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 Heartland, Inc. (NPI 1154496008)

Field	Value
Entity Type	Organization
Organization	Rem Heartland, Inc.
Address	107 Dorothy St
City	Fairmont
State	MN
ZIP	56031
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	November 22, 2006

Payer Source	Total Paid
Medicaid	$119M
Medicare	$0

Key Findings

REM HEARTLAND’s billing mix is clearly residential and habilitation-focused: the top revenue codes are S5140 (Foster care, adult; per diem), T2016 (Habilitation, residential, waiver; per diem), and H2014 (Skills training and development, per 15 minutes), which together point to an operation providing per-diem residential care and hands-on skills training for people with intellectual and developmental disabilities. These three codes drive the provider’s core service lines and reflect a community-based residential treatment model rather than outpatient medical services.

Revenue concentration is extreme within Medicaid: the top 3 Medicaid codes account for 96.4% of the provider’s total Medicaid revenue, with S5140 at $69.7M (58.6%), T2016 at $36M (30.3%), and H2014 at $8.9M (7.5%). This concentration shows that nearly all of the reported $119M in Medicaid revenue is tied to residential per-diem and direct-support service codes.

Payer mix is effectively single-payer: there is no Medicare billing on file, and the provider reports $119M in Medicaid revenue, indicating the organization operates almost entirely within the Medicaid-funded long-term habilitation and residential-care ecosystem. The absence of Medicare revenue suggests limited involvement in acute, post-acute, or Medicare-covered outpatient services.

Competitive standing by code is generally mid-to-upper tier but not dominant statewide. For S5140 the provider ranks #13 of 59 in-state (79th percentile; described as typical, unremarkable volume), for T2016 it ranks #13 of 34 (64th percentile; typical, unremarkable volume), and for H2014 it ranks #21 of 185 (89th percentile; typical, unremarkable volume), indicating a solid presence in core residential services without being the top statewide leader.

Operational scale is substantial in claim volume and steady per-claim reimbursement: S5140 shows 249.8K claims at $279 avg paid/claim, T2016 shows 145.9K claims at $247 avg paid/claim, and H2014 shows 38.9K claims at $230 avg paid/claim. The combination of high claim counts and mid-three-hundred-dollar-per-diem rates for major codes is consistent with a large roster of residential placements and routine per-diem billing workflows.

Although the top three codes dominate revenue, several smaller Medicaid codes indicate breadth in 15-minute habilitation and activity therapies: T2017 ($1.6M, 1.4% of revenue) ranks #3 of 16 in-state (87th percentile) and H2032 ($1.5M, 1.3% of revenue) ranks #13 of 69 (82nd percentile). These smaller but relatively high-percentile codes suggest competency and competitive positioning in time-based habilitation and activity therapy services beyond per-diem placements.

The provider’s NPI tenure—enumerated 2006-11-22 (~20 years ago)—signals an established presence in the state Medicaid market, which likely supports long-standing payer relationships and operational experience in residential habilitation billing and care delivery. Long tenure plus high-volume per-diem billing patterns are consistent with a mature community-based residential provider.

The reliance on per-diem and waiver reimbursement creates concentration risk from a payer and policy perspective: with 96.4% of Medicaid revenue coming from three codes tied to residential and habilitation services, changes in waiver rules, per-diem rates, or placement volumes could materially affect revenue. Analysts should treat the provider as highly exposed to Medicaid policy and contract shifts rather than diversified across multiple payer types or service lines.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	249,820	$280	$69.7M
T2016	Habilitation, residential, waiver; per diem	145,860	$250	$36M
H2014	Skills training and development, per 15 minutes	38,890	$230	$8.9M
T2017	Habilitation, residential, waiver; 15 minutes	14,530	$110	$1.6M
H2032	Activity therapy, per 15 minutes	12,390	$120	$1.5M
H2019	Therapeutic behavioral services, per 15 minutes	11,500	$60	$724.4K
S5125	Attendant care services; per 15 minutes	3,670	$90	$345.1K
T2019	Habilitation, supported employment, waiver; per 15 minutes	970	$120	$118K

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 Heartland, Inc. — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	13	60	33,770	$300	$37.6M
T2016	Habilitation, residential, waiver; per diem	13	30	84,870	$240	$23.9M
S5125	Attendant care services; per 15 minutes	24	30	7,060	$130	$5.2M
H2014	Skills training and development, per 15 minutes	21	190	6,230	$120	$2.2M
H2019	Therapeutic behavioral services, per 15 minutes	14	50	5,850	$110	$1.2M
T2019	Habilitation, supported employment, waiver; per 15 minutes	15	20	3,250	$70	$1.1M
H2032	Activity therapy, per 15 minutes	13	70	3,950	$120	$1M
T2017	Habilitation, residential, waiver; 15 minutes	3	20	6,790	$100	$879.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mayo Clinic Health System-fairmont	MN	General Acute Care Hospital	$0	$9M
Human Services Of Faribault & Martin Counties	MN	Public Health or Welfare Agency	$0	$5.7M
Mayo Clinic Health System-fairmont	MN	Multi-Specialty Clinic/Center	$0	$4.7M
Hy-vee Inc	MN	Community/Retail Pharmacy	$190.5K	$30
Astrup Drug Inc	MN	Community/Retail Pharmacy	$83.1K	$100.7K
Steven Parnell	MN	Family Medicine Physician	$95.6K	$0
Rachel Ziegler	MN	Neurology Physician	$87.9K	$0
Timothy Sheneman	MN	Internal Medicine Physician	$74.5K	$0
Mckenzie Terfehr	MN	Nurse Practitioner	$61.9K	$0
Spencer Seibert	MN	Optometrist	$60.3K	$0

Rem Heartland, Inc. — Billing Profile & Reimbursement Data

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Rem Heartland, 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