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

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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.

Rem Arrowhead, Inc. (NPI 1598830895)

Field	Value
Entity Type	Organization
Organization	Rem Arrowhead, Inc.
Address	1330 E Superior St
City	Duluth
State	MN
ZIP	55805
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicaid	$107.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only billing entity: lifetime Medicaid revenue is $107.9M and there is no Medicare billing on file, so payer exposure is concentrated on state Medicaid programs rather than Medicare fee-for-service. The provider’s NPI was enumerated on 2006-11-21 (~20 years ago), indicating a long-established presence in the market.

Revenue is extremely concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes account for 99.9% of the provider’s total Medicaid revenue, with S5140 alone generating $90.2M (83.6% of Medicaid revenue) and T2016 contributing $17.3M (16.0%). This concentration means a handful of per-diem billing streams drive virtually all reported Medicaid receipts.

The code mix (S5140 – Foster care, adult; per diem, and T2016 – Habilitation, residential, waiver; per diem) points to a business model centered on residential, long-stay community-based care for individuals with intellectual and/or developmental disabilities. Heavy per-diem volumes imply day-to-day room-and-board and program delivery rather than episodic outpatient services, consistent with the provider’s intellectual/developmental disabilities residential taxonomy.

Despite S5140 accounting for the majority of revenue, the provider’s competitive standing for that code is described as typical in-state: S5140 ranks #9 of 59 providers in Minnesota (86th percentile) and is labeled “typical, unremarkable volume for this code.” In practice this means the provider operates in the upper tier of in-state foster-care adult per-diem billers but not as an extreme or unusual outlier.

T2016 is a secondary but meaningful revenue stream: 76.4K claims produced $17.3M in revenue and the code ranks #18 of 34 providers in-state (48th percentile), also characterized as “typical, unremarkable volume.” This places the provider in a mid-tier position among residential habilitation waiver billers, indicating it participates in waiver-funded residential habilitation at a routine scale for the state.

Therapeutic and activity therapy lines are marginal contributors to overall Medicaid receipts: H2019 produced $415.9K (0.4% of Medicaid revenue) and ranks #21 of 49 (58th percentile), while H2032 yielded $57.2K (0.1%) and ranks #63 of 69 (9th percentile). Both are reported as typical volumes, but together they represent only a token share of total revenue and do not materially diversify the provider’s Medicaid revenue base.

The narrow service mix and high dependence on per-diem Medicaid codes create operational and reimbursement risk: because S5140 and T2016 together represent the vast bulk of revenue (with S5140 at 83.6% and T2016 at 16.0%, and the top three codes totaling 99.9%), changes in state policy, per-diem rates, or eligibility for these specific programs would disproportionately affect the provider’s financial performance. Monitoring state rate-setting and waiver policy changes is therefore particularly important when assessing this entity.

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 Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	331,500	$270	$90.2M
T2016	Habilitation, residential, waiver; per diem	76,390	$230	$17.3M
H2019	Therapeutic behavioral services, per 15 minutes	7,170	$60	$415.9K
H2032	Activity therapy, per 15 minutes	570	$100	$57.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Rem Arrowhead, Inc. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	9	60	33,770	$300	$37.6M
T2016	Habilitation, residential, waiver; per diem	18	30	84,870	$240	$23.9M
H2019	Therapeutic behavioral services, per 15 minutes	21	50	5,850	$110	$1.2M
H2032	Activity therapy, per 15 minutes	63	70	3,950	$120	$1M

Nearby Providers

Other providers in the same ZIP code as Rem Arrowhead, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
Brightwater Health Dba Human Development Center	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$50.4M
Smdc Medical Center	MN	General Acute Care Hospital	$0	$35.3M
St. Luke's Hospital Of Duluth	MN	General Acute Care Hospital	$0	$26.6M
St Marys Medical Center	MN	General Acute Care Hospital	$0	$21M
Lakewalk Surgery Center, Inc.	MN	Ambulatory Surgical Clinic/Center	$1.7M	$8.6M
Webmed Mental Health	MN	Mental Health Counselor	$0	$7.1M
St. Mary's Duluth Clinic Health System	MN	Clinical Medical Laboratory	$260.2K	$5M
St. Ann's Home	MN	Assisted Living Facility	$0	$5.1M
Hilary Reich	MN	Dermatology Physician	$294K	$0

Rem Arrowhead, Inc. — Billing Profile & Reimbursement Data

Sign up for Rem Arrowhead, Inc. — Billing Profile & Reimbursement Data policy alerts

Rem Arrowhead, Inc. — Billing Profile & Reimbursement Data

Sign up for Rem Arrowhead, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References