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.

Hope Haven Inc (NPI 1184706566)

Field	Value
Entity Type	Organization
Organization	Hope Haven Inc
Address	1800 19th Street
City	Rock Valley
State	IA
ZIP	51247
Taxonomy	Nursing Facility/Intermediate Care Facility
NPI Enumerated	October 19, 2006

Payer Source	Total Paid
Medicaid	$143.3M
Medicare	$0

Key Findings

HOPE HAVEN INC reports no Medicare billing on file and $143.3M in lifetime Medicaid revenue, making its Medicaid business effectively the sole payer-facing revenue stream on record. The absence of Medicare activity indicates analysts should treat this entity as a single-payer Medicaid operator for competitive and utilization comparisons.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 86.2% of the provider's Medicaid revenue, driven by S5136 ($76.4M, 53.3%), H2016 ($33.6M, 23.4%), and T2020 ($13.5M, 9.4%). This concentration shows that a very small set of per-diem and habilitation codes underpins the majority of reported Medicaid receipts.

The service mix implied by the top codes points to an operational focus on daily support and habilitation services rather than traditional acute medical care: S5136 (Companion care, adult; per diem) plus H2016 (Comprehensive community support services; per diem) and T2020 (Day habilitation, waiver; per diem) indicate the provider operates at scale in waiver/residential and community-based supports consistent with its Nursing Facility/Intermediate Care Facility taxonomy. High claim volumes such as 336.8K claims for S5136 and 186.6K claims for H2016 suggest either a large census of beneficiaries or very frequent per-diem encounters.

HOPE HAVEN is a dominant statewide player on several key codes: it ranks #1 of 82 for S5136 (100th percentile; extreme outlier), #3 of 101 for T2020 (98th percentile; extreme outlier), and #8 of 176 for H2016 (96th percentile; notably above typical state volume). These ranks indicate market leadership in companion care and day habilitation services within the state, making it an important competitor in waiver and community support markets.

Average paid-per-claim levels reinforce the per-diem revenue profile: S5136 averages $227 per claim, H2016 averages $180 per claim, and T2020 averages $80 per claim. Combined with very large claim counts, especially for S5136 and H2016, the provider’s revenue mix is driven by high-volume, daily-rate services rather than high-fee episodic procedures.

Beyond the top three, the provider also reports meaningful volumes in minute-based and employment-support codes such as H2025 ($7.5M; 35.7K claims, ranked #2 of 65) and H2015 ($3.3M; 52.7K claims, ranked #4 of 95), showing a diversified operational footprint across per-diem and per-15-minute billing models that supports employment and ongoing community services.

The heavy reliance on a small set of waiver and per-diem codes creates material programmatic exposure: with $143.3M in Medicaid revenue and 86.2% concentrated in the top three codes, policy, rate, or authorization changes affecting S5136, H2016, or T2020 could disproportionately impact total revenue. Analysts should prioritize monitoring state waiver schedules and reimbursement updates for these specific codes when assessing financial risk.

HOPE HAVEN's NPI was enumerated 2006-10-19 (~20 years ago), indicating a long tenure in the market and a sustained Medicaid billing footprint. Combined tenure and the scale of reported Medicaid revenue suggest an established operator with entrenched program participation in state community- and waiver-based service lines.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	336,780	$230	$76.4M
H2016	Comprehensive community support services, per diem	186,630	$180	$33.6M
T2020	Day habilitation, waiver; per diem	168,920	$80	$13.5M
H2025	Ongoing support to maintain employment, per 15 minutes	35,690	$210	$7.5M
H2015	Comprehensive community support services, per 15 minutes	52,700	$60	$3.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	17,770	$120	$2.2M
T2021	Day habilitation, waiver; per 15 minutes	30,340	$50	$1.4M
H2023	Supported employment, per 15 minutes	21,540	$50	$1.1M
S5140	Foster care, adult; per diem	5,920	$170	$1M
S5150	Unskilled respite care, not hospice; per 15 minutes	10,520	$80	$788.9K

Showing 1–10 of 23

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

Hope Haven Inc — 7 of 23 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	1	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	8	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	3	100	10,960	$110	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	2	70	2,970	$300	$1.9M
H2015	Comprehensive community support services, per 15 minutes	4	100	4,130	$160	$1.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	10	40	2,200	$240	$1.6M
H2019	Therapeutic behavioral services, per 15 minutes	67	90	5,380	$100	$1.5M
S5140	Foster care, adult; per diem	1	10	5,920	$170	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	2	20	3,280	$160	$960.3K
T1005	Respite care services, up to 15 minutes	8	20	1,490	$160	$930.8K

Showing 1–10 of 23

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope Haven, Inc.	IA	Rehabilitation Clinic/Center	$0	$4.7M
Creative Living Center, P.C.	IA	Counselor	$0	$2.1M

Hope Haven Inc — Billing Profile & Reimbursement Data

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Hope Haven 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