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 Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Washington Home Care Inc (NPI 1952703514)

Field	Value
Entity Type	Organization
Organization	Washington Home Care Inc
Address	5300 Shawnee Rd
City	Alexandria
State	VA
ZIP	22312
Taxonomy	Home Health Agency
NPI Enumerated	September 25, 2014

Payer Source	Total Paid
Medicaid	$70M
Medicare	$0

Key Findings

This provider is effectively single-payer on file: there is no Medicare billing on file and all reported lifetime federal revenue is Medicaid-based, with total Medicaid revenue of $70M. That concentration means analyses of financial performance should be framed almost exclusively around state Medicaid rates and utilization patterns rather than dual-eligible or Medicare fee schedules.

Revenue is extremely concentrated in three Medicaid codes, which by precomputation account for 100.0% of the provider's Medicaid revenue. The largest single line is T1019 ($60.6M revenue, 86.5% of this provider's total Medicaid revenue), followed by T1005 ($9.2M revenue, 13.1%) and G2021 ($238.1K revenue, 0.3%).

The code mix points to a home- and community-based personal care/respite operation rather than traditional Medicare-certified home health services: T1019 is a personal care services code for 15-minute units tied to individualized treatment plans, and T1005 is respite care services up to 15 minutes. This suggests the business model centers on high-volume personal assistance and caregiver relief services delivered in community or home settings rather than skilled nursing or therapy-centric visits.

Claims and unit-payment detail show a high-volume, low-unit-price model for core services and a contrasting pattern for occasional higher-priced practitioner services. T1019 registers 295.4K claims at a $205 avg paid/claim and T1005 shows 78.5K claims at a $117 avg paid/claim, while G2021 has only 218 claims but a $1092 avg paid/claim, indicating most revenue is driven by frequent, short-duration personal care encounters.

State competitive standing is dominant for the two primary codes: T1019 ranks #8 of 758 providers in-state (99th percentile; extreme outlier) and T1005 ranks #6 of 574 providers in-state (99th percentile; extreme outlier), marking this provider as a major in-state volume leader for those service lines. By contrast, G2021 ranks #14 of 293 providers in-state (96th percentile; typical, unremarkable volume), meaning its engagement with that code is notable but not anomalous compared with peers.

The explicit statistical labels highlight how exceptional the provider's volume is on its two main lines: both T1019 and T1005 are described as extreme outliers in state volume, which signals a highly concentrated service footprint compared with typical peers. Analysts should interpret these labels as indicators of specialization or market dominance in Medicaid personal care and respite delivery rather than as quantitative measures of quality or compliance.

Washington Home Care Inc has been enumerated since 2014-09-25 (~12 years ago), indicating an established operating history in the market. Given that tenure alongside the $70M Medicaid footprint and the extreme outlier status on T1019 and T1005, the provider appears to have scaled a focused Medicaid personal-care/respite operation over multiple years.

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
T1019	Personal 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…	295,410	$210	$60.6M
T1005	Respite care services, up to 15 minutes	78,460	$120	$9.2M
G2021	Health care practitioners rendering treatment in place (tip)	220	$1,090	$238.1K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Washington Home Care Inc — 3 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal 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…	8	760	17,620	$150	$5.5M
T1005	Respite care services, up to 15 minutes	6	570	4,400	$80	$831.8K
G2021	Health care practitioners rendering treatment in place (tip)	14	290	40	$790	$56.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Agape Health Management Inc	VA	Home Health Agency	$0	$158.9M
Agape Health Management, Inc	VA	Adult Day Care Clinic/Center	$0	$18.1M
Dm Care, Inc	VA	Adult Day Care Clinic/Center	$0	$14.5M
Grace Providers Home Health Care Inc.	VA	Home Health Agency	$0	$7.5M
Pcl Lab LLC	VA	Clinical Medical Laboratory	$132.4K	$1.2M
Awail Sadiq	VA	Interventional Cardiology Physician	$530K	$0

Washington Home Care Inc — Billing Profile & Reimbursement Data

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Washington Home Care 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