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.

Reach For Your Potential, Inc (NPI 1063569762)

Field	Value
Entity Type	Organization
Organization	Reach For Your Potential, Inc
Address	1705 S 1st Ave
City	Iowa City
State	IA
ZIP	52240
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 4, 2007

Payer Source	Total Paid
Medicaid	$63.8M
Medicare	$0

Key Findings

REACH FOR YOUR POTENTIAL, INC is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $63.8M in lifetime Medicaid revenue, indicating Medicaid is the sole material source of fee-for-service claims in this dataset. This concentration in Medicaid suggests operational focus on waiver and community support services rather than traditional Medicare-covered clinical care.

Revenue is highly concentrated in a small set of per-diem service lines: the top three Medicaid codes (H2016, S5136, T2020) together account for 96.7% of this provider's total Medicaid revenue. H2016 alone generates $34.4M (53.9% of Medicaid revenue) and S5136 contributes $25.7M (40.2%), so strategic or policy changes affecting those per-diem payments would materially impact overall revenue.

The code mix (H2016 – comprehensive community support services per diem; S5136 – companion care, adult per diem; T2020 – day habilitation, waiver per diem) indicates the organization primarily delivers community-based supports and day habilitation/companion care services rather than clinical or facility-based care. Average paid amounts reinforce this operational posture: H2016 shows $3105 avg paid/claim, S5136 $2373 avg paid/claim, while T2020 is a much lower per-claim payment at $139 avg paid/claim, consistent with high-dollar per-diem community support plus lower-rate habilitation days.

Although H2016 and S5136 dominate revenue, the provider is not a statewide dominant outlier on these codes: H2016 ranks #85 of 176 providers in-state (52th percentile; typical, unremarkable volume for this code) and S5136 ranks #38 of 82 (54th percentile; typical, unremarkable volume for this code). T2020 also sits near the median at #49 of 101 (52th percentile; typical, unremarkable volume for this code), indicating the provider is a modest to typical competitor statewide for its core service lines rather than a market leader.

Smaller ancillary lines confirm the same pattern of typical statewide participation: H2015 ($1.5M, 2.3% of Medicaid revenue) ranks #62 of 95 (35th percentile; typical, unremarkable volume), S5102 ($432K, 0.7%) ranks #10 of 19 (50th percentile; typical, unremarkable volume), and T2021 ($147.3K, 0.2%) ranks #53 of 103 (49th percentile; typical, unremarkable volume). These secondary codes collectively represent only a small share of revenue and do not offset the concentration in the top two per-diem lines.

The provider’s business risk profile is concentrated: with H2016 and S5136 together making up 94.1% of Medicaid revenue by the given shares (53.9% + 40.2%) and the top three totaling 96.7%, payers and contracting teams should note high sensitivity to rate changes, program eligibility shifts, or utilization management applied to these per-diem community support and companion care services. Operational continuity would depend heavily on maintaining contracts and authorizations for those specific service categories.

Tenure and registration suggest an established local presence: the NPI was enumerated on 2007-01-04 (~19 years ago), indicating long-term operation in the market which may support stable relationships with local Medicaid managed care plans and referral sources despite the provider’s modest statewide share metrics. This longevity, combined with a focused service mix, suggests specialization rather than rapid expansion into other payer segments.

For competitive analysis, the provider should be classified as a specialized, Medicaid-centric community support and day habilitation operator with concentrated revenue in H2016 and S5136 and median-range statewide market share; it is neither an extreme outlier nor a dominant statewide leader on its top lines, so benchmarking should emphasize per-diem payment levels and authorization volumes rather than scale-based advantages.

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
H2016	Comprehensive community support services, per diem	11,080	$3,110	$34.4M
S5136	Companion care, adult (e.g., iadl/adl); per diem	10,820	$2,370	$25.7M
T2020	Day habilitation, waiver; per diem	11,950	$140	$1.7M
H2015	Comprehensive community support services, per 15 minutes	2,160	$690	$1.5M
S5102	Day care services, adult; per diem	3,060	$140	$432K
T2021	Day habilitation, waiver; per 15 minutes	2,730	$50	$147.3K
S5101	Day care services, adult; per half day	1,120	$50	$50.5K

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

Reach For Your Potential, Inc — 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	38	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	85	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	49	100	10,960	$110	$3M
H2015	Comprehensive community support services, per 15 minutes	62	100	4,130	$160	$1.9M
S5102	Day care services, adult; per diem	10	20	3,060	$90	$1.1M
T2021	Day habilitation, waiver; per 15 minutes	53	100	2,780	$60	$386.9K
S5101	Day care services, adult; per half day	4	10	920	$50	$102.8K

Nearby Providers

Other providers in the same ZIP code as Reach For Your Potential, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Systems Unlimited, Inc.	IA	Developmentally Disabled Services Day Training Agency	$0	$244.7M
Iowa City Community Schools	IA	Local Education Agency (LEA)	$0	$25.7M
Systems Unlimited, Inc.	IA	Developmentally Disabled Services Day Training Agency	$0	$14.3M
Caring Hands & More LLC	IA	Home Health Agency	$0	$13.9M
County Of Johnson	IA	Land Ambulance	$1.1M	$10.8M
University Of Iowa Community Medical Services, LLC	IA	Durable Medical Equipment & Medical Supplies	$0	$7.3M
Unlimited Abilities	IA	Community/Behavioral Health Agency	$0	$6.6M
The Arc Of Johnson County	IA	Respite Care	$0	$6.3M
Prelude Behavioral Services	IA	Substance Abuse Rehabilitation Facility	$0	$4.3M
Mayor's Youth Empowerment Program	IA	Developmentally Disabled Services Day Training Agency	$0	$3.5M

Reach For Your Potential, Inc — Billing Profile & Reimbursement Data

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Reach For Your Potential, Inc — 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