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NPI 1609998137 · West Des Moines, IA · Point of Service
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United Community Services, Inc. is a point of service provider located in West Des Moines, Iowa. This profile covers 3 Medicare and 37 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | United Community Services, Inc. |
| Address | 1300 Woodland Ave |
| City | West Des Moines |
| State | IA |
| ZIP | 50265 |
| Taxonomy | Point of Service |
| NPI Enumerated | April 4, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $46.4M |
| Medicare | $261.6K |
United Community Services, Inc. is essentially a Medicaid-centric operator by revenue scale: lifetime Medicaid revenue is $46.4M versus $261.6K in Medicare revenue, so Medicaid drives the vast majority of billed dollars for this entity. The disparity suggests the organization’s primary payer-facing operations and scale are focused on state behavioral health and medication-dispensing programs rather than Medicare beneficiaries.
The provider’s billing mix and dominant codes identify it as an opioid use disorder treatment and outpatient behavioral health organization. On Medicare the top code is G2067 (1K claims, $235.6K revenue) tied to weekly medication-assisted treatment bundles, while on Medicaid the single largest code is H0033 (517.8K claims, $18.6M revenue) for oral medication administration under direct observation; large volumes of J0575 (105.2K claims, $6.7M) and J0574 (131.9K claims, $6.3M) further confirm heavy buprenorphine/naloxone dispensing.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, with G2067 alone representing $235.6K (89.9% of Medicare revenue). This concentration indicates that the provider’s Medicare activity is narrowly focused on opioid treatment program service bundles rather than a broad mix of outpatient E/M or general medical services.
Medicaid revenue is also concentrated around a few treatment and medication codes: the precomputed top 3 Medicaid codes by revenue account for 68.1% of this provider's total Medicaid revenue, led by H0033 ($18.6M, 40.1% of Medicaid revenue), J0575 ($6.7M, 14.5%) and J0574 ($6.3M, 13.6%). These three codes together point to medication dispensing and supervised administration as the core revenue drivers of the Medicaid-facing business.
Competitive standing differs sharply by payer and code. Nationally on Medicare the provider’s G2067 rank is #228 of 830 (73th percentile; typical, unremarkable volume), and related Medicare codes (G2078, G2077) have modest to stronger national positions (G2077 at #65 of 352, 82th percentile), indicating a modest but not dominant national footprint for OTP bundles and somewhat stronger positioning on periodic assessment services. In contrast, the provider is a major in-state Medicaid participant for multiple SUD and testing codes: H0033 ranks #1 of 9 (100th percentile; notably above typical state volume) and S0109 ranks #1 of 7 (100th percentile; notably above typical state volume), which signals statewide leadership in observed medication dosing and methadone dispensing.
Several Medicaid volumes are flagged as extreme outliers in-state for ancillary services that support high-throughput medication programs. Examples include 80305 (36.2K claims, $397.9K revenue; rank #1 of 69, 100th percentile; extreme outlier), 81000 (13.4K claims, $133.8K revenue; rank #1 of 36, 100th percentile; extreme outlier), and 90832 (15.2K claims, $636.6K revenue; rank #6 of 282, 98th percentile; extreme outlier). These patterns underscore a high-capacity operation for toxicology/drug-testing and brief psychotherapy encounters that accompany medication-assisted treatment.
The provider’s service mix extends beyond dispensing into structured behavioral health care and psychotherapy, as evidenced by high-volume Medicaid billing for group psychotherapy and routine psychotherapy sessions: 90853 (32.5K claims, $1.6M), 90834 (18.3K claims, $1.5M), and 90837 (11.4K claims, $993.9K). These codes rank highly in-state (90853 at #4 of 124, 98th percentile; 90834 at #41 of 675, 94th percentile), indicating the organization integrates counseling and group therapy alongside medication programs rather than operating solely as a pharmacy or dispensing clinic.
The provider has a long-enumerated NPI (enumerated 2007-04-04, ~19 years ago), and the raw claim counts reported—e.g., H0033 at 517.8K claims and S0109 at 1.1M claims—suggest sustained, large-scale service delivery over time. Combined with the Medicaid-dominant revenue profile and multiple top-in-state ranks, tenure plus volume supports the view that this is an established, high-throughput community opioid treatment and behavioral health provider in Iowa.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 1,040 | $230 | $235.6K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 360 | $40 | $14.2K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 110 | $110 | $12.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
37 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0033 | Oral medication administration, direct observation | 517,830 | $40 | $18.6M |
| J0575 | Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine | 105,160 | $60 | $6.7M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 131,860 | $50 | $6.3M |
| S0109 | Methadone, oral, 5 mg | 1,126,980 | $10 | $5.6M |
| 90853 | Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of… | 32,480 | $50 | $1.6M |
| 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… | 18,340 | $80 | $1.5M |
| 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… | 11,420 | $90 | $993.9K |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 7,210 | $110 | $792.5K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 12,470 | $50 | $673.3K |
| 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… | 15,160 | $40 | $636.6K |
Showing 1–10 of 37
How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Iowa median
37 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| J0575 | Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine | 1 | 10 | 52,870 | $60 | $3.4M |
| H0033 | Oral medication administration, direct observation | 1 | 10 | 2,000 | $30 | $2.1M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 1 | 10 | 16,670 | $40 | $2.1M |
| S0109 | Methadone, oral, 5 mg | 1 | 10 | 209,770 | $10 | $1.5M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 3 | 10 | 5,340 | $150 | $1.4M |
| 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… | 41 | 680 | 670 | $70 | $343.5K |
| Q9992 | Injection, buprenorphine extended-release (sublocade), greater than 100 mg | 1 | 10 | 170 | $1,480 | $250.9K |
| J0573 | Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine | 1 | 10 | 15,820 | $10 | $233.9K |
| 90853 | Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of… | 4 | 120 | 980 | $50 | $230.3K |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | 1 | 10 | 31,550 | $10 | $184.9K |
Showing 1–10 of 37
Other providers in the same ZIP code as United Community Services, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| West Des Moines Community School District | IA | Local Education Agency (LEA) | $0 | $11.6M |
| Stepping Stone Family Services Inc. | IA | Mental Health Counselor | $0 | $11.1M |
| Allergy Institute, P.C. | IA | Allergy & Immunology Physician | $0 | $3.4M |
| Oscar Home Health Care | IA | Home Health Agency | $0 | $1.2M |
| Child Psychiatry Associates PC | IA | Child & Adolescent Psychiatry Physician | $0 | $984.2K |
| Robert Foust | IA | General Practice Dentistry | $0 | $898.8K |
| Iowa Ent Center PLLC | IA | Otolaryngology Physician | $0 | $864.8K |
| Pine Acres Assisted Living LLC | IA | Assisted Living Facility | $0 | $861.9K |
| Cody Koch | IA | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | $331.9K | $0 |
| Hy-vee Inc | IA | Community/Retail Pharmacy | $249.9K | $16.8K |
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