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.

Nishna Productions, Inc. (NPI 1265526248)

Field	Value
Entity Type	Organization
Organization	Nishna Productions, Inc.
Address	902 Day St
City	Shenandoah
State	IA
ZIP	51601
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicaid	$63.5M
Medicare	$0

Key Findings

NISHNA PRODUCTIONS, INC. presents as an effectively single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $63.5M in lifetime Medicaid revenue, indicating its operations and revenue are concentrated in state Medicaid programs rather than Medicare reimbursements. The organization is listed in SHENANDOAH, IA and categorized under the Community/Behavioral Health Agency taxonomy, which aligns with the service mix observed in claims.

The provider has long tenure in the Medicare/Medicaid registry, with an NPI enumerated on 2006-10-03 (~20 years ago). That duration suggests an established local presence and operational continuity in Iowa’s Medicaid ecosystem, which can support steady case volumes for community-based services.

Revenue concentration is very high: the precomputed top three Medicaid codes — S5136, H2016, and T2020 — together account for 94.2% of this provider’s total Medicaid revenue. Individually those codes supply $29.3M (S5136, 46.2%), $25.7M (H2016, 40.5%), and $4.8M (T2020, 7.5%) of Medicaid revenue, showing that most of the organization’s cash flow is driven by a very narrow set of per-diem and waiver services.

The code mix signals a service model focused on community-based supports and waiver habilitation: S5136 (Companion care, adult; per diem) and H2016 (Comprehensive community support services, per diem) together dominate revenue and have high avg paid/claim figures ($5585 and $3155, respectively), while T2020 (Day habilitation, waiver; per diem) contributes additional waiver-oriented day habilitation revenue at $443 avg paid/claim. This pattern is consistent with an agency delivering IADL/ADL companion services, comprehensive community supports, and day habilitation programs—services commonly used in behavioral health and intellectual/developmental disability waiver populations.

State-level competitive standing for the top Medicaid codes is modest rather than dominant. S5136 ranks #48 of 82 providers (42nd percentile; typical, unremarkable volume for this code), H2016 ranks #99 of 176 (44th percentile; typical, unremarkable volume for this code), and T2020 ranks #52 of 101 (49th percentile; typical, unremarkable volume for this code), indicating NISHNA is a routine statewide participant in these lines rather than a market leader.

Although top per-diem codes drive most revenue, several secondary codes contribute smaller but measurable shares: H2015 ($1.6M, 2.6%), H2025 ($963.5K, 1.5%), T2015 ($523K, 0.8%), T2021 ($328.1K, 0.5%), and H2023 ($251K, 0.4%). These supporting codes are consistent with ongoing community support, supported employment, and habilitation services, suggesting some breadth of program offerings beyond the top per-diem claims.

From a business risk and operations perspective, the provider’s heavy reliance on a small number of per-diem and waiver codes means changes to Medicaid per-diem rates, waiver program policies, or authorization practices could disproportionately affect revenue. Given that S5136 and H2016 alone comprise the majority of receipts and have relatively high avg paid/claim amounts, reimbursement or utilization shifts for those services would materially impact the organization’s financial profile.

There are no statistical outlier signals among the leading codes: all top codes are characterized in the source data as “typical, unremarkable volume,” and state ranking percentiles cluster near the middle. In other words, NISHNA’s activity level for its highest-revenue services is consistent with an average statewide provider rather than showing unusually high or low reported volumes.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	5,250	$5,590	$29.3M
H2016	Comprehensive community support services, per diem	8,150	$3,160	$25.7M
T2020	Day habilitation, waiver; per diem	10,750	$440	$4.8M
H2015	Comprehensive community support services, per 15 minutes	2,730	$600	$1.6M
H2025	Ongoing support to maintain employment, per 15 minutes	2,220	$430	$963.5K
T2015	Habilitation, prevocational, waiver; per hour	1,820	$290	$523K
T2021	Day habilitation, waiver; per 15 minutes	2,250	$150	$328.1K
H2023	Supported employment, per 15 minutes	2,060	$120	$251K
T2018	Habilitation, supported employment, waiver; per diem	30	$130	$3.4K

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

Nishna Productions, Inc. — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	48	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	99	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	52	100	10,960	$110	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	38	70	2,970	$300	$1.9M
H2015	Comprehensive community support services, per 15 minutes	59	100	4,130	$160	$1.9M
H2023	Supported employment, per 15 minutes	21	30	4,810	$60	$542.5K
T2015	Habilitation, prevocational, waiver; per hour	16	30	1,920	$70	$425.6K
T2021	Day habilitation, waiver; per 15 minutes	62	100	2,780	$60	$386.9K
T2018	Habilitation, supported employment, waiver; per diem	28	30	440	$100	$140.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shenandoah Medical Center	IA	Rural Health Clinic/Center	$0	$9.4M
Midwest Mental Health LLC	IA	Mental Health Counselor	$0	$4.8M
Shenandoah Medical Center	IA	Critical Access Hospital	$0	$2.4M
Shenandoah Ambulance Service	IA	Land Ambulance	$230.3K	$147.6K
Michael Morrison	IA	Orthopaedic Surgery Physician	$47.5K	$0
Michael Woods	IA	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$6.6K	$0

Nishna Productions, Inc. — Billing Profile & Reimbursement Data

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Nishna Productions, 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