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    v1.0.28
    OpenPayerNPI Medicare & MedicaidApple Valley Assisted Living LLC.
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    Apple Valley Assisted Living LLC. — Billing Profile & Reimbursement Data

    NPI 1508085879 · Clear Lake, IA · Point of Service

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    Apple Valley Assisted Living LLC. is a point of service provider located in Clear Lake, Iowa. This profile covers 0 Medicare and 4 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
    OrganizationApple Valley Assisted Living LLC.
    Address405 27th Ave S
    CityClear Lake
    StateIA
    ZIP50428
    TaxonomyPoint of Service
    NPI EnumeratedApril 25, 2007

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

    Payer SourceTotal Paid
    Medicaid$1.6M
    Medicare$0

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2031Assisted living; waiver, per diem1,490$590$876.4K
    S5170Home delivered meals, including preparation; per meal2,760$180$508.4K
    S5125Attendant care services; per 15 minutes1,320$160$205.3K
    S5161Emergency response system; service fee, per month (excludes installation and testing)1,310$40$45.7K

    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

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5170Home delivered meals, including preparation; per meal19601,150$20$14M
    S5125Attendant care services; per 15 minutes41901,140$70$831.9K
    T2031Assisted living; waiver, per diem940740$630$565.6K
    S5161Emergency response system; service fee, per month (excludes installation and testing)1560310$40$39.7K

    Nearby Providers

    Other providers in the same ZIP code as Apple Valley Assisted Living LLC., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Handicap VillageIACommunity/Behavioral Health Agency$0$85.3M
    Handicap VillageIACommunity/Behavioral Health Agency$0$5.8M
    Hilary Reynolds Dds PCIAPediatric Dentistry$0$2.2M
    City Of Clear Lake City ClerkIALand Ambulance$201.8K$23.1K
    John BradyIAFamily Medicine Physician$128.8K$14.9K
    Christopher FischerIAPhysical Therapist$135.1K$0
    White Drug Enterprises IncIACommunity/Retail Pharmacy$132.5K$680
    Briley DowningIAPhysical Therapist$93.4K$0
    Nicholas MccolleyIAChiropractor$70.1K$2.9K

    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
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Apple Valley Assisted Living LLC. — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa