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.

American Baptist Homes Of The Midwest (NPI 1326190331)

Field	Value
Entity Type	Organization
Organization	American Baptist Homes Of The Midwest
Address	3015 Merle Hay Rd
City	Des Moines
State	IA
ZIP	50310
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	January 18, 2007

Payer Source	Total Paid
Medicaid	$41.9M
Medicare	$0

Key Findings

AMERICAN BAPTIST HOMES OF THE MIDWEST is effectively a Medicaid-centered provider: it has no Medicare billing on file and reports $41.9M in lifetime Medicaid revenue, indicating the organization operates as a single-payer (Medicaid) entity in practice rather than a dual-payer provider. This Medicaid concentration frames both its revenue base and the services it delivers to beneficiaries in DES MOINES, IA under an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility taxonomy.

The provider’s billed services are dominated by community support and companion-care codes, consistent with a residential/community-based support model. The top Medicaid codes are H2016 (Comprehensive community support services, per diem), H2015 (Comprehensive community support services, per 15 minutes), and S5136 (Companion care, adult; per diem), which together account for 100.0% of this provider’s Medicaid revenue, signaling an operational focus on hands-on support and day-to-day assistance rather than episodic medical procedures.

Revenue concentration is very high: the top three Medicaid codes account for 100.0% of the provider’s Medicaid revenue. Those codes break down as H2016: 27.8K claims, $802 avg paid/claim, $22.3M revenue (53.2%); S5136: 16K claims, $848 avg paid/claim, $13.5M revenue (32.3%); and H2015: 20.4K claims, $297 avg paid/claim, $6.1M revenue (14.5%). This concentration indicates the provider’s financial performance is tightly linked to reimbursement levels and utilization patterns for a narrow set of service categories.

Competitive standing for H2016 is modest statewide: H2016 ranks #53 of 176 providers in-state and sits at the 70th percentile, and is characterized in the data as a "typical, unremarkable volume for this code." That positioning suggests the provider is neither a statewide leader nor a minimal participant for per-diem comprehensive community support services, but holds a stable, mid-range market share.

For S5136 (Companion care, adult; per diem), the provider reports 16K claims and $13.5M in revenue, ranking #33 of 82 providers in-state at the 60th percentile and again labeled as "typical, unremarkable volume for this code." This indicates a moderate presence among in-state companion care suppliers rather than dominance in that service line.

H2015 (Comprehensive community support services, per 15 minutes) shows a relatively higher rank at #17 of 95 providers in-state and is listed at the 83th percentile, but is likewise described as "typical, unremarkable volume for this code." In practical terms this means the provider has stronger relative placement on unitized (per-15-minute) community support services than on some per-diem codes, yet still falls within customary utilization patterns statewide.

The provider’s NPI has been enumerated since 2007-01-18 (~19 years ago), indicating long tenure in the market. That longevity, combined with concentrated Medicaid revenue and a focused set of service codes, suggests an established operational footprint in community-based residential supports for individuals with intellectual and/or developmental disabilities.

Because the organization bills exclusively to Medicaid and derives 100.0% of its Medicaid revenue from three codes, its financial and operational profile is closely tied to Medicaid policy, reimbursement rates, and utilization for community support and companion-care services. Analysts should treat shifts in those code-level rates or utilization patterns as having outsized impact on this provider’s revenue and competitive position in-state.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	27,820	$800	$22.3M
S5136	Companion care, adult (e.g., iadl/adl); per diem	15,960	$850	$13.5M
H2015	Comprehensive community support services, per 15 minutes	20,410	$300	$6.1M

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

American Baptist Homes Of The Midwest — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	33	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	53	180	10,790	$390	$15.2M
H2015	Comprehensive community support services, per 15 minutes	17	100	4,130	$160	$1.9M

Nearby Providers

Other providers in the same ZIP code as American Baptist Homes Of The Midwest, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Precision Ventures, LLC	IA	In Home Supportive Care Agency	$0	$9M
Innovative Counseling & Consulting, Inc.	IA	Mental Health Counselor	$0	$7.5M
H.o.p.e. (honoring Opportunities For Personal Empowerment)	IA	Developmentally Disabled Services Day Training Agency	$0	$4.3M
Westminster House, Inc.	IA	Community/Behavioral Health Agency	$0	$1.7M
Iowa Dental Clinic, PC	IA	Dentist	$0	$1.4M
New Sight, Inc.	IA	Clinical Social Worker	$0	$1.4M
Synergy Clinical Services Of Central Iowa LLC	IA	Social Worker	$0	$1.3M
Affinity Therapy And Counseling Services	IA	Mental Health Counselor	$0	$1.2M
Choices Therapy Services, LLC	IA	Mental Health Counselor	$0	$970.6K
Des Moines Pediatric & Adolescent Clinic	IA	Pediatrics Physician	$0	$850.3K

American Baptist Homes Of The Midwest — 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