. appears to compete especially strongly in home-based ADL visit volume but is not a clear statewide leader in residential habilitation or companion care.

NPI tenure indicates organizational longevity: the NPI was enumerated on 2007-05-03 (~19 years ago), which supports the view that this provider has been operating in the Medicaid space for an extended period. Combined with the high volume of claims in core codes (e.g., 102.8K claims for 99509 and 56.2K claims for T2016), the tenure and claim volumes point to an established operational scale in Medicaid-funded developmental disability services.

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
T2016	Habilitation, residential, waiver; per diem	56,230	$540	$30.4M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	102,750	$200	$20.4M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	15,780	$190	$3M
T2021	Day habilitation, waiver; per 15 minutes	6,120	$150	$892.9K
S9470	Nutritional counseling, dietitian visit	190	$110	$21K
T1005	Respite care services, up to 15 minutes	80	$110	$8.7K

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

Total Care Services, Inc. — 0 of 6 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
T2016	Habilitation, residential, waiver; per diem	8	20	55,360	$570	$32.9M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	2	20	5,670	$140	$3.7M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	7	20	7,550	$180	$2.5M
T2021	Day habilitation, waiver; per 15 minutes	16	30	7,310	$150	$2.2M
S9470	Nutritional counseling, dietitian visit	7	10	750	$140	$297.3K
T1005	Respite care services, up to 15 minutes	7	10	990	$80	$141.8K

Nearby Providers

Other providers in the same ZIP code as Total Care Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integrated Community Services, Inc.	DC	Home Health Agency	$0	$145.9M
National Children's Center, Inc.	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$101M
Capital Care, Inc	DC	Home Health Agency	$0	$83.4M
Aba Inc	DC	In Home Supportive Care Agency	$0	$80.8M
Premium Select Home Care Inc	DC	Home Health Agency	$0	$63.9M
Ideal Nursing Services Inc	DC	Home Health Agency	$0	$58M
Metro Homes Inc	DC	Developmental Disabilities Clinic/Center	$0	$45.1M
Citycare Health Services, Inc	DC	Community/Behavioral Health Agency	$0	$36.4M
Janilcar Inc	DC	Durable Medical Equipment & Medical Supplies	$0	$32.7M
Dc Health Care Inc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$24.2M

Total Care Services, Inc. — Billing Profile & Reimbursement Data

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Total Care Services, 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