Providers
All 11 in DC
GOSHEN HEALTHCARE & MANAGEMENT SERVICES
NPI 1043784028, organization, Washington, DC, Community/Behavioral Health
3
Evidence tier
charged in a public enforcement record
- Charged (indicted) per a Department of Justice release dated August 1, 2024, not adjudicated.
- Medicaid dollars per patient on code H0036 ($1047 per patient-month) sit in the top 5% of every provider billing that code.
- 89% of Medicaid dollars are on codes with a history of abuse.
score 66 of 100, rank 1045, $0 at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | GOSHEN HEALTHCARE & MANAGEMENT SERVICES (also GOSHEN HEALTH CARE) |
| Type | Organization |
| Status | Active |
| NPI issued | January 14, 2019, last updated June 18, 2019 |
| Practice location | 1715 NEWTON ST NE, Washington, DC 20018-2319, 202-526-1675 |
| Authorized official | LEONARD NDOUGA (President CEO) |
| Specialties | Community/Behavioral Health (251S00000X, primary) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| H0036 | Community psychiatric supportive treatment face-to-face per 15 minhistory of abuse | $15.0M | 83% | $1K | $195 (top 5% from $1K) | 96th percentile | |
| H0034 | Medication training and support per 15 min | $1.9M | 10% | $295 | $143 (top 5% from $830) | 72nd percentile | |
| H0004 | Behavioral health counseling and therapy per 15 minhistory of abuse | $1.1M | 6% | $325 | $174 (top 5% from $559) | 83rd percentile | |
| H0002 | Medicaid service code | $133K | 1% | $83 | $34 (top 5% from $215) | 77th percentile |
In this area
11 providers in District of Columbia County, DC carry an indicator in the public record, with $8.0M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by part of a provider network on 4. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | STEVEN PRICE Washington, DC, ranked 592 | $0 |
|
| 1 | HOLY HEALTH CARE SERVICES LLC Washington, DC, ranked 625 | $0 |
|
| 3 | CAPITAL HOSPICE Washington, DC, ranked 1153 | $485K |
|
| 3 | MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC. Washington, DC, ranked 1418 | $52K |
|
| 3 | AFFINITY CARE OF DC LLC Washington, DC, ranked 2126 | $0 |
|
| 3 | CARROLL MANOR Washington, DC, ranked 4777 | $0 |
|
| 4 | CELESTE CROTTY Washington, DC, ranked 7324 | $1.0M |
|
| 4 | DIVYA SHENOY Washington, DC, ranked 7477 | $4.5M |
|
Recent enforcement in DC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyAug 27, 2026
Behavioral Health Worker Pleads Guilty to Billing D.C. Medicaid for Therapy Sessions That Never Happened
Nassor, a Community Support Worker at a D.C. Medicaid behavioral health provider, conspired with company employees and other community support workers to bill D.C. Medicaid for mental health telehealth services that were never provided or were inflated, including documenting over 701 hours of telehealth across six patients when call records showed roughly 172 minutes.
DOJSentencedAug 4, 2026
WMATA Train Operator Sentenced in Four-Year Scheme to Defraud AFLAC Insurance of More Than $360,000
Shropshire prepared and submitted fraudulent disability and health care claims to AFLAC for herself and WMATA coworkers claiming injuries they never suffered, fabricating medical records and forging doctors' signatures, and received kickbacks of about 20 percent of each payout.
DOJConvictedMar 4, 2026
D.C. Dentist and Hygienist Found Guilty in Scheme to Defraud D.C. Medicaid of $4 Million
Price and Moore submitted repeated D.C. Medicaid claims for clinical crown lengthening procedures and space maintainers that were not actually performed, causing more than $4 million to be paid out.
DOJPleaded guiltyJan 23, 2026
WMATA Train Operators Plead Guilty in Health Care Fraud Scheme
Two WMATA train operators admitted conspiring to submit fraudulent health care and short-term disability claims to AFLAC using forged medical notes and physician signatures, with kickbacks paid from claim payments.
DOJPleaded guiltyDec 11, 2025
Former Community Support Worker Pleads Guilty to Defrauding District of Columbia Medicaid Program
Jalloh submitted encounter notes for community support services she did not provide and overbilled for services she allegedly provided to District Medicaid beneficiaries, causing the District's Medicaid program to pay over $234,500.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.