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    OpenPayerNPI Medicare & MedicaidWoodward Resource Center
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    Woodward Resource Center — Billing Profile & Reimbursement Data

    NPI 1487786281 · Woodward, IA · Child Intellectual and/or Developmental Disabilities Respite Care

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    Woodward Resource Center is a child intellectual and/or developmental disabilities respite care provider located in Woodward, Iowa. This profile covers 0 Medicare and 2 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
    OrganizationWoodward Resource Center
    Address1251 334th St
    CityWoodward
    StateIA
    ZIP50276
    TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
    NPI EnumeratedMarch 9, 2007

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

    Payer SourceTotal Paid
    Medicaid$36.6M
    Medicare$0

    Key Findings

    WOODWARD RESOURCE CENTER is effectively a Medicaid-focused provider with no Medicare billing on file; its entire reported lifetime revenue comes from Medicaid ($36.6M), making it a single-payer operation in the available claims data rather than a mixed Medicare/Medicaid provider. This concentration means analyses of utilization and revenue risk should be framed around Medicaid policy and payer behavior.

    The provider’s Medicaid revenue is highly concentrated in two service lines: S5136 (Companion care, adult; per diem) and H2016 (Comprehensive community support services, per diem), which together account for 100.0% of the provider’s total Medicaid revenue according to precomputed shares. This indicates the organization’s operations are specialized around companion/adl support and comprehensive community support rather than a broad mix of Medicaid services.

    S5136 generated $18.5M (50.6% of the provider’s Medicaid revenue) from 2.2K claims with an average paid per claim of $8438; this code’s statewide rank is #65 of 82 providers (21st percentile), which suggests WOODWARD RESOURCE CENTER has typical, unremarkable volume for companion/adl services relative to in-state peers rather than being a top regional provider. The revenue-per-claim level paired with mid-chart rank implies the provider may serve fewer high-paid days or higher-intensity units rather than very large claim counts.

    H2016 produced $18.1M (49.4% of the provider’s Medicaid revenue) across 3.2K claims with an average paid per claim of $5692; the provider ranks #123 of 176 in-state (30th percentile) for this code, indicating it is a modest participant in comprehensive community support services compared with other state providers. The presence of two similarly sized revenue streams suggests a dual-service operational model focused on daily per-diem community and companion care.

    From a competitive-standing perspective within Iowa, WOODWARD RESOURCE CENTER is not a dominant provider for either of its top Medicaid codes: it sits in the lower third to lower-middle tier by rank for both S5136 (21st percentile) and H2016 (30th percentile). That positioning implies limited market share and indicates peers exist with substantially higher volumes for both companion care and comprehensive community support services.

    The provider’s National Provider Identifier was enumerated on 2007-03-09 (~19 years ago), indicating substantial tenure in the market; this longevity coupled with a focused set of per-diem services suggests an established operational niche serving children with intellectual and developmental disabilities respite care. Longevity may support stable payer relationships and sustained Medicaid contracting for the reported service lines.

    Given that the top two codes together comprise 100.0% of Medicaid revenue and that only per-diem, community/companion care codes appear, the provider’s revenue risk is concentrated in per-diem reimbursement policies and utilization of these specific service categories. Any state policy changes or rate adjustments to S5136 or H2016 could materially affect the provider’s overall revenue given this concentration.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5136Companion care, adult (e.g., iadl/adl); per diem2,190$8,440$18.5M
    H2016Comprehensive community support services, per diem3,180$5,690$18.1M

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5136Companion care, adult (e.g., iadl/adl); per diem65809,410$490$17.9M
    H2016Comprehensive community support services, per diem12318010,790$390$15.2M

    Nearby Providers

    Other providers in the same ZIP code as Woodward Resource Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Woodward Youth CorporationIAEmotionally Disturbed Childrens' Residential Treatment Facility$0$16.8M
    Woodward Youth CorporationIAEmotionally Disturbed Childrens' Residential Treatment Facility$0$1.9M

    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
    Woodward Resource Center — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa