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.

Wesley Community Services, Inc. (NPI 1114088168)

Field	Value
Entity Type	Organization
Organization	Wesley Community Services, Inc.
Address	3206 University Ave
City	Des Moines
State	IA
ZIP	50311
Taxonomy	Adult Care Home Facility
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5170	Home delivered meals, including preparation; per meal	11,640	$170	$2M
S5102	Day care services, adult; per diem	7,100	$220	$1.5M

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

Wesley Community Services, Inc. — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5170	Home delivered meals, including preparation; per meal	6	60	1,150	$20	$14M
S5102	Day care services, adult; per diem	6	20	3,060	$90	$1.1M

Related Providers

Other providers that share a Tax Identification Number (TIN) with Wesley Community Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amber Dvorak	IA	Nurse Practitioner	$40.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lutheran Services In Iowa	IA	Community/Behavioral Health Agency	$0	$29.7M
Lutheran Services In Iowa, Inc.	IA	Social Worker	$0	$13.5M
Lutheran Services In Iowa	IA	Community/Behavioral Health Agency	$0	$9.4M
Hy-vee Inc	IA	Community/Retail Pharmacy	$195.1K	$77K
Dorothy Walters	IA	Audiologist	$8.3K	$0

Wesley Community Services, Inc. — Billing Profile & Reimbursement Data

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Wesley Community Services, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References