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    OpenPayerNPI Medicare & MedicaidDac Inc.
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    Dac Inc. — Billing Profile & Reimbursement Data

    NPI 1366598765 · Maquoketa, IA · Community/Behavioral Health Agency

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    Dac Inc. is a community/behavioral health agency provider located in Maquoketa, Iowa. This profile covers 0 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDac Inc.
    Address1710 E Maple St
    CityMaquoketa
    StateIA
    ZIP52060
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedJanuary 26, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$66.4M
    Medicare$0

    Key Findings

    DAC INC. has no Medicare billing on file and reports $66.4M in lifetime Medicaid revenue, making its commercial footprint effectively single-payer Medicaid rather than a mixed Medicare/Medicaid operator. This concentration on Medicaid should guide payer-focused analyses and comparative benchmarking.

    Revenue is extremely concentrated: the precomputed top three Medicaid codes (H2016, T2020, H2025) account for 99.8% of the provider’s total Medicaid revenue, with H2016 alone generating $64.3M (96.8%), T2020 $1.3M (2.0%), and H2025 $695.8K (1.0%). These three codes are the primary drivers of financial performance and should be prioritized in utilization and rate analyses.

    The code mix points to a community behavioral health and habilitation operating model: H2016 (Comprehensive community support services, per diem) dominates revenue and suggests intensive community-based mental health or support programming, while T2020 (Day habilitation, waiver; per diem) and H2025 (Ongoing support to maintain employment, per 15 minutes) indicate day habilitation and employment-support services for people with disabilities. This pattern aligns with a Community/Behavioral Health Agency taxonomy and implies day-rate and time-based service delivery models rather than acute or procedural care.

    H2016 performance positions DAC INC. as a high-volume in-state provider for that service: H2016 ranks #11 of 176 providers in Iowa (94th percentile; typical, unremarkable volume for this code). Although described as "typical, unremarkable volume," the sheer dollar concentration in H2016 makes the provider a consequential statewide participant for comprehensive community support services.

    The provider’s standing on other meaningful habilitation codes is modest: T2020 ranks #44 of 101 (57th percentile; typical, unremarkable volume) and H2025 ranks #44 of 65 (33th percentile; typical, unremarkable volume). These rankings indicate DAC INC. is a middle- to lower-tier participant statewide for day habilitation and employment-support minutes, respectively, and has not translated H2016 scale into equal strength across all habilitation lines.

    Per-claim economics differ by service line and reflect mixed reimbursement models: H2016 shows 127.3K claims at an average paid/claim of $505, T2020 shows 16.1K claims at $81 avg paid/claim, and H2025 shows 1.5K claims at $459 avg paid/claim. The high claim volume and per-diem payment for H2016 versus the lower unit value but substantial claim counts for T2020 indicate different margin and operational drivers that should be modeled separately.

    The extreme reliance on a single Medicaid service line creates sensitivity to policy or rate changes affecting H2016; because the top three codes make up 99.8% of Medicaid revenue and there is no Medicare revenue to diversify risk, any reimbursement or eligibility shifts for community support services could materially affect the provider’s financial picture. Analysts should prioritize scenario analysis around H2016 policy and utilization trends.

    DAC INC. has a long-tenured NPI (enumerated 2007-01-26, ~19 years ago), which suggests an established presence in its local market. That tenure, combined with a Medicaid-centric, community-support service mix, is consistent with a specialist community behavioral health agency rather than a newly entering or medically diversified organization.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2016Comprehensive community support services, per diem127,250$510$64.3M
    T2020Day habilitation, waiver; per diem16,070$80$1.3M
    H2025Ongoing support to maintain employment, per 15 minutes1,520$460$695.8K
    H2023Supported employment, per 15 minutes730$50$36.3K
    S5136Companion care, adult (e.g., iadl/adl); per diem10$2,480$32.2K
    T2018Habilitation, supported employment, waiver; per diem50$710$32K
    T2021Day habilitation, waiver; per 15 minutes500$40$17.3K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Iowa median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5136Companion care, adult (e.g., iadl/adl); per diem82809,410$490$17.9M
    H2016Comprehensive community support services, per diem1118010,790$390$15.2M
    T2020Day habilitation, waiver; per diem4410010,960$110$3M
    H2025Ongoing support to maintain employment, per 15 minutes44702,970$300$1.9M
    H2023Supported employment, per 15 minutes27304,810$60$542.5K
    T2021Day habilitation, waiver; per 15 minutes841002,780$60$386.9K
    T2018Habilitation, supported employment, waiver; per diem2530440$100$140.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dac, IncIACommunity/Behavioral Health Agency$0$189.8M
    Maquoketa Community School DistrictIALocal Education Agency (LEA)$0$2.8M
    Medical Associates Of Maquoketa, P.C.IAFamily Medicine Physician$0$2.2M
    Jackson County Public HospitalIACritical Access Hospital$0$1.7M
    Maquoketa Family ClinicIAFamily Medicine Physician$0$1.1M
    Roger WallerIAFamily Medicine Physician$140K$1.5K
    Walmart Inc.IACommunity/Retail Pharmacy$124.8K$400
    Kimberly ThompsonIAFamily Medicine Physician$110.5K$0
    Alyssa LakinIAFamily Medicine Physician$107.7K$0
    Eric PetersenIAFamily Medicine Physician$90.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Iowa Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Dac Inc. — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa