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

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

Rem River Bluffs, Inc. (NPI 1104991066)

Field	Value
Entity Type	Organization
Organization	Rem River Bluffs, Inc.
Address	1621 10th St Se
City	Rochester
State	MN
ZIP	55904
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	November 22, 2006

Payer Source	Total Paid
Medicaid	$165.7M
Medicare	$0

Key Findings

REM RIVER BLUFFS, INC. appears to operate primarily as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, as reflected by its Medicaid code mix dominated by per-diem residential and habilitation services (notably S5140 and T2016) and minute-based therapeutic codes like H2019. The service-line mix—foster care/adult per diem and residential habilitation per diem—is consistent with a facility delivering room-and-board plus structured habilitation and behavioral support rather than episodic medical procedures or outpatient specialty care.

This provider is effectively single-payer in scale: there is no Medicare billing on file, and all recorded lifetime revenue is Medicaid-based ($165.7M). The absence of Medicare revenue means strategic, operational, and reimbursement risk is concentrated entirely in the Medicaid program rather than split across payers.

Revenue concentration is extreme: Top 3 Medicaid codes by revenue account for 99.4% of this provider's total Medicaid revenue. In particular, S5140 alone generates $123.7M (74.6% of Medicaid revenue) and T2016 contributes $40.2M (24.3% of Medicaid revenue), identifying a narrow set of services that drive nearly all reported income.

S5140 (Foster care, adult; per diem) is a clear statewide growth driver for this provider: it produced $123.7M and ranks #3 of 59 providers in-state (97th percentile), which the data labels as notably above typical state volume. This ranking signals that REM RIVER BLUFFS is a major participant in adult foster-care per-diem billing within Minnesota and likely has significant capacity or contracts in that segment compared with peers.

T2016 (Habilitation, residential, waiver; per diem) is the second-largest Medicaid revenue source at $40.2M and ranks #6 of 34 providers in-state (85th percentile), a position described as typical but solid. While not as dominant as for S5140, the provider still maintains above-average scale in residential habilitation waiver services relative to other in-state peers.

Minute-based and ancillary services are small contributors and generally unremarkable in scale: H2019 (Therapeutic behavioral services, per 15 minutes) accounts for $699.2K (0.4% of Medicaid revenue) and ranks #16 of 49 providers (69th percentile), while T2017 and H2032 each contribute under $600K and $426.7K respectively and sit at lower/mid percentiles. These patterns suggest the organization’s business model emphasizes per-diem residential funding rather than high volumes of billable minutes for therapy.

A few codes show below-peer participation: T2017 ranks #13 of 16 providers (20th percentile) and H2014 ranks #170 of 185 providers (8th percentile), indicating limited utilization of these specific service lines relative to statewide peers. These low percentiles imply either limited provision or billing of these services, or that those services are not a strategic focus compared with the dominant per-diem offerings.

The provider has a long tenure in the NPI registry, enumerated on 2006-11-22 (~20 years ago), which suggests institutional stability and established operations in its Medicaid service lines; combined with its concentrated revenue profile, this tenure likely underpins the relationships or contracts that drive its heavy S5140 and T2016 billing volumes.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	453,050	$270	$123.7M
T2016	Habilitation, residential, waiver; per diem	182,940	$220	$40.2M
H2019	Therapeutic behavioral services, per 15 minutes	8,850	$80	$699.1K
T2017	Habilitation, residential, waiver; 15 minutes	4,740	$130	$597.5K
H2032	Activity therapy, per 15 minutes	3,620	$120	$426.7K
H2014	Skills training and development, per 15 minutes	320	$120	$38.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Rem River Bluffs, Inc. — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	3	60	33,770	$300	$37.6M
T2016	Habilitation, residential, waiver; per diem	6	30	84,870	$240	$23.9M
H2014	Skills training and development, per 15 minutes	170	190	6,230	$120	$2.2M
H2019	Therapeutic behavioral services, per 15 minutes	16	50	5,850	$110	$1.2M
H2032	Activity therapy, per 15 minutes	38	70	3,950	$120	$1M
T2017	Habilitation, residential, waiver; 15 minutes	13	20	6,790	$100	$879.8K

Nearby Providers

Other providers in the same ZIP code as Rem River Bluffs, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Olmsted Medical Center	MN	General Acute Care Hospital	$0	$41.2M
Zumbro Valley Health Center	MN	Community/Behavioral Health Agency	$0	$36.1M
Olmsted Medical Center	MN	Clinic/Center	$0	$22.2M
Rochester Pediatric Dentistry LLC	MN	Dental Clinic/Center	$0	$11.6M
Community Dental Care	MN	General Practice Dentistry	$0	$9M
Apple Tree Dental	MN	General Practice Dentistry	$0	$8.2M
County Of Olmsted	MN	Public Health or Welfare Agency	$0	$7.3M
Olmsted County	MN	Community/Behavioral Health Agency	$0	$6.4M
Remjoy Special Tranportation Services LLC	MN	Non-emergency Medical Transport (VAN)	$0	$5.4M
Olmsted County	MN	Community/Behavioral Health Agency	$0	$4.7M

Rem River Bluffs, Inc. — Billing Profile & Reimbursement Data

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Rem River Bluffs, 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