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.

New Hope Village, Inc (NPI 1285729418)

Field	Value
Entity Type	Organization
Organization	New Hope Village, Inc
Address	1211 E 18th St
City	Carroll
State	IA
ZIP	51401
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicaid	$50.2M
Medicare	$0

Key Findings

NEW HOPE VILLAGE, INC is effectively a single-payer provider: it has no Medicare billing on file and $50.2M in lifetime Medicaid revenue, indicating operations are almost entirely Medicaid-funded and focused on services covered under state Medicaid programs.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three codes account for 92.9% of the provider's total Medicaid revenue, signaling dependence on a narrow set of service lines for the bulk of its income.

The dominant revenue driver is S5136 (Companion care, adult; per diem), which generated $33.2M or 66.2% of the provider's Medicaid revenue across 36.9K claims at an average paid $900 per claim. This concentration implies the organization primarily operates as a residential/day support and companion-care provider where per-diem companion services are the core business.

H2016 (Comprehensive community support services, per diem) is the second-largest Medicaid contributor at $7.5M (14.9% of Medicaid revenue) from 946 claims with a relatively high average paid of $7882 per claim. The presence of high-dollar per-diem comprehensive community support suggests the provider delivers intensive, coordinated services in addition to routine companion care.

T2020 (Day habilitation, waiver; per diem) accounts for $6M (11.9% of Medicaid revenue) across 36.3K claims with a $164 average paid per claim, indicating substantial day habilitation volume consistent with programs supporting intellectual and developmental disabilities in community settings. The mix of per-diem companion care plus day habilitation aligns with the provider's taxonomy as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.

On in-state competitive standing for its top Medicaid codes, the provider is a typical/modest participant rather than a statewide dominant provider: it ranks #19 of 82 (78th percentile) for S5136, #147 of 176 (17th percentile) for H2016, and #20 of 101 (81th percentile) for T2020, which together indicate strong relative volume for companion care and day habilitation but only middling presence for comprehensive community support services.

Service-level detail shows diversification within the behavioral and habilitation space beyond the top three codes: smaller-revenue codes such as H2025, H2023, T2021, H2015 and T2003 together represent the remaining ~7.1% of Medicaid revenue, reflecting additional supported employment, per-15-minute habilitation, and transportation activities that complement the provider’s core per-diem programs.

The provider has a long tenure in the NPI registry, enumerated on 2006-10-04 (~20 years ago), which suggests established operations and sustained participation in Medicaid long enough to develop the concentrated clinical and billing patterns observed across companion care, community supports, and day habilitation.

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
S5136	Companion care, adult (e.g., iadl/adl); per diem	36,910	$900	$33.2M
H2016	Comprehensive community support services, per diem	950	$7,880	$7.5M
T2020	Day habilitation, waiver; per diem	36,310	$160	$6M
H2025	Ongoing support to maintain employment, per 15 minutes	4,210	$420	$1.8M
H2023	Supported employment, per 15 minutes	1,640	$600	$981.5K
T2021	Day habilitation, waiver; per 15 minutes	9,070	$80	$698.5K
H2015	Comprehensive community support services, per 15 minutes	260	$410	$103.5K
T2003	Non-emergency transportation; encounter/trip	390	$50	$18.3K

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

New Hope Village, Inc — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	19	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	147	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	20	100	10,960	$110	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	24	70	2,970	$300	$1.9M
H2015	Comprehensive community support services, per 15 minutes	88	100	4,130	$160	$1.9M
H2023	Supported employment, per 15 minutes	22	30	4,810	$60	$542.5K
T2003	Non-emergency transportation; encounter/trip	19	20	2,170	$40	$447.5K
T2021	Day habilitation, waiver; per 15 minutes	23	100	2,780	$60	$386.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carroll Co Council Prev Child Abuse	IA	Community/Behavioral Health Agency	$0	$51M
Ability United LLC	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$43.8M
Homecare Options, Inc.	IA	Contractor	$0	$9.1M
Caring Hearts Of West Central Iowa	IA	Community Health Worker	$0	$3.4M
Region Xii Council Of Governments, Inc.	IA	Non-emergency Medical Transport (VAN)	$0	$1.9M
St Anthony Regional Hospital And Nursing Home	IA	Critical Access Hospital	$0	$1.4M
Carroll Community School District	IA	Local Education Agency (LEA)	$0	$1.3M
Carroll County County Auditor	IA	Ambulance	$344K	$824.9K
St Anthony Regional Hospital And Nursing Home	IA	Family Medicine Physician	$0	$1.1M
Carroll Dental Clinic P.l.c.	IA	Dentist	$0	$1.1M

New Hope Village, 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