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.

Lutheran Services In Iowa (NPI 1609954197)

Field	Value
Entity Type	Organization
Organization	Lutheran Services In Iowa
Address	3125 Cottage Grove Ave
City	Des Moines
State	IA
ZIP	50311
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$29.7M
Medicare	$0

Key Findings

This provider reports $29.7M in lifetime Medicaid revenue and has none listed for Medicare, so its billing footprint is effectively single-payer Medicaid rather than a mixed Medicare/Medicaid practice. The absence of any Medicare CPT/HCPCS activity on file indicates operations and reimbursement exposure are concentrated in state Medicaid programs rather than federal Medicare lines.

Revenue concentration is pronounced: the precomputed top 3 Medicaid codes account for 92.8% of this provider’s total Medicaid revenue, indicating a highly concentrated service mix driving nearly all reported income. That concentration suggests the business is structured around a narrow set of community-based support and respite services rather than a broad portfolio of clinical procedures.

H2016 is the dominant single code, with 5.1K claims, $3541 avg paid/claim and $17.9M revenue (60.2% of the provider’s Medicaid revenue). The provider ranks #112 of 176 in-state for H2016 (37th percentile; typical, unremarkable volume for this code), which means while H2016 drives most revenue internally, the provider is not a statewide leader on that code.

S5150 is the second-largest revenue driver with 11.6K claims, $593 avg paid/claim and $6.9M revenue (23.1% of Medicaid revenue). The provider ranks #8 of 41 in-state for S5150 (83th percentile; typical, unremarkable volume for this code), indicating relatively strong market share among peers who bill unskilled respite care in the state.

H2015 contributes $2.8M (9.4% of Medicaid revenue) across 8K claims at $352 avg paid/claim and ranks #40 of 95 in-state (59th percentile; typical, unremarkable volume for this code). Together H2016 and H2015 (both labeled comprehensive community support services) show the provider’s core business model centers on per-diem and per-15-minute community support interventions typical of behavioral health and community service agencies.

Smaller revenue lines and specialty codes are minimal: for example, S5136 generates $1.4M (4.8% of revenue) from 328 claims at $4311 avg paid/claim but ranks #73 of 82 in-state (11th percentile; typical, unremarkable volume for this code), reflecting limited in-state presence in higher-paid companion-care per-diem billing. Similarly, psychotherapy code 90834 produced only $6K across 64 claims and ranks #582 of 675 in-state (14th percentile; typical, unremarkable volume for this code), showing the agency does not rely on traditional psychotherapy visits for its revenue.

Operational tenure is long: the NPI was enumerated on 2006-11-01 (~20 years ago), indicating established presence in the market which aligns with its concentrated Medicaid service lines rather than recent entrants expanding rapidly. This longevity paired with concentrated code use suggests stability in a focused set of Medicaid-funded community supports.

From a competitive standpoint the provider is a modest but specialized participant statewide: it is not broadly dominant on the single largest revenue code H2016 (37th percentile) but holds a strong relative position for S5150 (83th percentile). Analysts should view this entity as a behavioral/community support agency with a high dependency on a few Medicaid service codes rather than a multi-line clinical provider competing across broader Medicaid or Medicare code sets.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	5,060	$3,540	$17.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	11,590	$590	$6.9M
H2015	Comprehensive community support services, per 15 minutes	7,970	$350	$2.8M
S5136	Companion care, adult (e.g., iadl/adl); per diem	330	$4,310	$1.4M
T1005	Respite care services, up to 15 minutes	1,580	$440	$697.7K
H2021	Community-based wrap-around services, per 15 minutes	160	$190	$29K
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…	60	$90	$6K

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

Lutheran Services In Iowa — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	73	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	112	180	10,790	$390	$15.2M
H2015	Comprehensive community support services, per 15 minutes	40	100	4,130	$160	$1.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	8	40	2,200	$240	$1.6M
T1005	Respite care services, up to 15 minutes	10	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…	582	680	670	$70	$343.5K
H2021	Community-based wrap-around services, per 15 minutes	8	10	520	$70	$238.7K

Nearby Providers

Other providers in the same ZIP code as Lutheran Services In Iowa, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lutheran Services In Iowa, Inc.	IA	Social Worker	$0	$13.5M
Lutheran Services In Iowa	IA	Community/Behavioral Health Agency	$0	$9.4M
Wesley Community Services, Inc.	IA	Adult Care Home Facility	$0	$3.6M
Hy-vee Inc	IA	Community/Retail Pharmacy	$195.1K	$77K
Dorothy Walters	IA	Audiologist	$8.3K	$0

Lutheran Services In Iowa — Billing Profile & Reimbursement Data

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Lutheran Services In Iowa — 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