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.

Prairie Community Services (NPI 1336219195)

Field	Value
Entity Type	Organization
Organization	Prairie Community Services
Address	801 Nevada Ave
City	Morris
State	MN
ZIP	56267
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	November 9, 2006

Payer Source	Total Paid
Medicaid	$131.2M
Medicare	$0

Key Findings

PRAIRIE COMMUNITY SERVICES (MORRIS, MN) is effectively a Medicaid-centric provider with total Medicaid revenue of $131.2M and no Medicare billing on file; the dataset shows “none” for Medicare, indicating the organization operates as a single-payer (Medicaid) billing entity rather than a mixed Medicare/Medicaid provider. This concentration on one payer will make the provider’s financial performance highly sensitive to state Medicaid policy, reimbursement changes, and enrollment trends.

The provider has long tenure in the market with an NPI enumerated on 2006-11-09 (~20 years ago), which suggests an established operation and institutional experience in delivering intellectual and developmental disabilities community-based residential services. That duration supports claims volume stability but does not mitigate the revenue concentration identified elsewhere.

Revenue is extremely concentrated in a very small set of per-diem residential codes: the top three Medicaid codes account for 99.4% of this provider’s total Medicaid revenue. Those three are S5140 ($96M, 73.1%), T2016 ($33.9M, 25.8%), and S5125 ($601.1K, 0.5%); reliance on these per-diem and attendant care lines drives almost the entire fiscal profile reported.

The code mix (S5140 – Foster care, adult; per diem, and T2016 – Habilitation, residential, waiver; per diem) indicates the provider’s core business is adult foster/residential and waiver habilitation services for individuals with intellectual/developmental disabilities, with most revenue coming from daily room-and-board/habilitation payments rather than high-volume minute-based therapy services. Smaller revenue lines such as S5125 (attendant care per 15 minutes), H2014 (skills training per 15 minutes), and H2032 (activity therapy per 15 minutes) together represent a marginal share of revenue and point to limited ancillary minute-based service billing.

PRAIRIE COMMUNITY SERVICES is a major in-state player for S5140: it ranks #5 of 59 providers in-state (93th percentile) and is described as notably above typical state volume for this code, making S5140 the single dominant revenue driver and a point of competitive strength within Minnesota’s foster-care/adult residential market. That standing suggests local scale in residential foster-care capacity or higher-than-typical census for adult foster placements.

By contrast, the provider’s standing on T2016 and minute-based services is more modest. T2016 ranks #14 of 34 providers in-state (61th percentile) and is characterized as typical/unremarkable for the state; S5125 ranks #20 of 27 (27th percentile) and is likewise not prominent. H2014 (#110 of 185, 41th percentile) and H2032 (#42 of 69, 40th percentile) are also ordinary in-state volumes, indicating PRAIRIE is not broadly dominant across habilitation and therapy codes even though it is dominant in the S5140 foster-care per-diem line.

The payer-mix and code-concentration profile imply operational sensitivities: because $131.2M of revenue is concentrated into per-diem residential codes (73.1% from S5140 and 25.8% from T2016), occupancy/census and state per-diem rate changes are likely the primary drivers of revenue volatility. The very small contribution from minute-based codes (e.g., S5125 at $601.1K and H2014 at $574.9K) means reductions in ancillary service authorization or utilization would have limited immediate revenue impact compared with shifts in the per-diem lines.

For analysts evaluating competitive risk and policy exposure, the two most salient facts are (1) no Medicare footprint (no Medicare billing on file) so Medicaid policy is the dominant external lever, and (2) the provider’s revenue is highly concentrated in S5140 and T2016 (together comprising the vast majority of revenue), making PRAIRIE COMMUNITY SERVICES a specialized residential habilitation/foster-care operator with strong in-state presence on S5140 but otherwise modest participation across other Medicaid service lines.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	385,350	$250	$96M
T2016	Habilitation, residential, waiver; per diem	141,080	$240	$33.9M
S5125	Attendant care services; per 15 minutes	5,840	$100	$601.1K
H2014	Skills training and development, per 15 minutes	4,670	$120	$574.9K
H2032	Activity therapy, per 15 minutes	2,690	$90	$234K

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

Prairie Community Services — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	5	60	33,770	$300	$37.6M
T2016	Habilitation, residential, waiver; per diem	14	30	84,870	$240	$23.9M
S5125	Attendant care services; per 15 minutes	20	30	7,060	$130	$5.2M
H2014	Skills training and development, per 15 minutes	110	190	6,230	$120	$2.2M
H2032	Activity therapy, per 15 minutes	42	70	3,950	$120	$1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rwf Enterprises Inc	MN	Ambulance	$299.2K	$433.2K
Lisa Williams	MN	Family Nurse Practitioner	$22.7K	$0
Kellianne Knapp	MN	Family Nurse Practitioner	$17.4K	$0
Brian Brennan	MN	Allergy & Immunology Physician	$7.2K	$0

Prairie Community Services — Billing Profile & Reimbursement Data

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Prairie Community Services — 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