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.

Life Connection, L.c. (NPI 1538300892)

Field	Value
Entity Type	Organization
Organization	Life Connection, L.c.
Address	1535 1st Ave Se
City	Cedar Rapids
State	IA
ZIP	52402
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	March 17, 2009
NPI Deactivated	March 28, 2022

Payer Source	Total Paid
Medicaid	$26.3M
Medicare	$0

Key Findings

LIFE CONNECTION, L.C. is an Early Intervention Provider Agency based in CEDAR RAPIDS, IA that has been NPI-enumerated since 2009-03-17 (~17 years). The provider's taxonomy and long tenure align with a sustained focus on behavioral health and early intervention services in the state Medicaid market.

This entity is effectively single-payer in the available data: there is no Medicare billing on file while lifetime Medicaid revenue totals $26.3M. All utilization and competitive observations below therefore reflect a Medicaid-centric business footprint.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top-3 Medicaid codes account for 75.7% of the provider's total Medicaid revenue. H2019 alone represents $12.8M (48.5% of Medicaid revenue), making it the single largest revenue driver for this provider.

The mix of top codes (H2019, 90834, 97153, plus substantial 90837 and H2021 activity) indicates the operation is primarily delivering high-volume therapeutic behavioral services, psychotherapy (both mid- and long-session codes), and technician-delivered adaptive behavior treatment consistent with an early intervention/ABA-oriented service model. These code descriptions align closely with the provider’s declared Early Intervention Provider Agency taxonomy.

On statewide competitive standing, the provider is an outlier for several high-volume codes: H2019 ranks #3 of 92 providers in-state (98th percentile; "extreme outlier") and 90834 ranks #10 of 675 (99th percentile; "extreme outlier"). Those ranks indicate the provider operates at a materially larger scale than typical state peers for core therapy services.

The provider also shows leadership in related community and intensive services: H2021 (community-based wrap-around services) ranks #1 of 12 providers in-state (100th percentile; "notably above typical state volume"), and 90837 (long psychotherapy) ranks #6 of 610 (99th percentile; "extreme outlier"). These positions suggest depth across multiple intensive outpatient and community-based interventions.

Although a small number of codes dominate revenue, the provider also bills a mix of adjunct services that contribute modestly to the Medicaid total—90791 $972.3K (3.7%), G9012 $882.1K (3.3%), and 97155 $171.7K (0.7%). These secondary lines (case management, initial psychiatric evaluation, and clinician-delivered adaptive behavior adjustments) support a comprehensive behavioral health service package beyond technician-delivered units.

The concentration of revenue in a few high-volume behavioral health codes (top-3 = 75.7% of Medicaid revenue) creates potential operational sensitivity: changes in utilization, coverage policy, or reimbursement for H2019, 90834, or 97153 could disproportionately affect overall revenue. Analysts should treat the provider as a Medicaid-focused behavioral-health specialist with concentrated exposure to a narrow set of high-use state-coded services.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	103,770	$120	$12.8M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	62,410	$70	$4.4M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	18,280	$150	$2.8M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	22,680	$80	$1.7M
H2021	Community-based wrap-around services, per 15 minutes	18,400	$90	$1.6M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	9,820	$100	$972.3K
G9012	Other specified case management service not elsewhere classified	4,080	$220	$882.1K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	13,720	$50	$631.2K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	2,990	$70	$209.4K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	1,170	$150	$171.7K

Showing 1–10 of 20

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

Life Connection, L.c. — 6 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	12	10	48,800	$60	$4.6M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	3	10	4,450	$130	$2.1M
H2019	Therapeutic behavioral services, per 15 minutes	3	90	5,380	$100	$1.5M
G9012	Other specified case management service not elsewhere classified	3	10	1,490	$120	$827.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	10	680	670	$70	$343.5K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	3	10	200	$150	$266.6K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	3	10	340	$60	$251.8K
H2021	Community-based wrap-around services, per 15 minutes	1	10	520	$70	$238.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	60	120	980	$50	$230.3K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	5	10	970	$150	$226.6K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Life Connection, L.c., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Discovery Living, Inc.	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$82M
Prk Williams Inc.	IA	In Home Supportive Care Agency	$0	$57.4M
St Luke's Methodist Hospital	IA	General Acute Care Hospital	$0	$36.2M
Medical Laboratories Of Eastern Iowa Lc	IA	Clinical Medical Laboratory	$1.4M	$14.4M
East Central Iowa Acute Care, PLLC	IA	Emergency Medicine Physician	$0	$10.6M
Covenant Family Solutions, LLC	IA	Community/Behavioral Health Agency	$0	$8.5M
Radiology Consultants Of Iowa, Plc	IA	Diagnostic Radiology Physician	$0	$5.5M
Weland Clinical Laboratories, P.C.	IA	Clinical Medical Laboratory	$1.2M	$3.8M
St. Luke's Methodist Hospital	IA	Cardiovascular Disease Physician	$0	$3.9M
Comfort Care Medicare, Inc	IA	Home Health Agency	$0	$3.9M

Life Connection, L.c. — Billing Profile & Reimbursement Data

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Life Connection, L.c. — 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