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.

Hammer Residences, Inc. (NPI 1356427397)

Field	Value
Entity Type	Organization
Organization	Hammer Residences, Inc.
Address	1909 Wayzata Blvd
City	Wayzata
State	MN
ZIP	55391
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicaid	$147.7M
Medicare	$0

Key Findings

HAMMER RESIDENCES, INC. operates as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, with its revenue profile concentrated in per-diem residential and waiver services: S5140 (Foster care, adult; per diem) $52.5M, T2016 (Habilitation, residential, waiver; per diem) $52.1M, and T2034 (Crisis intervention, waiver; per diem) $19.9M. The prominence of these per-diem codes indicates the organization’s business model is driven by residential placement and waiver-funded habilitation and crisis supports rather than short episodic clinical visits.

This provider is effectively single-payer at scale: there is no Medicare billing on file and Medicaid lifetime revenue totals $147.7M, so Medicaid is the primary (in practice, only) revenue source. The top three Medicaid codes account for 84.3% of this provider's total Medicaid revenue, underscoring heavy dependence on a narrow set of residential and waiver services.

T2016 is a clear statewide outlier for habilitation residential waiver services: it generated $52.1M, ranks #1 of 34 providers in-state (100th percentile), and is labeled "notably above typical state volume," signaling HAMMER RESIDENCES is a dominant provider for this specific waiver per-diem service. T2034 similarly shows outsized activity for crisis intervention with $19.9M in revenue and a #2 of 13 rank in-state (92th percentile), indicating a strong competitive position in crisis-response services within the waiver system.

Despite being one of the top revenue drivers, S5140 ($52.5M, 35.6% of this provider's total Medicaid revenue) ranks #17 of 59 providers in-state (72th percentile) and is described as "typical, unremarkable volume for this code." This suggests HAMMER RESIDENCES’ foster-care per-diem billing is a major revenue line but not uniquely dominant among in-state peers for that specific service.

Ancillary supportive services complement the residential focus: T1016 (Case management, each 15 minutes) produced $13.8M (211.6K claims) and ranks #11 of 236 providers in-state (96th percentile), described as "typical, unremarkable volume," while T1020 (Personal care services, per diem) generated $7M and ranks #2 of 15 providers in-state (93th percentile) as "notably above typical state volume." These patterns indicate the provider pairs per-diem residential habilitation and crisis services with substantial case management and personal care activity to support residents.

The provider’s tenure is long-standing: the NPI was enumerated (registered) 2006-10-31 (~20 years ago), consistent with an established operator in the state waiver and residential market. Combined longevity and the $147.7M Medicaid lifetime revenue point to a sizeable, experienced participant in Minnesota’s developmental-disability residential system.

Concentration risk is material because per-diem and waiver codes drive most revenue: the top three codes (S5140, T2016, T2034) together account for 84.3% of Medicaid revenue, and all three are per-diem or waiver-based services. Operationally, this means revenue is sensitive to changes in occupancy, waiver authorizations, or state rate/policy adjustments for those specific codes, so payers and analysts should monitor utilization and authorization trends for these per-diem services.

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	191,040	$280	$52.5M
T2016	Habilitation, residential, waiver; per diem	255,290	$200	$52.1M
T2034	Crisis intervention, waiver; per diem	93,730	$210	$19.9M
T1016	Case management, each 15 minutes	211,600	$70	$13.8M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	52,810	$130	$7M
H2014	Skills training and development, per 15 minutes	39,840	$30	$1.2M
S5125	Attendant care services; per 15 minutes	6,080	$150	$899.5K
T2003	Non-emergency transportation; encounter/trip	9,530	$50	$438.2K

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

Hammer Residences, Inc. — 2 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	17	60	33,770	$300	$37.6M
T2016	Habilitation, residential, waiver; per diem	1	30	84,870	$240	$23.9M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	2	20	11,690	$380	$6.8M
S5125	Attendant care services; per 15 minutes	18	30	7,060	$130	$5.2M
T2034	Crisis intervention, waiver; per diem	2	10	12,570	$80	$2.8M
H2014	Skills training and development, per 15 minutes	20	190	6,230	$120	$2.2M
T1016	Case management, each 15 minutes	11	240	1,870	$50	$1.9M
T2003	Non-emergency transportation; encounter/trip	107	240	7,020	$30	$803.5K

Nearby Providers

Other providers in the same ZIP code as Hammer Residences, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Global Home Care Inc	MN	Home Health Agency	$0	$4.7M
Phillip Ecker	MN	Dermatology Physician	$446.2K	$0
John Berestka	MN	Ophthalmology Physician	$148.1K	$0
William Anderson	MN	Internal Medicine Physician	$126.8K	$0
Christopher Kruthoff	MN	Optometrist	$93.9K	$0
Nicholas Schmitt	MN	Ophthalmic Plastic and Reconstructive Surgery Physician	$84.8K	$0
David Ross	MN	Family Medicine Physician	$46.1K	$0
Lucy Esberg	MN	Interventional Cardiology Physician	$44K	$0

Hammer Residences, Inc. — Billing Profile & Reimbursement Data

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Hammer Residences, 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