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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Iwe Inc. (NPI 1144400144)

Field	Value
Entity Type	Organization
Organization	Iwe Inc.
Address	608 N West Ave
City	Sioux Falls
State	SD
ZIP	57104
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	November 7, 2007

Payer Source	Total Paid
Medicaid	$15M
Medicare	$0

Key Findings

IWE INC. is effectively a Medicaid-focused in-home supportive care agency: it has no Medicare billing on file and reports $15M in lifetime Medicaid revenue, indicating its public-payer activity is concentrated exclusively in state Medicaid programs rather than Medicare. The absence of Medicare claims suggests the organization’s services and contracts are oriented toward Medicaid-covered home- and community-based care rather than fee-for-service Medicare beneficiaries.

Revenue concentration is heavy: the top three Medicaid codes account for 81.5% of the provider’s total Medicaid revenue. This indicates a narrow service mix in which a few personal-care and home-support codes drive the majority of receipts, making the provider’s financial performance highly sensitive to changes in reimbursement or utilization for those specific services.

Service-line profile aligns with hands-on home support: the leading codes—T1019 (personal care services per 15 minutes), S5130 (homemaker service), and S5135 (companion care)—are all direct-care, non-skilled aide services. Combined with T1000 (private duty nursing) appearing among high-revenue codes, the mix suggests the agency operates primarily as a high-volume personal care and homemaker/companion provider with some licensed nursing capacity for intensive home-based needs.

Competitive standing in-state is strong on multiple fronts: IWE ranks #2 of 33 for T1019 (97th percentile), #3 of 48 for S5130 (96th percentile), and #1 of 21 for S5135 (100th percentile). These ranks and percentiles show the provider is a major statewide participant for core personal-care and companion services and an extreme outlier for S5135, where its volumes are far above typical state providers.

Several codes are described as extreme outliers or notably above typical state volume, which underscores dominant operational scale in specific service lines. In particular, S5135 is an "extreme outlier, far above typical state volume," and both T1019 and S5130 are "notably above typical state volume," meaning the provider’s utilization for these services is unusually large compared with in-state peers rather than representative of an average-sized home care vendor.

Operational implications: the high claim counts (e.g., 51.8K claims for T1019 and 41.9K for S5130) and mid-range average paid/claim values (e.g., $108 for T1019, $91 for S5130) indicate a business model built on high-frequency, short-interval, per-15-minute billing units typical of personal care and homemaker service delivery. This model favors scale and efficient field workforce deployment to generate revenue.

Payer mix implication: because there is no Medicare revenue on file, IWE is effectively single-payer from a claims perspective, relying on Medicaid for its entire reported public revenue stream. This concentration exposes the provider to Medicaid policy, rate-setting, and programmatic changes without offset from Medicare volume.

Tenure and market presence: IWE’s NPI was enumerated on 2007-11-07 (~19 years ago), signifying long-standing operation in the market. Combined with its high in-state ranks, this tenure suggests established referral relationships and operational maturity within South Dakota’s Medicaid home- and community-based services landscape.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	51,820	$110	$5.6M
S5130	Homemaker service, nos; per 15 minutes	41,910	$90	$3.8M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	23,150	$120	$2.8M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	27,010	$100	$2.8M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Iwe Inc. — 4 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	2	30	6,050	$80	$894.1K
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	1	30	2,790	$120	$627.7K
S5130	Homemaker service, nos; per 15 minutes	3	50	5,130	$70	$607.5K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	1	20	2,520	$110	$518.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center	SD	Clinical Medical Laboratory	$1.8M	$18M
Lutheran Social Services Of Sd	SD	Psychiatric Residential Treatment Facility	$0	$15.7M
City Of Sioux Falls	SD	Federally Qualified Health Center (FQHC)	$0	$8.6M
South Dakota Home Care, Inc.	SD	Respite Care	$0	$8.6M
Sanford Clinic	SD	Diagnostic Radiology Physician	$0	$6M
Paramedics Logistics South Dakota LLC	SD	Land Ambulance	$1.9M	$3.6M
Sanford Healthcare Accessories, LLC	SD	Durable Medical Equipment & Medical Supplies	$0	$3.1M
Behavior Care Specialists, Inc	SD	Behavior Analyst	$0	$2.9M
Asana Integrated Medical Group PC	SD	Psychiatry Physician	$0	$2.5M
Rehabilitation Medical Supply	SD	Durable Medical Equipment & Medical Supplies	$0	$2.1M

Iwe Inc. — Billing Profile & Reimbursement Data

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Iwe 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