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.

Ward & Ward Association, Inc. (NPI 1902081680)

Field	Value
Entity Type	Organization
Organization	Ward & Ward Association, Inc.
Address	7530 Georgia Ave Nw
City	Washington
State	DC
ZIP	20012
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	January 1, 2008

Payer Source	Total Paid
Medicaid	$38.7M
Medicare	$0

Key Findings

WARD & WARD ASSOCIATION, INC. is effectively a single-payer provider: it has no Medicare billing on file and reports $38.7M in lifetime Medicaid revenue, indicating its operations and revenue are concentrated entirely in the Medicaid program rather than split across Medicare and Medicaid. This payer concentration implies financial exposure to Medicaid policies and reimbursement changes.

The provider’s Medicaid revenue is highly concentrated in three services: T2016, T2033, and S5135. Precomputed data show the top three Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with T2016 at 57.5%, T2033 at 25.3%, and S5135 at 17.2% of Medicaid revenue.

The code mix (T2016 – Habilitation, residential, waiver; per diem; T2033 – Residential care, not otherwise specified, waiver; per diem; and S5135 – Companion care, adult, per 15 minutes) signals that this provider operates as an intellectual and developmental disabilities (IDD) residential services organization focused on per-diem residential habilitation and care plus time-based companion supports. The dominance of per-diem habilitation and residential-care codes suggests facility-based, around-the-clock or daily residential programming rather than episodic clinic or outpatient care.

T2016 is the single largest Medicaid revenue driver: 43.4K claims at $513 avg paid/claim produced $22.3M in revenue, representing 57.5% of the provider’s Medicaid revenue. In-state competitive data list this provider as #10 of 17 (44th percentile; typical, unremarkable volume for this code), indicating the provider is a mid-ranked participant on T2016 volume within the state rather than a leading statewide provider for this service.

T2033 is the second-largest Medicaid contributor with 17.3K claims at $566 avg paid/claim for $9.8M in revenue, representing 25.3% of Medicaid revenue. The provider ranks #3 of 5 in-state for T2033 (50th percentile; typical, unremarkable volume for this code), which points to moderate specialization in residential care relative to a small set of peers that bill this code.

S5135 accounts for $6.7M (33.3K claims at $200 avg paid/claim), or 17.2% of Medicaid revenue, reflecting a substantial role for time-based companion/adl iadl support alongside residential services. This code ranks #5 of 23 in-state (82th percentile; typical, unremarkable volume for this code), suggesting the provider is relatively high-volume among peers offering companion care even though the statistical label indicates a typical coverage pattern.

Taken together, the concentration in three residential and companion-service codes and the state-rankings suggest WARD & WARD is an established, specialized IDD residential operator with meaningful scale in Medicaid but not a dominant statewide leader: its largest code sits near the middle of peers (44th percentile) while its companion-care code is relatively higher in-state (82th percentile). The absence of Medicare billing further reinforces a Medicaid-focused service model rather than mixed-payer clinical practice.

The provider’s NPI has been enumerated since 2008-01-01 (~18 years ago), indicating a long-tenured presence in the market. This tenure, combined with $38.7M in Medicaid receipts and a code mix centered on residential habilitation and companion services, points to an established Medicaid-facing residential care business that may rely on stable waiver and per-diem funding streams.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	43,410	$510	$22.3M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	17,290	$570	$9.8M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	33,270	$200	$6.7M

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

Ward & Ward Association, Inc. — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	10	20	55,360	$570	$32.9M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	3	10	17,290	$510	$12.7M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	5	20	7,550	$180	$2.5M

Nearby Providers

Other providers in the same ZIP code as Ward & Ward Association, 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
Berhan Home Health Care Agency Inc	DC	Home Health Agency	$0	$76.6M
Kinara Health And Home Care Services LLC	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$48.5M
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

Ward & Ward Association, Inc. — Billing Profile & Reimbursement Data

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Ward & Ward Association, 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