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 South Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Recover Health Of Iowa, Inc. (NPI 1558365064)

Field	Value
Entity Type	Organization
Organization	Recover Health Of Iowa, Inc.
Address	101 S Reid St Ste 201a
City	Sioux Falls
State	SD
ZIP	57103
Taxonomy	Home Health Agency
NPI Enumerated	June 13, 2005

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the dataset: there is no Medicare billing on file and all recorded federal revenue is Medicaid only, totaling $4M in lifetime Medicaid revenue. The absence of Medicare activity indicates the organization’s federal payer exposure and reimbursement mix are concentrated entirely in Medicaid for the period covered.

RECOVER HEALTH OF IOWA, INC. has long-established enrollment: its NPI was enumerated on 2005-06-13 (~21 years ago), indicating more than two decades of presence in the claims data. That tenure suggests any patterns observed are likely the result of an established operating model rather than a recent entrant.

Revenue is highly concentrated in a very small set of service codes: the precomputed top‑3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue. In practice, two codes drive all reported Medicaid dollars, creating a tightly focused service profile and revenue dependency on those billing lines.

S9123 is the dominant revenue driver for this provider: it generated $3.3M (81.8% of the provider’s Medicaid revenue) across 5K claims with an average paid/claim of $654. The code description (nursing care in the home by a registered nurse, per hour, for general nursing care) implies the organization’s core operation is hourly in‑home RN care rather than bundle or episodic skilled visits.

S9124 is the secondary driver, contributing $729.2K (18.2% of Medicaid revenue) from 1.2K claims with an average paid/claim of $590. This indicates a complementary offering of licensed practical nurse home hours alongside the RN hours, reinforcing a staffing model built around hourly in‑home nursing services.

Competitive standing within the state appears modest: both S9123 and S9124 are listed as rank #2 of 2 providers in‑state and are characterized as 0th percentile with "typical, unremarkable volume" for these codes. Being one of two billed providers for these codes but placed at the lower rank suggests the organization is not a dominant statewide provider for these specific Medicaid services.

The operational and reimbursement risk profile is concentrated: with 100.0% of Medicaid revenue coming from the top codes (S9123 at 81.8% and S9124 at 18.2%), the provider is vulnerable to any Medicaid policy, rate, or utilization changes affecting hourly in‑home nursing codes. This narrow code mix also limits diversification of revenue streams, which is relevant for payer negotiations and strategic planning.

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
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	5,030	$650	$3.3M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	1,240	$590	$729.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other South Dakota providers billing the same CPT/HCPCS codes.

Claims Volume vs. South Dakota Distribution

Recover Health Of Iowa, Inc. — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	2	10	10,620	$1,260	$13.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	2	10	5,300	$980	$5.2M

Related Providers

Other providers that share a Tax Identification Number (TIN) with Recover Health Of Iowa, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Loving Care Agency, Inc	NJ	Home Health Agency	$0	$59.1M
Loving Care Agency, Inc.	PA	Home Health Agency	$0	$27.4M
Loving Care Agency, Inc	NJ	Home Health Agency	$0	$22.9M
Loving Care Agency, Inc.	PA	Home Health Agency	$0	$21.2M
Loving Care Agency, Inc	NJ	Home Health Agency	$0	$19.2M
Loving Care Agency, Inc.	PA	Home Health Agency	$0	$18.4M
Recover Health Of Minnesota, Inc.	MN	Home Health Agency	$0	$10.7M
Recover Health Of Iowa, Inc.	IA	Home Health Agency	$0	$991.9K
Recover Health Of Iowa, Inc.	IA	Home Health Agency	$0	$932.3K

Nearby Providers

Other providers in the same ZIP code as Recover Health Of Iowa, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chris Dickes Dentistry Prof LLC	SD	General Practice Dentistry	$0	$4.3M
Alpha Sigma Health Group, Inc.	SD	Home Health Agency	$0	$4M
Loyal In-home Care LLC	SD	In Home Supportive Care Agency	$0	$2.9M
Holden Health Group Inc.	SD	Secured Medical Transport (VAN)	$0	$1.5M
Gift Home Health Care LLC	SD	In Home Supportive Care Agency	$0	$1.3M
River Ridge Oral & Maxillofacial Surgical Center	SD	Oral and Maxillofacial Surgery (Dentist)	$0	$755.3K
Edgewood Greenleaf Sioux Falls LLC	SD	Assisted Living Facility	$0	$700K
Revitalized Wellness PLLC	SD	Primary Care Clinic/Center	$0	$648.3K
Diversified Enterprises, Inc.	SD	Home Health Agency	$0	$301.9K
Freed Dental Prof. L.L.C.	SD	Dental Clinic/Center	$0	$250.1K

Recover Health Of Iowa, Inc. — Billing Profile & Reimbursement Data

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Recover Health Of Iowa, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References