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.

Village Northwest Unlimited (NPI 1043386741)

Field	Value
Entity Type	Organization
Organization	Village Northwest Unlimited
Address	330 Village Cir
City	Sheldon
State	IA
ZIP	51201
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	November 27, 2006

Payer Source	Total Paid
Medicaid	$34M
Medicare	$0

Key Findings

VILLAGE NORTHWEST UNLIMITED appears to be effectively a Medicaid-focused day habilitation and support services provider: there is no Medicare billing on file and the provider reports $34M in total Medicaid revenue. Its top procedures — S5136, T2020, and H2025 — correspond to companion care (per diem), day habilitation (waiver, per diem), and ongoing employment support (per 15 minutes), indicating core operations centered on IADL/ADL companion services, day habilitation programs, and supported employment for individuals with developmental disabilities.

Revenue concentration is extreme: the top three Medicaid codes (S5136, T2020, H2025) together account for 93.1% of this provider's total Medicaid revenue, demonstrating a highly concentrated payer-code mix. In particular, S5136 alone represents $25.6M or 75.4% of Medicaid revenue, making the business highly dependent on companion care per-diem billing.

Operational scale for the dominant code S5136 is large in absolute terms — 31.5K claims with an average paid per claim of $814 — yet competitively it is a typical in-state performer: S5136 ranks #22 of 82 providers in-state (74th percentile; typical, unremarkable volume). This implies high utilization internally but not a dominant statewide market position for that specific service.

The second-largest revenue driver, T2020 (day habilitation, waiver; per diem), accounts for $4.9M (14.5% of Medicaid revenue) across 32.3K claims at an average $153 paid per claim, and ranks #28 of 101 providers in-state (73th percentile; typical, unremarkable volume). Like S5136, T2020 contributes materially to topline Medicaid revenue but the provider’s rank indicates it is a conventional participant rather than a statewide leader in day habilitation per-diem billing.

H2025 (ongoing support to maintain employment, per 15 minutes) is a smaller revenue contributor at $1.1M (3.1% of Medicaid revenue) with 3K claims and an average paid per claim of $353; it ranks #30 of 65 providers in-state (55th percentile; typical, unremarkable volume). This suggests supported employment is part of the service mix but not a primary revenue engine or a competitive differentiator for this provider.

Although several additional codes appear in the top-25 Medicaid list, a notable exception is T2021 (day habilitation, waiver; per 15 minutes), which shows $944.1K (2.8% of Medicaid revenue) across 15K claims and ranks #13 of 103 providers in-state (88th percentile). That relatively high percentile for a per-minute day habilitation code indicates a stronger competitive position in time-based habilitation services compared with the provider’s per-diem standing.

Payer mix is effectively single-payer Medicaid: there is no Medicare revenue on file, so the provider’s entire billed footprint in these data is concentrated in Medicaid programs. That concentration increases exposure to Medicaid policy and rate changes and implies strategic dependency on waiver and companion-care funding streams rather than on Medicare fee-for-service or Medicare Advantage.

The provider has a long public tenure: the NPI was enumerated on 2006-11-27 (~20 years ago), indicating it is an established provider in the state market. Combined with the observed ranking and volume patterns, this tenure suggests operational stability but not necessarily statewide dominance in its top service lines.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	31,480	$810	$25.6M
T2020	Day habilitation, waiver; per diem	32,260	$150	$4.9M
H2025	Ongoing support to maintain employment, per 15 minutes	2,990	$350	$1.1M
T2021	Day habilitation, waiver; per 15 minutes	14,990	$60	$944.1K
H2015	Comprehensive community support services, per 15 minutes	9,060	$80	$715.7K
H2023	Supported employment, per 15 minutes	7,320	$80	$549.3K
T2015	Habilitation, prevocational, waiver; per hour	1,500	$90	$139.8K

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

Village Northwest Unlimited — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	22	80	9,410	$490	$17.9M
T2020	Day habilitation, waiver; per diem	28	100	10,960	$110	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	30	70	2,970	$300	$1.9M
H2015	Comprehensive community support services, per 15 minutes	38	100	4,130	$160	$1.9M
H2023	Supported employment, per 15 minutes	13	30	4,810	$60	$542.5K
T2015	Habilitation, prevocational, waiver; per hour	18	30	1,920	$70	$425.6K
T2021	Day habilitation, waiver; per 15 minutes	13	100	2,780	$60	$386.9K

Nearby Providers

Other providers in the same ZIP code as Village Northwest Unlimited, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Health Network	IA	Family Medicine Physician	$0	$6.6M
City Of Sheldon	IA	Land Ambulance	$169.8K	$38.8K
Matthew Radke	IA	Optometrist	$107.6K	$33.7K

Village Northwest Unlimited — Billing Profile & Reimbursement Data

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Village Northwest Unlimited — 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