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.

The Respite Connection, Inc. (NPI 1558721241)

Field	Value
Entity Type	Organization
Organization	The Respite Connection, Inc.
Address	2670 106th St Ste 220
City	Urbandale
State	IA
ZIP	50322
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 24, 2016

Payer Source	Total Paid
Medicaid	$38.1M
Medicare	$0

Key Findings

THE RESPITE CONNECTION, INC. is effectively a single-payer Medicaid provider: total Medicare revenue is none (no Medicare billing on file) while reported Medicaid revenue totals $38.1M. Its NPI was enumerated on 2016-02-24 (~10 years ago), indicating roughly a decade of enrollment in federal provider systems.

Revenue is highly concentrated in three time-based service codes: S5150 ($21.7M, 57.1%), H2015 ($14M, 36.7%), and T1005 ($2.2M, 5.7%), which together account for 99.6% of this provider’s total Medicaid revenue. This concentration indicates that nearly all billing and cash flow derive from a narrow set of respite and community support service lines rather than broad mixed clinical billing.

The top-revenue codes describe a service model focused on short-interval, time-based care: S5150 (Unskilled respite care, per 15 minutes), H2015 (Comprehensive community support services, per 15 minutes), and T1005 (Respite care services, up to 15 minutes). Combined claim volumes—38.2K claims for S5150, 21.5K claims for H2015, and 6.1K claims for T1005—support that the organization operates a high-volume, per-15-minute service delivery model rather than episodic or long-duration clinical encounters.

THE RESPITE CONNECTION is a statewide dominant provider for S5150: it ranks #1 of 41 providers in-state (100th percentile) and is labeled an extreme outlier, with $21.7M in revenue from that code alone. This ranking signals outsized market share and specialization in unskilled respite care relative to other in-state peers.

For H2015 and T1005 the provider is a solid but not singular presence: H2015 generates $14M and ranks #16 of 95 in-state (84th percentile), and T1005 generates $2.2M and ranks #5 of 21 in-state (80th percentile). Both are described as typical or unremarkable volumes by their percentile notes, indicating competitive but not dominant positions in comprehensive community support and up-to-15-minute respite services.

Psychotherapy codes are present but immaterial to overall Medicaid revenue: 90834 accounts for $61K (0.2%), 90837 for $49K (0.1%), and 90832 for $943 (0.0%). These small amounts indicate that traditional psychotherapy is a minor adjunct to the provider’s core respite and community support operations rather than a primary business line.

Operationally, the mix of very high claim counts and time-based per-15-minute billing (e.g., 38.2K S5150 claims and 21.5K H2015 claims) suggests service delivery processes built around frequent, short-duration encounters and staffing models optimized for many brief visits. Payers and network planners should expect utilization patterns and authorization needs consistent with high-volume respite and community support scheduling.

Because nearly all Medicaid revenue derives from a narrow set of codes (99.6% from the top three), the provider’s financial and operational performance is sensitive to policy, rate, or utilization changes that affect S5150, H2015, and T1005. Combined with the absence of Medicare billing on file, this creates concentrated payer exposure limited to Medicaid reimbursement dynamics.

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
S5150	Unskilled respite care, not hospice; per 15 minutes	38,220	$570	$21.7M
H2015	Comprehensive community support services, per 15 minutes	21,470	$650	$14M
T1005	Respite care services, up to 15 minutes	6,060	$360	$2.2M
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…	1,050	$60	$61K
T2027	Specialized childcare, waiver; per 15 minutes	30	$1,990	$51.6K
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…	800	$60	$49K
H2021	Community-based wrap-around services, per 15 minutes	20	$210	$3.1K
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…	40	$20	$940

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

The Respite Connection, Inc. — 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
H2015	Comprehensive community support services, per 15 minutes	16	100	4,130	$160	$1.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	1	40	2,200	$240	$1.6M
T1005	Respite care services, up to 15 minutes	5	20	1,490	$160	$930.8K
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…	285	680	670	$70	$343.5K
H2021	Community-based wrap-around services, per 15 minutes	12	10	520	$70	$238.7K
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…	256	610	550	$70	$145.9K
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…	247	280	530	$40	$80.1K
T2027	Specialized childcare, waiver; per 15 minutes	1	10	30	$1,980	$51.6K

Nearby Providers

Other providers in the same ZIP code as The Respite Connection, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mosaic	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$177.4M
Unitypoint At Home	IA	Durable Medical Equipment & Medical Supplies	$0	$16.5M
Unitypoint At Home	IA	Home Infusion Therapy Pharmacy	$0	$15.4M
New Beginnings Counseling Service, LLC	IA	Community/Behavioral Health Agency	$0	$6.3M
A-1 Iowa Dental PLLC	IA	Dentist	$0	$5.4M
Urbandale Community School District	IA	Local Education Agency (LEA)	$0	$4.4M
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$3.9M
Acs Medical LLC	IA	Durable Medical Equipment & Medical Supplies	$0	$3.6M
Wellserve Health, Inc.	IA	Community/Behavioral Health Agency	$0	$2.8M
Mosaic Family Counseling Center, Inc.	IA	Mental Health Counselor	$0	$2.5M

The Respite Connection, Inc. — Billing Profile & Reimbursement Data

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The Respite Connection, 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

Nearby Providers

Frequently Asked Questions

References