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

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

Veridian Fiscal Solutions LLC (NPI 1033706437)

Field	Value
Entity Type	Organization
Organization	Veridian Fiscal Solutions LLC
Address	233 Fisher Dr
City	Waterloo
State	IA
ZIP	50701
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 31, 2020

Payer Source	Total Paid
Medicaid	$47M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operator: there is no Medicare billing on file while reported Medicaid revenue totals $47M, indicating a single-payer concentration in Medicaid for the business. The NPI was enumerated on 2020-12-31 (~6 years ago), so this scale of Medicaid billing was achieved within a relatively short operational tenure since enrollment.

Revenue is heavily concentrated in a very small set of codes: the precomputed top 3 Medicaid codes account for 95.5% of the provider's total Medicaid revenue, with S5126 contributing $30.9M (65.7% of Medicaid revenue), W0560 contributing $12.7M (26.9%), and T2028 contributing $1.4M (2.9%). This concentration implies the provider’s financial performance is driven almost entirely by a narrow set of service lines.

The mix of high-volume per-diem codes and specialized waiver supplies points to a home- and community-based services orientation rather than clinic-based medical care. Specifically, S5126 (Attendant care services; per diem), S5151 (Unskilled respite care; per diem), and S5131 (Homemaker service; per diem) indicate personal care and respite operations, while T2028 (Specialized supply, not otherwise specified, waiver) and several W-codes indicate participation in waiver and state-specific support services.

Operational scale is visible in claims volume for the top codes: S5126 shows 87.8K claims at $352 avg paid/claim for $30.9M revenue, and W0560 shows 35.8K claims at $354 avg paid/claim for $12.7M revenue, reflecting high-volume, per-diem service delivery. By contrast, T2028 is lower-volume but higher-unit-value with 864 claims at $1591 avg paid/claim for $1.4M revenue, suggesting occasional high-cost supply items or specialized equipment billed through waiver programs.

Competitive standing within the state appears unique: each listed Medicaid code ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), meaning this entity is the sole in-state reporter of these codes in the dataset. That positioning reads as a dominant or sole provider for these specific Medicaid services in the available data, though the lack of peer volume comparison limits broader in-state benchmarking.

The provider’s reliance on per-diem attendant care and a small set of waiver-related codes creates concentration risk: with S5126, W0560, and T2028 together accounting for 95.5% of Medicaid revenue, changes in state waiver policy, per-diem rates, or eligibility for those services could materially affect revenue. The presence of several additional, much smaller-line items (for example S5151 at $1.2M and W0550 at $626.8K) provides some diversification but does not materially alter the concentrated revenue profile.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5126	Attendant care services; per diem	87,800	$350	$30.9M
W0560	N/A	35,780	$350	$12.7M
T2028	Specialized supply, not otherwise specified, waiver	860	$1,590	$1.4M
S5151	Unskilled respite care, not hospice; per diem	5,700	$200	$1.2M
W0550	N/A	730	$850	$626.8K
W0570	N/A	1,840	$140	$253.9K
S5131	Homemaker service, nos; per diem	150	$260	$38K
W0635	N/A	200	$110	$22.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Veridian Fiscal Solutions LLC — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5126	Attendant care services; per diem	1	10	87,800	$350	$30.9M
W0560	N/A	1	10	35,780	$350	$12.7M
T2028	Specialized supply, not otherwise specified, waiver	1	10	860	$1,590	$1.4M
S5151	Unskilled respite care, not hospice; per diem	1	10	5,700	$200	$1.2M
W0550	N/A	1	10	730	$850	$626.7K
W0570	N/A	1	10	1,840	$140	$253.8K
S5131	Homemaker service, nos; per diem	1	10	150	$260	$38K
W0635	N/A	1	10	200	$110	$22.4K

Nearby Providers

Other providers in the same ZIP code as Veridian Fiscal Solutions LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Exceptional Persons Inc	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$80.3M
Vgm Group, Inc.	IA	Durable Medical Equipment & Medical Supplies	$0	$54.4M
Goodwill Industries Of Ne Iowa Inc	IA	Community Based Hospice Care Agency	$0	$52.5M
North Star Community Services, Inc	IA	Developmentally Disabled Services Day Training Agency	$0	$26.7M
Families First Counseling Services Of Iowa, L.L.C.	IA	Community/Behavioral Health Agency	$0	$16.3M
Resources For Human Development	IA	Community/Behavioral Health Agency	$0	$13.1M
Cedar Valley Community Support Services	IA	Developmentally Disabled Services Day Training Agency	$0	$11.1M
Vgm Group, Inc.	IA	Case Management Agency	$0	$5.4M
Pathways Behavioral Services Inc	IA	Community/Behavioral Health Agency	$0	$4.5M
Kenny Rodriguez	IA	Otolaryngology Physician	$3.2M	$0

Veridian Fiscal Solutions LLC — Billing Profile & Reimbursement Data

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Veridian Fiscal Solutions LLC — 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