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.

Full Circle Services (NPI 1447333455)

Field	Value
Entity Type	Organization
Organization	Full Circle Services
Address	2349 Jamestown Ave Ste 1
City	Independence
State	IA
ZIP	50644
Taxonomy	Case Management Agency
NPI Enumerated	October 23, 2006

Payer Source	Total Paid
Medicaid	$49M
Medicare	$0

Key Findings

FULL CIRCLE SERVICES is effectively a single-payer Medicaid provider: there is no Medicare billing on file and all reported lifetime revenue is Medicaid-based at $49M. The provider’s NPI was enumerated on 2006-10-23 (~20 years ago), indicating long tenure in the state market which supports sustained Medicaid relationships and program continuity.

Revenue is highly concentrated in a small set of per-diem and habilitation codes: the precomputed top three Medicaid codes (S5136, H2016, T2020) account for 92.7% of the provider’s Medicaid revenue. In particular, S5136 (Companion care, per diem) alone generates $32.8M (66.9% of Medicaid revenue), making this a dominant revenue stream for the entity.

The provider’s operational model appears focused on home- and community-based supportive services and day habilitation rather than medical office care: S5136 (91.5K claims, $358 avg paid/claim), T2020 (73.2K claims, $86 avg paid/claim), and H2016 (42.7K claims, $149 avg paid/claim) together reflect per-diem and waiver-based custodial and habilitation services supporting clients with ongoing ADL/IADL and developmental-service needs. High claim counts for per-diem/day habilitation codes imply a high-volume, census-driven service model rather than episodic medical encounters.

Dependency risk is concentrated in companion care: S5136’s $32.8M (66.9%) share means changes in authorization, unit rates, or utilization for that single code would materially affect overall revenue. While the top-3 share is 92.7%, other listed codes (for example H2015 at $3.3M) are smaller contributors, so diversification within Medicaid is limited and financial exposure is concentrated in a few service lines.

Competitive standing within Iowa is mixed but leans toward being a higher-volume provider for key waiver services: S5136 ranks #13 of 82 providers in-state (85th percentile) and T2020 ranks #12 of 101 (89th percentile), both described as typical, unremarkable volume for those codes but nevertheless indicating above-average scale. H2016 is mid-ranked at #42 of 176 (77th percentile, typical), so the provider is not a statewide monopoly but is among the more active suppliers for day habilitation and companion care.

The provider reports negligible traditional medical outpatient billing relative to its Medicaid services: 99214 and 99213 together contribute only $19.3K and $693 respectively, confirming the organization is not operating largely as a medical clinic and that clinical E/Ms are ancillary to its core Medicaid service mix. This supports the interpretation that business operations and staffing are oriented toward long-term support and habilitation rather than routine primary care.

Several listed codes are described in the source as “typical, unremarkable volume,” which should temper interpretations of market dominance despite relatively high percentiles; the percentile ranks (77th–89th) indicate the provider is consistently above median activity for key codes but not an extreme outlier. Analysts should treat rankings as evidence of regional scale without assuming exceptional market power.

Operational implications for payers: because the provider’s revenue model is driven by per-diem companion care and day habilitation (high claim volumes and per-diem payments), utilization management, authorization controls, and rate-setting for S5136, T2020, and H2016 will disproportionately influence spend. Given the provider’s long tenure (NPI 2006-10-23) and concentrated revenue base ($49M Medicaid, top-3 codes 92.7%), payers evaluating network value or rate negotiations should prioritize those three codes and monitor utilization trends in companion care closely.

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
S5136	Companion care, adult (e.g., iadl/adl); per diem	91,540	$360	$32.8M
H2016	Comprehensive community support services, per diem	42,730	$150	$6.4M
T2020	Day habilitation, waiver; per diem	73,170	$90	$6.3M
H2015	Comprehensive community support services, per 15 minutes	30,490	$110	$3.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	3,750	$50	$202.7K
T2021	Day habilitation, waiver; per 15 minutes	3,640	$30	$102K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	970	$20	$19.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	20	$30	$690

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

Full Circle Services — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	13	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	42	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	12	100	10,960	$110	$3M
H2015	Comprehensive community support services, per 15 minutes	11	100	4,130	$160	$1.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	17	40	2,200	$240	$1.6M
T2021	Day habilitation, waiver; per 15 minutes	43	100	2,780	$60	$386.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	423	1,060	480	$40	$154.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,207	1,310	760	$20	$153.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
B & D Services, Inc.	IA	Developmentally Disabled Services Day Training Agency	$0	$11.1M
People's Memorial Hospital	IA	Rural Health Clinic/Center	$0	$3.8M

Full Circle Services — Billing Profile & Reimbursement Data

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Full Circle 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