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 North Star, Inc. (NPI 1316012263)

Field	Value
Entity Type	Organization
Organization	Rem North Star, Inc.
Address	677 Anne St Nw
City	Bemidji
State	MN
ZIP	56601
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	November 22, 2006

Payer Source	Total Paid
Medicaid	$132.7M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator: there is no Medicare billing on file and all reported lifetime revenue is Medicaid-based, totaling $132.7M. The absence of Medicare activity indicates operations and billing are concentrated in state Medicaid programs rather than dual-payer lines of business.

Revenue is highly concentrated in a narrow set of codes: the top three Medicaid codes (S5140, T2016, H2014) together account for 97.5% of this provider's total Medicaid revenue. S5140 alone represents $90.4M (68.1% of Medicaid revenue) and T2016 contributes $36.2M (27.3%), showing most revenue derives from a small number of service types.

The code mix and payment units point to a bed-based, waiver-funded residential model with active habilitation and skills-training services. S5140 (Foster care, adult; per diem) and T2016 (Habilitation, residential, waiver; per diem) together dominate revenue and suggest long-term residential placements or group-home operations, while H2014 (Skills training and development, per 15 minutes) and H2032 (Activity therapy, per 15 minutes) indicate supplemental day habilitation and therapeutic programming.

Operational scale is demonstrated by claim volume as well as dollars: S5140 shows 281.6K claims at $321 avg paid/claim and T2016 shows 133.7K claims at $271 avg paid/claim, consistent with sustained, high-volume per-diem billing streams that support residential capacity. These high claim counts align with the per-diem nature of services and imply continuous occupancy/utilization rather than episodic outpatient encounters.

Competitive standing is mixed across codes: for its largest code S5140 the provider ranks #12 of 59 in-state (81th percentile) and is characterized as having a typical, unremarkable volume for that code despite S5140 being the dominant revenue source. For T2016 the provider ranks #15 of 34 (58th percentile) and is likewise described as typical, unremarkable volume; for H2014 it ranks #29 of 185 (85th percentile) and again is described as typical, unremarkable volume, indicating relatively stronger position in skills training compared with peers.

There are pockets of stronger relative presence in time-based therapy codes: H2032 (Activity therapy, per 15 minutes) generates $1.4M (1.1% of Medicaid revenue) and ranks #7 of 69 providers in-state (91th percentile), suggesting the provider is a regionally notable supplier of activity therapy even though it contributes a small share of total revenue. This pattern implies competitive differentiation in specific habilitation therapy offerings while core revenue remains residential.

The provider has long-tenure billing visibility, with an NPI enumeration date of 2006-11-22 (~20 years ago), indicating an established presence in the state Medicaid market and likely operational continuity in residential and waiver services over time. Longevity combined with high per-diem volumes suggests institutional experience with waiver billing and residential program management.

Financial and policy exposure is concentrated: reliance on per-diem Medicaid codes (S5140 and T2016) means revenue is sensitive to state Medicaid rate-setting and waiver policy changes. Given the lack of Medicare revenue and the 97.5% concentration in the top three Medicaid codes, the provider has limited payer diversification, which increases sensitivity to Medicaid reimbursement adjustments and enrollment shifts.

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	281,590	$320	$90.4M
T2016	Habilitation, residential, waiver; per diem	133,730	$270	$36.2M
H2014	Skills training and development, per 15 minutes	31,870	$90	$2.8M
H2032	Activity therapy, per 15 minutes	19,760	$70	$1.4M
S5125	Attendant care services; per 15 minutes	5,950	$90	$523.7K
T2017	Habilitation, residential, waiver; 15 minutes	7,250	$70	$507.5K
H2019	Therapeutic behavioral services, per 15 minutes	6,070	$80	$503.7K
T2034	Crisis intervention, waiver; per diem	5,840	$50	$280.2K

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 North Star, 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	12	60	33,770	$300	$37.6M
T2016	Habilitation, residential, waiver; per diem	15	30	84,870	$240	$23.9M
S5125	Attendant care services; per 15 minutes	19	30	7,060	$130	$5.2M
T2034	Crisis intervention, waiver; per diem	9	10	12,570	$80	$2.8M
H2014	Skills training and development, per 15 minutes	29	190	6,230	$120	$2.2M
H2019	Therapeutic behavioral services, per 15 minutes	24	50	5,850	$110	$1.2M
H2032	Activity therapy, per 15 minutes	7	70	3,950	$120	$1M
T2017	Habilitation, residential, waiver; 15 minutes	7	20	6,790	$100	$879.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Health Of Northern Minnesota	MN	Rural Acute Care Hospital	$0	$47.6M
White Earth Band Of Ojibwe	MN	Community/Behavioral Health Agency	$0	$32.6M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Sanford Health Of Northern Minnesota	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.1M
Mississippi Headwaters Area Dental Health Center, Inc.	MN	Public Health Dentistry	$0	$11.8M
Independent School District #31	MN	Local Education Agency (LEA)	$0	$8.8M
Gph Beltrami Inc	MN	Assisted Living Facility	$0	$8.1M
Bemidji Ambulance Service, Inc.	MN	Land Ambulance	$995.8K	$6.4M
Choice Therapy, P.A.	MN	Rehabilitation Clinic/Center	$0	$6.2M
Stellher Human Services, Inc.	MN	Community/Behavioral Health Agency	$0	$5.4M

Rem North Star, Inc. — Billing Profile & Reimbursement Data

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Rem North Star, 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