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.

Purfoods, LLC (NPI 1093834020)

Field	Value
Entity Type	Organization
Organization	Purfoods, LLC
Address	3210 Se Corporate Woods Dr
City	Ankeny
State	IA
ZIP	50021
Taxonomy	Home Delivered Meals
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicaid	$902.3M
Medicare	$0

Key Findings

PURFOODS, LLC is effectively a Medicaid-focused meal-delivery operator: it reports no Medicare billing on file and $902.3M in lifetime Medicaid revenue, indicating the organization’s commercial scale is driven almost entirely by Medicaid-funded services. The NPI was enumerated on 2007-03-29 (~19 years ago), confirming long tenure in the program and likely entrenched operational capacity in-home nutrition services.

Revenue is extremely concentrated in a single service line: S5170 (Home delivered meals, including preparation; per meal) accounts for $840.9M in revenue and 93.2% of this provider's total Medicaid revenue. The platform’s precomputed top-3 share — the top 3 Medicaid codes account for 99.2% of this provider's total Medicaid revenue — underscores that most of the business rests on per-meal deliveries reimbursed under S5170 and closely related meal codes.

Operational scale is evident from the S5170 utilization profile: 49.5M claims at an average paid/claim of $17 point to a high-volume, per-meal delivery model rather than episodic clinical services. This mix suggests a logistics- and operations-heavy business with significant recurring unit volume and per-meal reimbursement economics as the core revenue driver.

Competitive standing for the core meal code is dominant in-state: S5170 ranks #1 of 63 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), which positions PURFOODS as the statewide market leader for Medicaid-funded home-delivered meals. Several other high-line items (W1760, S9977, 1220Z, etc.) also show the provider as #1 of 1 in-state, indicating it is the sole or primary filer for many ancillary codes in its market footprint.

The secondary Medicaid codes are far smaller contributors but reflect adjacent service offerings: S9977 (Meals, per diem, not otherwise specified) generates $3.9M (0.4% of total) and S9470 (Nutritional counseling, dietitian visit) generates $1.1M (0.1% of total). These add modest clinical and per-diem meal variants to the core home-delivered meals business, implying the provider supplies both meal delivery and some nutrition counseling or specialty meal services.

Many listed Medicaid codes have minimal revenue or $0 paid despite recorded claims (for example, 99199 shows 14.3K claims with $0 avg paid/claim and $0 revenue, and H2032 shows 2K claims with $0 revenue), which may reflect administrative reporting, reimbursed-in-kind arrangements, or state-specific billing artifacts rather than material revenue lines. Analysts should treat those line items as non-material to the provider’s revenue base given their negligible dollar impact relative to the $902.3M total.

The extreme dependence on S5170 creates a concentration risk: given that S5170 alone represents $840.9M and 93.2% of Medicaid revenue, policy, rate, or procurement changes affecting home-delivered meal reimbursements would disproportionately affect PURFOODS’ financials. Strategic or operational shifts that diversify services beyond per-meal billing could materially alter revenue stability, while the current profile signals a highly specialized single-service operational model.

While PURFOODS leads statewide on several codes, not all code rankings convey broad peer comparison: codes that rank #1 of 1 providers in-state (e.g., W1760, 1220Z, W1764) indicate there are few or no state peers filing those codes, limiting competitive benchmarking for those services. Conversely, S5170’s ranking against 63 providers and its characterization as an "extreme outlier" provide strong evidence of market dominance for the provider’s core offering within Iowa.

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5170	Home delivered meals, including preparation; per meal	49,463,890	$20	$840.9M
W1760	N/A	784,020	$60	$50.2M
S9977	Meals, per diem, not otherwise specified	103,120	$40	$3.9M
1220Z	N/A	309,040	$10	$2.8M
W1764	N/A	23,930	$60	$1.5M
1218Z	N/A	272,320	$10	$1.4M
S9470	Nutritional counseling, dietitian visit	25,040	$50	$1.1M
W1759	N/A	3,950	$60	$217.5K
S9434	Modified solid food supplements for inborn errors of metabolism	1,780	$100	$183.1K
T4529	Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each	2,140	$40	$94.1K

Showing 1–10 of 17

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

Purfoods, LLC — 3 of 15 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W1760	N/A	1	10	784,020	$60	$50.1M
S5170	Home delivered meals, including preparation; per meal	1	60	1,150	$20	$14M
S9977	Meals, per diem, not otherwise specified	1	10	103,120	$40	$3.9M
1220Z	N/A	1	10	309,040	$10	$2.9M
W1764	N/A	1	10	23,930	$60	$1.5M
1218Z	N/A	1	10	272,320	$10	$1.4M
S9470	Nutritional counseling, dietitian visit	1	10	12,570	$40	$564.3K
W1759	N/A	1	10	3,950	$60	$217.8K
S9434	Modified solid food supplements for inborn errors of metabolism	1	10	1,780	$100	$183.2K
T4529	Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each	1	10	2,140	$40	$95.1K

Showing 1–10 of 17

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Iowa Hospital Corporation	IA	Clinical Medical Laboratory	$3M	$26.7M
Ankeny Smiles, LLC	IA	Dentist	$0	$3.8M
Mercy Clinics, Inc	IA	Primary Care Clinic/Center	$0	$1.5M
Mark Isaacson	IA	Orthopaedic Surgery Physician	$335.5K	$0
Guardian Pharmacy Of Iowa LLC	IA	Long Term Care Pharmacy	$309.1K	$13.6K
Catholic Health Initiatives-iowa Corp	IA	Diagnostic Radiology Physician	$150.3K	$19.4K
Bryan Trout	IA	Foot & Ankle Surgery Podiatrist	$121.3K	$0
Grx Holdings, LLC	IA	Community/Retail Pharmacy	$109K	$7K
David Harrison	IA	Family Medicine Physician	$115.9K	$0
Ricardo Bendezu	IA	Family Medicine Physician	$84.4K	$0

Purfoods, LLC — Billing Profile & Reimbursement Data

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Purfoods, 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