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.

Rem Iowa Community Services, Inc (NPI 1447312780)

Field	Value
Entity Type	Organization
Organization	Rem Iowa Community Services, Inc
Address	300 W Broadway Ste 107
City	Council Bluffs
State	IA
ZIP	51503
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	December 14, 2006

Payer Source	Total Paid
Medicaid	$54.3M
Medicare	$0

Key Findings

This entity reports no Medicare billing on file and $54.3M in lifetime Medicaid revenue, making its financial footprint effectively single‑payer Medicaid rather than a mixed Medicare/Medicaid operation. The absence of Medicare activity suggests the provider’s contractual and operational focus is directed at state Medicaid programs and services reimbursed on a per‑diem basis.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider’s total Medicaid revenue, with two codes specifically listed. H2016 represents 72.5% of Medicaid revenue ($39.4M) and S5136 represents 27.5% ($15M), indicating near‑total dependence on these service lines for Medicaid cash flow.

The provider’s taxonomy (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) aligns closely with its top codes: H2016 (Comprehensive community support services, per diem) and S5136 (Companion care, adult; per diem). Together these codes and the per‑diem billing basis imply the organization operates community‑based residential and in‑home support programs focused on IDD populations, with revenue driven by ongoing daily supports rather than episodic medical procedures.

Volume metrics show large utilization of these per‑diem services: H2016 accounts for 117.9K claims with an average paid per claim of $334, while S5136 accounts for 54K claims with an average paid per claim of $277. These high counts combined with per‑diem unit prices drive the sizable cumulative Medicaid revenue totals reported above.

Competitive standing for H2016 is relatively strong by rank but described as statistically typical: the provider ranks #14 of 176 in‑state (93th percentile) for H2016, yet the data flags this as a "typical, unremarkable volume" for the code. This suggests the provider is a meaningful participant in the state market for comprehensive community support services, without being an extreme outlier compared with peers.

For S5136 the provider ranks #15 of 82 in‑state (83th percentile) and that volume is also labeled "typical, unremarkable." This indicates a solid, above‑median presence in companion care within the state but again not an extreme statistical outlier among providers billing that code.

The NPI was enumerated on 2006-12-14 (~20 years ago), indicating long tenure in the Medicaid market. Combined with concentrated per‑diem Medicaid revenue and very large claim volumes, this longevity supports an interpretation of established, sustained operations focused on community‑based IDD services rather than a new or short‑term entrant in the state Medicaid ecosystem.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	117,880	$330	$39.4M
S5136	Companion care, adult (e.g., iadl/adl); per diem	54,040	$280	$15M

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

Rem Iowa Community Services, Inc — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	15	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	14	180	10,790	$390	$15.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trivium Life Services	IA	Developmentally Disabled Services Day Training Agency	$0	$149.2M
Vocational Development Center Inc	IA	Developmentally Disabled Services Day Training Agency	$0	$59M
Focus-family Options & Community Supports, Inc	IA	Developmentally Disabled Services Day Training Agency	$0	$41.2M
Council Bluffs Community School District	IA	Local Education Agency (LEA)	$0	$17.5M
Family Connections, Inc	IA	Case Management Agency	$0	$15.1M
Alegent Health Bergan Mercy Health System	IA	General Acute Care Hospital	$0	$13M
Jennie Edmundson Memorial Hospital	IA	General Acute Care Hospital	$0	$9.8M
Alegent Creighton Clinic	IA	Family Medicine Physician	$0	$9.6M
City Of Council Bluffs	IA	Ambulance	$425.7K	$6.2M
Alegent Creighton Health	IA	Psychiatry Physician	$0	$5.8M

Rem Iowa Community Services, Inc — Billing Profile & Reimbursement Data

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Rem Iowa Community 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