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 North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Community Living Services, Inc (NPI 1326657602)

Field	Value
Entity Type	Organization
Organization	Community Living Services, Inc
Address	1001 28th St S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 23, 2020

Payer Source	Total Paid
Medicaid	$104.6M
Medicare	$0

Key Findings

COMMUNITY LIVING SERVICES, INC is effectively a single-payer Medicaid operator: it reports no Medicare revenue on file and $104.6M in lifetime Medicaid revenue, indicating operations are concentrated in Medicaid-funded community and behavioral health habilitation services rather than Medicare-covered care. The absence of Medicare billing suggests the organization focuses on populations and service lines reimbursed through state Medicaid waivers and attendant care programs.

Revenue concentration is high: the precomputed top three Medicaid codes account for 62.4% of the provider's Medicaid revenue, meaning a large share of the $104.6M lifetime Medicaid receipts is driven by a small set of service types. This concentration implies business sensitivity to reimbursement or policy changes affecting those specific codes.

The largest single code is T2016 (Habilitation, residential, waiver; per diem) with $29.7M (28.4% of Medicaid revenue) and 100K claims; COMMUNITY LIVING SERVICES ranks #3 of 29 providers in-state (93th percentile). This positioning indicates the provider is a major residential habilitation provider in North Dakota, with materially higher-than-typical state volume for this service line.

W0725 is an outsized driver of revenue at $25.3M (24.2% of Medicaid revenue) across 52.9K claims and the provider ranks #1 in-state (100th percentile), described as an extreme outlier. Such dominance on W0725 makes this code a strategic anchor of the business and a potential single-point exposure if state policy or utilization patterns for that code shift.

W0300 is another leading revenue source at $10.3M (9.9% of Medicaid revenue) with 32.6K claims and a #1 statewide rank (100th percentile), further underscoring the providers role as a top volume deliverer of these waiver-related services. The provider also holds top or near-top positions on several additional codes (T2017, W0720, W0260, W0710, W0705, W0730, W0210) where listings note it is #1 of state peers or described as notably above typical state volume, indicating a broad pattern of high Medicaid volume across multiple waiver and attendant-care service codes.

The service mix—dominated by codes with descriptions like T2016 (residential habilitation), T2021 (day habilitation, waiver), S5125 (attendant care services), and T2019 (supported employment)—points to an operational focus on long-term habilitation, day programs, and attendant support for individuals with developmental or behavioral health needs. This suggests the organization operates residential and day habilitation programs plus attendant care rather than acute medical or Medicare-typical services.

Tenure is established but recent relative to older incumbents: the NPI was enumerated on 2020-07-23 (~6 years ago). That timeframe aligns with the sizable Medicaid billing footprint achieved quickly, indicating rapid scale-up in waiver and attendant-care services within the state Medicaid market.

Competitive standing across the state is strong: multiple codes where COMMUNITY LIVING SERVICES ranks #1 or in the 90+ percentiles show it is a dominant provider for several Medicaid service lines in North Dakota. Where ranks are lower (for example, T2021 at the 76th percentile), its volumes are typical or unremarkable, indicating pockets of standard participation alongside areas of concentrated leadership.

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	99,990	$300	$29.7M
W0725	N/A	52,890	$480	$25.3M
W0300	N/A	32,560	$320	$10.3M
W0715	N/A	25,600	$340	$8.8M
T2021	Day habilitation, waiver; per 15 minutes	50,210	$150	$7.4M
S5125	Attendant care services; per 15 minutes	34,890	$180	$6.4M
T2017	Habilitation, residential, waiver; 15 minutes	44,630	$120	$5.3M
W0720	N/A	26,500	$150	$4.1M
W0260	N/A	480	$5,020	$2.4M
T2019	Habilitation, supported employment, waiver; per 15 minutes	32,550	$60	$2M

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Dakota Distribution

Community Living Services, Inc — 10 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	3	30	21,220	$400	$14.1M
W0725	N/A	1	30	1,380	$2,520	$9.9M
T2021	Day habilitation, waiver; per 15 minutes	7	30	32,410	$170	$6.6M
W0300	N/A	1	10	2,370	$630	$4M
W0715	N/A	2	30	6,250	$450	$3.8M
S5125	Attendant care services; per 15 minutes	2	20	10,750	$180	$2.7M
T2019	Habilitation, supported employment, waiver; per 15 minutes	2	20	11,310	$80	$1.2M
W0260	N/A	1	20	150	$4,920	$1M
T2017	Habilitation, residential, waiver; 15 minutes	1	10	4,870	$100	$1M
W0720	N/A	1	10	2,730	$190	$847.3K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Community Living Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Villa Nazareth	ND	Community/Behavioral Health Agency	$0	$84.2M
Psj Acquisition LLC	ND	Psychiatric Hospital	$0	$32.3M
Vocational Training Center, Inc.	ND	Community/Behavioral Health Agency	$0	$28.5M
Fm Ambulance Service, Inc	ND	Land Ambulance	$2M	$23.8M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
Fraser, Ltd.	ND	Community/Behavioral Health Agency	$0	$13.9M
Community Medical Services Montana Private LLC	ND	Methadone Clinic	$214.7K	$8.9M
Southeast Behavioral Health Clinic	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.8M
Village Family Service Center	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M
Doyle's Yellow Checker Cab, Inc	ND	Taxi	$0	$7.8M

Community Living Services, Inc — Billing Profile & Reimbursement Data

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Community Living Services, 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