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.

Vera French Restorative Care Facilities (NPI 1245309749)

Field	Value
Entity Type	Organization
Organization	Vera French Restorative Care Facilities
Address	5006 Sheridan St.
City	Davenport
State	IA
ZIP	52806
Taxonomy	Psychiatric Residential Treatment Facility
NPI Enumerated	November 7, 2006

Payer Source	Total Paid
Medicaid	$29.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only billing entity: Total Medicaid revenue is $29.9M and there is no Medicare billing on file. The top three Medicaid codes account for 99.9% of the provider's Medicaid revenue, underlining that its financial footprint is overwhelmingly tied to state Medicaid payments.

Revenue is extremely concentrated in a single code: H2016 accounts for $29.7M, or 99.3% of this provider's total Medicaid revenue. That concentration indicates the provider’s margins and cash flow are highly dependent on continued reimbursement for H2016.

The provider’s taxonomy is Psychiatric Residential Treatment Facility and the code mix supports that operational profile—H2016 (Comprehensive community support services, per diem) dominates, while H2017 (Psychosocial rehabilitation services) and H0037 (Community psychiatric supportive treatment program, per diem) appear as much smaller secondary services. This pattern suggests delivery of per-diem community support and psychiatric rehabilitation rather than episodic procedure-based care.

H2016 shows large ongoing utilization: 116.5K claims billed at an average paid amount of $255 per claim. That claim volume implies a sustained operational scale and administrative workload tied to daily or per-diem service delivery rather than infrequent high-dollar procedures.

On statewide competitive standing for H2016, the provider ranks #15 of 176 providers in-state (92th percentile; typical, unremarkable volume for this code). In other words, it is among the higher-volume providers for H2016 in Iowa, though the data characterizes that volume level as typical rather than an extreme outlier.

For the provider’s secondary codes the statewide rankings indicate modest participation: H2017 ranks #12 of 16 (27th percentile; typical, unremarkable volume) and H0037 ranks #21 of 26 (16th percentile; typical, unremarkable volume). These placements suggest the provider is not a leading statewide provider for psychosocial rehabilitation or community psychiatric supportive treatment outside its dominant H2016 activity.

Smaller ancillary lines generate negligible revenue relative to the Medicaid total: T2021 produced $16.9K and H0038 produced $7.9K, representing only fractional shares of the $29.9M Medicaid revenue. The tiny contributions from these habilitation and peer/self-help codes reinforce that the provider’s service mix is narrow and concentrated on per-diem community support.

The provider has a long operational tenure on file: NPI enumerated 2006-11-07 (~20 years ago). That duration suggests established relationships with payers and experience operating under Medicaid reimbursement rules for its primary service lines.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	116,500	$260	$29.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	1,860	$80	$143.2K
H0037	Community psychiatric supportive treatment program, per diem	170	$280	$48.3K
T2021	Day habilitation, waiver; per 15 minutes	580	$30	$16.9K
H0038	Self‑help/peer services, per 15 minutes	110	$70	$7.9K

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

Vera French Restorative Care Facilities — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	15	180	10,790	$390	$15.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	12	20	3,280	$160	$960.3K
H0037	Community psychiatric supportive treatment program, per diem	21	30	1,050	$210	$800.8K
T2021	Day habilitation, waiver; per 15 minutes	83	100	2,780	$60	$386.9K
H0038	Self‑help/peer services, per 15 minutes	49	60	2,820	$10	$53.5K

Nearby Providers

Other providers in the same ZIP code as Vera French Restorative Care Facilities, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Iowa Community Services, Inc	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$87.2M
Handicapped Development Center	IA	Respite Care	$0	$59.8M
Center For Behavioral Health Iowa LLC	IA	Methadone Clinic	$69.5K	$3.1M
Familia Dental Davenport LLC	IA	General Practice Dentistry	$0	$2.7M
Amana Medical Care, Inc.	IA	Urgent Care Clinic/Center	$0	$2.4M
Companion Care Quad Cities Inc. Dba Home Helpers	IA	Home Health Agency	$0	$1.8M
Scott Hansen	IA	General Practice Dentistry	$0	$1.6M
Community Centered Counseling Services, LLC.	IA	Community/Behavioral Health Agency	$0	$1.6M
Mouhamed Al Sheikha	IA	Nephrology Physician	$527.9K	$3.9K
William Colantoni	IA	Dermatology Physician	$181.1K	$0

Vera French Restorative Care Facilities — Billing Profile & Reimbursement Data

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Vera French Restorative Care Facilities — 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