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.

Childserve Community Options, Inc. (NPI 1114061520)

Field	Value
Entity Type	Organization
Organization	Childserve Community Options, Inc.
Address	5406 Merle Hay Rd
City	Johnston
State	IA
ZIP	50131
Taxonomy	Child Intellectual and/or Developmental Disabilities Respite Care
NPI Enumerated	February 18, 2007

Payer Source	Total Paid
Medicaid	$47.6M
Medicare	$0

Key Findings

CHILDSERVE COMMUNITY OPTIONS, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file while total Medicaid revenue is reported as $47.6M, indicating concentrated reliance on Medicaid for its billed services. This payer concentration shapes both operational focus and financial risk exposure because Medicare does not appear in its public billing footprint.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top 3 Medicaid codes by revenue account for 73.8% of this provider's total Medicaid revenue, led by T1024 at $17.3M (36.3%), S5150 at $10.6M (22.3%), and H2015 at $7.3M (15.3%). That three-code concentration implies most margin and utilization decisions will be driven by these specific service lines.

The code mix indicates CHILDSERVE primarily delivers pediatric developmental-disability supports and respite/community-based services: T1024 (Evaluation and treatment by an integrated, specialty team) is the largest revenue driver, S5150 (Unskilled respite care, per 15 minutes) is the second-largest, and H2015 (Comprehensive community support services, per 15 minutes) is third. The presence of T2020 (Day habilitation, waiver; per diem) at $2.7M and T2037 (Therapeutic camping, day, waiver) at $488.1K further signals a mix of day habilitation and episodic program offerings alongside ongoing respite and clinic-based multidisciplinary supports.

Competitive standing is mixed by code: CHILDSERVE is the sole in-state reporter for T1024 (ranks #1 of 1; 0th percentile with no state peer volume comparison available), which suggests unique or exclusive provision of that integrated specialty team service in-state, while for S5150 it ranks #5 of 41 (90th percentile; described as typical, unremarkable volume) and for H2015 it ranks #30 of 95 (69th percentile; described as typical, unremarkable volume). High rank/percentile positions for T1017 (26.4K claims, $4.6M; ranks #2 of 18, 94th percentile) and T1005 (9.2K claims, $2.7M; ranks #3 of 21, 90th percentile) show strong regional footing in targeted case management and respite care segments even where those volumes are labeled as typical.

Several codes carry nuanced statistical labels that affect interpretation: T1024’s exclusive in-state reporting means there is no peer-volume benchmark to contextualize its dominance, while multiple high-revenue codes (S5150, H2015, T1017, T1005) are explicitly described as having "typical, unremarkable volume for this code," indicating that although the provider generates material revenue from those services, its activity levels are not flagged as extraordinary against state peers. Additionally, T1026 (8K claims, $962.2K; ranks #1 of 2, 100th percentile; described as typical, unremarkable volume) shows the provider ranks at the top among very few in-state filers for some specialized clinic-based multidisciplinary services.

Operational diversification is present but uneven: in addition to high-volume respite and integrated specialty team work, CHILDSERVE bills meaningful sums for case management (T1017 $4.6M; T1016 $1.1M) and day habilitation (T2020 $2.7M, ranks #82 of 101, 19th percentile), as well as smaller programmatic services like T2037 (Therapeutic camping, $488.1K, ranks #2 of 6, 80th percentile). These line items indicate a portfolio spanning ongoing case management, direct respite support, clinic-based multidisciplinary care, and episodic habilitation/camp offerings, but some habilitation lines (e.g., T2020) sit lower in statewide rank.

There are operational/administrative signals worth noting: W1300 appears with 531 claims and $0 avg paid/claim ($0 revenue) and ranks #2 of 4 in-state, which may reflect a non-reimbursed admin or placeholder billing activity; separately, several high-volume time-based codes (S5150, H2015, T1017) show large claim counts (e.g., T1024 154.1K claims, S5150 19.2K claims, T1017 26.4K claims) consistent with time-interval billing models typical for community respite and case management services. Analysts should treat these zero-paid claim lines and high-frequency time-based claim patterns as operational artifacts to investigate further for payer-contracting and cost-allocation implications.

CHILDSERVE’s long tenure in the NPI file — enumerated 2007-02-18 (~19 years ago) — combined with a Medicaid revenue base of $47.6M suggests it is a well-established provider within Iowa’s IDD/respite ecosystem. That longevity, paired with code-level leadership in a few areas (notably sole reporting for T1024 and top ranks for some case management and clinic-service codes), points to a stable regional incumbent with concentrated service strengths rather than a broad, payer-diverse enterprise.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	154,130	$110	$17.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	19,190	$550	$10.6M
H2015	Comprehensive community support services, per 15 minutes	11,670	$620	$7.3M
T1017	Targeted case management, each 15 minutes	26,430	$170	$4.6M
T2020	Day habilitation, waiver; per diem	2,510	$1,080	$2.7M
T1005	Respite care services, up to 15 minutes	9,240	$290	$2.7M
T1016	Case management, each 15 minutes	3,130	$340	$1.1M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	7,950	$120	$962.2K
T2037	Therapeutic camping, day, waiver; each session	1,120	$440	$488.1K
T2021	Day habilitation, waiver; per 15 minutes	220	$50	$9.7K

Showing 1–10 of 11

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

Childserve Community Options, Inc. — 1 of 10 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	1	10	154,130	$110	$17.2M
T2020	Day habilitation, waiver; per diem	82	100	10,960	$110	$3M
H2015	Comprehensive community support services, per 15 minutes	30	100	4,130	$160	$1.9M
T1017	Targeted case management, each 15 minutes	2	20	3,950	$160	$1.8M
S5150	Unskilled respite care, not hospice; per 15 minutes	5	40	2,200	$240	$1.6M
T1005	Respite care services, up to 15 minutes	3	20	1,490	$160	$930.8K
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	1	10	4,130	$120	$499.5K
T2021	Day habilitation, waiver; per 15 minutes	93	100	2,780	$60	$386.9K
T1016	Case management, each 15 minutes	5	20	480	$150	$340.3K
T2037	Therapeutic camping, day, waiver; each session	2	10	380	$230	$125.4K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Childserve Community Options, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diabetic Equipment And Supplies LLC	IA	Customized Equipment (DME)	$0	$42.3M
Creative Community Options Inc	IA	Day Training/Habilitation Specialist	$0	$41.5M
Johnston Csd	IA	Local Education Agency (LEA)	$0	$13.9M
Childserve Homes Inc.	IA	Mental Illness Intermediate Care Facility	$0	$10M
Youth Homes Of Mid-america	IA	Rehabilitation Clinic/Center	$0	$9.4M
Childserve Therapy, Inc.	IA	Physical Therapist	$0	$4.5M
The Childserve Clinic Inc	IA	Pediatrics Physician	$0	$4.5M
Goodwill Industries Of Central Iowa	IA	Developmentally Disabled Services Day Training Agency	$0	$3.7M
Childserve Medical Equipment & Supply Inc.	IA	Durable Medical Equipment & Medical Supplies	$0	$2.7M
Mending Minds, LLC	IA	Psychiatric/Mental Health Nurse Practitioner	$0	$2.5M

Childserve Community Options, Inc. — Billing Profile & Reimbursement Data

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Childserve Community Options, 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