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NPI 1962520288 · Washington, DC · Federally Qualified Health Center (FQHC)
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Mary's Center For Maternal And Child Care, Inc is a federally qualified health center (fqhc) provider located in Washington, District of Columbia. This profile covers 0 Medicare and 146 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Mary's Center For Maternal And Child Care, Inc |
| Address | 2333 Ontario Rd. Nw |
| City | Washington |
| State | DC |
| ZIP | 20009 |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| NPI Enumerated | March 26, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $56.6M |
| Medicare | $0 |
MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC is effectively a Medicaid-focused provider: there is no Medicare billing on file and the provider reports $56.6M in total Medicaid revenue. Its NPI was enumerated on 2007-03-26 (~19 years ago), indicating an established presence in the market and long operational tenure as a Federally Qualified Health Center (FQHC).
Revenue is highly concentrated in a small set of visit-level codes: the precomputed top three Medicaid codes account for 77.3% of the provider's total Medicaid revenue. Those top three are T1015 ($27.9M, 49.3% of Medicaid revenue), 99213 ($11.9M, 21.1%), and 99392 ($3.9M, 6.8%), signaling dependence on a narrow set of high-volume primary care and preventive visit services.
The code mix and FQHC taxonomy point to a primary-care and preventive services business model with a strong pediatric/wellness orientation. Dominant codes include T1015 (clinic visit/encounter, all-inclusive) and 99213 (established outpatient E/M), alongside multiple preventive medicine codes (99391, 99392, 99393, 99394, 99395), which together suggest the center operates high-volume clinic visits, routine well-child/adolescent care, and bundled FQHC visit workflows (G0467 also appears on file).
MARY'S CENTER is a statewide volume leader on its two largest revenue drivers: T1015 ranks #2 of 97 providers in-state (99th percentile; extreme outlier) and 99213 ranks #5 of 316 providers in-state (99th percentile; extreme outlier). These placements indicate the center is an outsized provider of clinic encounters and mid-level E/M visits within the state Medicaid market, not a modest participant.
Preventive and pediatric services are a notable strength: 99392 ranks #3 of 29 providers in-state (93th percentile; notably above typical state volume for this code), 99391 ranks #3 of 23 (91th percentile; notably above typical), and 99393 ranks #3 of 35 (94th percentile). The combination of these ranks with sizable claim volumes (e.g., 17.2K claims for 99392) reinforces that routine prevention and well-child services are an operational focus and revenue driver.
The provider also reports very large psychotherapy claim volumes but low per-claim payments, indicating a substantial behavioral health throughput with limited revenue impact per encounter. For example, 90834 has 23.6K claims and ranks #1 of 98 providers in-state (100th percentile; extreme outlier) and 90832 has 25.7K claims and ranks #1 of 67 (100th percentile; extreme outlier); despite high claim counts these codes generate only modest revenue due to low average paid/claim.
Care coordination and FQHC-bundle activity are present but not anomalous: G0467 shows 58.1K claims and $2.2M revenue (3.8% of Medicaid revenue) and S0281 (medical home program) shows 5.5K claims and $665.4K revenue (1.2% of Medicaid revenue). Both codes rank in the higher percentiles in-state (G0467 #3 of 31, 93th percentile; S0281 #4 of 8, 57th percentile), reflecting expected FQHC operations with formalized care coordination and bundled visit billing.
Strategically, the center's Medicaid concentration makes it a major Medicaid provider in its state with outsized volumes in core clinic and preventive codes, but the absence of Medicare activity means its payer exposure is concentrated and reimbursement risk is tied primarily to Medicaid policy and rates. Analysts should view this organization as an established, high-volume FQHC for Medicaid populations with strong primary care, pediatric preventive, and behavioral health throughput relative to in-state peers.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
146 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 248,930 | $110 | $27.9M |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 89,760 | $130 | $11.9M |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 17,210 | $220 | $3.9M |
| 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,… | 16,230 | $190 | $3.1M |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 13,460 | $210 | $2.9M |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 11,470 | $210 | $2.4M |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which… | 58,140 | $40 | $2.2M |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 5,450 | $120 | $665.4K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 3,440 | $170 | $594.9K |
| 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… | 7,670 | $60 | $444.6K |
Showing 1–10 of 146
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
146 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 | 43 | 60 | 82,090 | $90 | $13.9M |
| T1015 | Clinic visit/encounter, all-inclusive | 2 | 100 | 160 | $110 | $1.9M |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which… | 3 | 30 | 5,420 | $40 | $946K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 4 | 10 | 5,240 | $150 | $785.6K |
| T2022 | Case management, per month | 14 | 10 | 2,540 | $120 | $728.6K |
| 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,… | 4 | 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… | 17 | 120 | 1,050 | $110 | $409.5K |
| 94640 | The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that… | 10 | 20 | 80 | $210 | $398.8K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 3 | 30 | 350 | $110 | $345.1K |
| 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… | 31 | 310 | 750 | $70 | $321.6K |
Showing 1–10 of 146
Other providers in the same ZIP code as Mary's Center For Maternal And Child Care, Inc, ranked by combined Medicare and Medicaid revenue.
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