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 Arc Of East Central Iowa (NPI 1659434249)

Field	Value
Entity Type	Organization
Organization	The Arc Of East Central Iowa
Address	680 2nd St Se
City	Cedar Rapids
State	IA
ZIP	52401
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 18, 2006

Payer Source	Total Paid
Medicaid	$15.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2020	Day habilitation, waiver; per diem	59,560	$80	$4.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	38,040	$90	$3.5M
H2015	Comprehensive community support services, per 15 minutes	34,000	$80	$2.8M
T1005	Respite care services, up to 15 minutes	39,690	$60	$2.2M
H2016	Comprehensive community support services, per diem	15,280	$100	$1.6M
H2025	Ongoing support to maintain employment, per 15 minutes	820	$290	$238.9K
T2021	Day habilitation, waiver; per 15 minutes	3,840	$50	$180.5K
S5125	Attendant care services; per 15 minutes	3,210	$60	$176.3K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	700	$180	$126.7K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	530	$0	$0

Showing 1–10 of 14

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 Arc Of East Central Iowa — 2 of 9 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	77	180	10,790	$390	$15.2M
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	44	60	16,120	$150	$3.8M
T2020	Day habilitation, waiver; per diem	13	100	10,960	$110	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	53	70	2,970	$300	$1.9M
H2015	Comprehensive community support services, per 15 minutes	8	100	4,130	$160	$1.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	2	40	2,200	$240	$1.6M
T1005	Respite care services, up to 15 minutes	1	20	1,490	$160	$930.8K
S5125	Attendant care services; per 15 minutes	25	90	1,140	$70	$831.9K
T2021	Day habilitation, waiver; per 15 minutes	41	100	2,780	$60	$386.9K
H0038	Self‑help/peer services, per 15 minutes	45	60	2,820	$10	$53.5K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as The Arc Of East Central Iowa, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abbe Center For Community Mental Health, Inc	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$85.7M
Horizons, A Family Service Alliance	IA	Community/Behavioral Health Agency	$0	$2.5M
Irving Point Limited Partnership	IA	Assisted Living Facility	$0	$1.6M
Beyond Behavior Aba	IA	Community/Behavioral Health Agency	$0	$1.5M
Melanie Stahlberg	IA	Internal Medicine Physician	$262.5K	$0
Ryan Hollenbeck	IA	Interventional Cardiology Physician	$221.6K	$0
Amandeep Singh Dhaliwal	IA	Cardiovascular Disease Physician	$205.3K	$0
Trisha Sheeley	IA	Internal Medicine Physician	$198.9K	$0
Fadi Yacoub	IA	Internal Medicine Physician	$183.3K	$0
Abha Saxena	IA	Nephrology Physician	$169.8K	$0

The Arc Of East Central Iowa — Billing Profile & Reimbursement Data

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The Arc Of East Central Iowa — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References