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.

Carroll Co Council Prev Child Abuse (NPI 1558413336)

Field	Value
Entity Type	Organization
Organization	Carroll Co Council Prev Child Abuse
Address	502 W 7th St
City	Carroll
State	IA
ZIP	51401
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 18, 2007

Payer Source	Total Paid
Medicaid	$51M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused community/behavioral health agency: it has no Medicare billing on file while reporting $51M in Medicaid revenue, indicating operations and payer exposure are concentrated entirely in Medicaid rather than split across Medicare and Medicaid. The absence of Medicare activity suggests its service mix and patient population are oriented toward Medicaid-eligible individuals and long-term community support services.

Revenue concentration is high: the top three Medicaid codes account for 82.7% of the provider's total Medicaid revenue, signaling heavy dependence on a small set of service lines. H2016 alone represents $26.4M (51.8% of Medicaid revenue), while S5136 and T1005 together make up an additional meaningful share, so business risk and growth prospects will be tied to utilization and reimbursement trends for those codes.

The code mix shows a services-first, community support operating model. H2016 (comprehensive community support services, per diem) and H2015 (comprehensive community support services, per 15 minutes) together emphasize intensive community-based behavioral health supports, while S5136 (companion care, adult; per diem), T1005 (respite care services), and attendant/day habilitation codes indicate a focus on non-clinical personal assistance, respite, and habilitation services. This mix is consistent with a provider delivering long-term community supports rather than acute clinical procedures.

Competitive standing by code is mixed but generally within typical state volumes: for its largest revenue generator H2016 the provider ranks #13 of 176 in-state (93th percentile), which places it as a solid regional player for that service but not a dominant statewide outlier. S5136 ranks #16 of 82 (81th percentile), again reflecting typical, unremarkable volume relative to peers. These ranks suggest the provider is an established, mid-to-high-volume operator for common community support services in Iowa.

There are notable state-level outliers within the code mix that imply above-typical specialization: T1005 (respite care services) is ranked #2 of 21 providers in-state (95th percentile) and is labeled as notably above typical state volume, indicating the organization is a major provider of respite services in Iowa. Similarly, H2015 and S5125 both sit at the 95th and 96th percentiles respectively, which shows elevated activity in time-based community support and attendant care compared with peers and suggests operational emphasis and capacity in those specific service lines.

The provider’s operational tenure is long-standing: the NPI was enumerated on 2007-01-18 (~19 years ago), indicating nearly two decades of enrollment and continuity in Medicaid billing. This tenure supports a mature service footprint and likely established referral and payer relationships within the state.

Although a few secondary codes show modest revenue shares (for example, T2020, S5150, and T2021 together represent small single-digit percentages of Medicaid revenue), the provider’s dependence on per-diem community support and companion/respite services means any policy or rate changes affecting those codes could materially affect total revenue. Monitoring reimbursement changes for H2016, S5136, and T1005 should be prioritized when assessing financial risk.

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
H2016	Comprehensive community support services, per diem	119,060	$220	$26.4M
S5136	Companion care, adult (e.g., iadl/adl); per diem	46,770	$230	$10.6M
T1005	Respite care services, up to 15 minutes	33,010	$160	$5.2M
H2015	Comprehensive community support services, per 15 minutes	36,900	$90	$3.3M
S5125	Attendant care services; per 15 minutes	39,210	$60	$2.2M
T2020	Day habilitation, waiver; per diem	27,690	$80	$2.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	11,260	$90	$979.4K
T2021	Day habilitation, waiver; per 15 minutes	5,300	$40	$222.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Carroll Co Council Prev Child Abuse — 1 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	16	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	13	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	33	100	10,960	$110	$3M
H2015	Comprehensive community support services, per 15 minutes	6	100	4,130	$160	$1.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	9	40	2,200	$240	$1.6M
T1005	Respite care services, up to 15 minutes	2	20	1,490	$160	$930.8K
S5125	Attendant care services; per 15 minutes	4	90	1,140	$70	$831.9K
T2021	Day habilitation, waiver; per 15 minutes	37	100	2,780	$60	$386.9K

Nearby Providers

Other providers in the same ZIP code as Carroll Co Council Prev Child Abuse, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Hope Village, Inc	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$50.2M
Ability United LLC	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$43.8M
Homecare Options, Inc.	IA	Contractor	$0	$9.1M
Caring Hearts Of West Central Iowa	IA	Community Health Worker	$0	$3.4M
Region Xii Council Of Governments, Inc.	IA	Non-emergency Medical Transport (VAN)	$0	$1.9M
St Anthony Regional Hospital And Nursing Home	IA	Critical Access Hospital	$0	$1.4M
Carroll Community School District	IA	Local Education Agency (LEA)	$0	$1.3M
Carroll County County Auditor	IA	Ambulance	$344K	$824.9K
St Anthony Regional Hospital And Nursing Home	IA	Family Medicine Physician	$0	$1.1M
Carroll Dental Clinic P.l.c.	IA	Dentist	$0	$1.1M

Carroll Co Council Prev Child Abuse — Billing Profile & Reimbursement Data

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Carroll Co Council Prev Child Abuse — 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