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.

Optimae Lifeservices Inc (NPI 1639487887)

Field	Value
Entity Type	Organization
Organization	Optimae Lifeservices Inc
Address	301 W Burlington Ave
City	Fairfield
State	IA
ZIP	52556
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 22, 2010

Payer Source	Total Paid
Medicaid	$40.4M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation: there is no Medicare billing on file and total Medicaid revenue is $40.4M, with the top three Medicaid codes accounting for 99.2% of that revenue. The absence of Medicare activity means payers and partners should treat OPTIMAE LIFESERVICES INC as a single-payer (Medicaid) service-line entity for performance and contracting analyses.

Revenue is extremely concentrated in a single service line: H2016 generates $38.6M in revenue (95.5% of this provider's total Medicaid revenue) and 209.7K claims at an average paid amount of $184/claim. Because H2016 alone drives the lion’s share of receipts, changes in reimbursement or utilization for Comprehensive community support services would materially affect the provider’s financial position.

The provider’s code mix and payment profile indicate it operates primarily as a high-volume community/behavioral health agency delivering per-diem community support services and ancillary supports. The presence of H0037 (Community psychiatric supportive treatment program, per diem), H2025 (ongoing employment supports per 15 minutes), and T2020/T2021 (day habilitation waiver services) suggests a service portfolio centered on ongoing day/per-diem behavioral health and habilitation programming rather than episodic medical care.

OPTIMAE LIFESERVICES shows statewide dominance for its primary service: H2016 ranks #5 of 176 providers in-state and sits in the 98th percentile, a statistical standing described as notably above typical state volume. By contrast, its H2025 activity (2.4K claims, $1.1M revenue, 2.8% of Medicaid revenue) ranks #37 of 65 (44th percentile) and is characterized as typical and unremarkable in volume.

Other Medicaid codes are small contributors and reflect limited diversification: H0037 produced $377.2K (0.9% of Medicaid revenue) across 2.3K claims at $166 avg paid/claim and ranks #11 of 26 (60th percentile), while T2020 produced $293.8K (0.7%) and T2021 $45.7K (0.1%). These smaller, waiver-related day habilitation streams indicate modest engagement in developmental habilitation compared with the provider’s dominant per-diem community support business.

Operationally, the claim-volume profile implies substantial daily service delivery capacity: 209.7K H2016 claims at $184/claim signal sustained per-diem billing throughput, whereas H2025’s 2.4K claims at a higher $471 avg paid/claim point to targeted, higher-unit-value employment supports. Analysts should interpret this as a mix of high-frequency, lower-unit-value per-diem supports together with small volumes of higher-unit, time-based employment services.

The reliance on a single, high-concentration code creates a vulnerability to policy or reimbursement shifts for that code: with 95.5% of Medicaid revenue from H2016 and the top three codes accounting for 99.2%, the provider’s revenue base is exposed to changes affecting Comprehensive community support services. From a payer contracting or rate-setting perspective, any audit, policy change, or utilization-management initiative focused on H2016 would disproportionately impact this entity.

OPTIMAE LIFESERVICES has an established market presence, with its NPI enumerated on 2010-09-22 (~16 years ago), indicating sustained operation and likely institutional experience delivering community behavioral health services. That tenure combined with a top-5 in-state ranking for H2016 positions the provider as a long-standing regional player for comprehensive community support services.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	209,670	$180	$38.6M
H2025	Ongoing support to maintain employment, per 15 minutes	2,360	$470	$1.1M
H0037	Community psychiatric supportive treatment program, per diem	2,270	$170	$377.2K
T2020	Day habilitation, waiver; per diem	2,830	$100	$293.8K
T2021	Day habilitation, waiver; per 15 minutes	790	$60	$45.7K

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

Optimae Lifeservices Inc — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	5	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	79	100	10,960	$110	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	37	70	2,970	$300	$1.9M
H0037	Community psychiatric supportive treatment program, per diem	11	30	1,050	$210	$800.8K
T2021	Day habilitation, waiver; per 15 minutes	80	100	2,780	$60	$386.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rescare, Inc	IA	Community/Behavioral Health Agency	$0	$170.8M
Optimae Lifeservices, Inc	IA	Community/Behavioral Health Agency	$0	$111.5M
Jefferson County Hospital	IA	Rural Health Clinic/Center	$0	$15.5M
Optimae Lifeservices, Inc,	IA	Community/Behavioral Health Agency	$0	$9.5M
Jefferson County Hospital	IA	Critical Access Hospital	$0	$3.9M
Fairfield C.s.d.	IA	Local Education Agency (LEA)	$0	$2.2M
Nurse In The House Inc.	IA	Home Health Agency	$0	$1.3M
Mason Ellis	IA	Physical Therapist	$92.7K	$0
Summit Pharmacy Of Iowa, Inc	IA	Community/Retail Pharmacy	$75.1K	$2.3K

Optimae Lifeservices Inc — Billing Profile & Reimbursement Data

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Optimae Lifeservices 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