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.

Ability United LLC (NPI 1063040111)

Field	Value
Entity Type	Organization
Organization	Ability United LLC
Address	102 N Adams St
City	Carroll
State	IA
ZIP	51401
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	April 1, 2020

Payer Source	Total Paid
Medicaid	$43.8M
Medicare	$0

Key Findings

ABILITY UNITED LLC operates squarely in community-based, residential behavioral health services for intellectual and developmental disabilities: its primary Medicaid activity is H2016 (Comprehensive community support services, per diem), which aligns with the provider's listed taxonomy as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. This code mix indicates an operational focus on daily, bundled support services rather than episodic medical procedures.

Medicaid revenue for this provider is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of its Medicaid revenue, and the single reported code H2016 alone represents the entirety of the $43.8M Medicaid revenue for the period. That concentration means virtually all billed Medicaid dollars flow through one service line.

Claim-level metrics show substantial per-claim reimbursement and steady utilization for the reported code: H2016 appears with 6.2K claims at a $7050 avg paid/claim, yielding $43.8M in revenue. The combination of thousands of claims and a high average paid per claim is consistent with per-diem residential or intensive community-support payments rather than low-cost outpatient encounters.

This provider is effectively single-payer in practice: there is no Medicare billing on file (no Medicare revenue reported) while Medicaid accounts for $43.8M, indicating the business is heavily dependent on Medicaid reimbursements and related contracting/policy. The absence of Medicare activity suggests payer mix, network access, and regulatory exposure will be dominated by state Medicaid dynamics.

On a statewide competitive basis ABILITY UNITED LLC is a modest participant for this service: it ranks #105 of 176 providers in-state for H2016 and sits at the 41th percentile (typical, unremarkable volume for this code). That placement indicates the provider is not a dominant market leader in Iowa for comprehensive community support services but occupies a middle-market position.

The provider’s NPI was enumerated on 2020-04-01 (~6 years ago), indicating a relatively recent market entry compared with longer-tenured institutions; this tenure may reflect a still-maturing operational footprint and contracting relationships within the state Medicaid ecosystem. Continued monitoring of enrollment, claim counts, and revenue trajectory over subsequent years would clarify growth or consolidation trends.

Heavy dependence on a single Medicaid code creates concentration risk and operational leverage: changes to H2016 reimbursement rates, per-diem definitions, or state policy could meaningfully affect the provider’s entire revenue base. Conversely, this concentration can simplify payer negotiations and utilization management since the organization appears vertically focused on a single, well-defined service line.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	6,210	$7,050	$43.8M

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

Ability United LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	105	180	10,790	$390	$15.2M

Nearby Providers

Other providers in the same ZIP code as Ability United LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carroll Co Council Prev Child Abuse	IA	Community/Behavioral Health Agency	$0	$51M
New Hope Village, Inc	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$50.2M
Homecare Options, Inc.	IA	Contractor	$0	$9.1M
Caring Hearts Of West Central Iowa	IA	Community Health Worker	$0	$3.4M
Region Xii Council Of Governments, Inc.	IA	Non-emergency Medical Transport (VAN)	$0	$1.9M
St Anthony Regional Hospital And Nursing Home	IA	Critical Access Hospital	$0	$1.4M
Carroll Community School District	IA	Local Education Agency (LEA)	$0	$1.3M
Carroll County County Auditor	IA	Ambulance	$344K	$824.9K
St Anthony Regional Hospital And Nursing Home	IA	Family Medicine Physician	$0	$1.1M
Carroll Dental Clinic P.l.c.	IA	Dentist	$0	$1.1M

Ability United LLC — Billing Profile & Reimbursement Data

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Ability United 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