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    OpenPayerNPI Medicare & MedicaidFirst Resources Corp
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    First Resources Corp — Billing Profile & Reimbursement Data

    NPI 1699838474 · Sigourney, IA · Community/Behavioral Health Agency

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    First Resources Corp is a community/behavioral health agency provider located in Sigourney, Iowa. This profile covers 0 Medicare and 29 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFirst Resources Corp
    Address110 E Washington St
    CitySigourney
    StateIA
    ZIP52591
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedDecember 19, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$66.6M
    Medicare$0

    Key Findings

    FIRST RESOURCES CORP is effectively a Medicaid-centric provider: it reports $66.6M in lifetime Medicaid revenue and has no Medicare billing on file, so its entire reported programmatic revenue base in the dataset is driven by state Medicaid reimbursements. That single-payer exposure means performance and growth will be highly sensitive to Iowa Medicaid policy, waiver funding, and per-diem rate changes.

    Revenue is highly concentrated in a small set of per-diem and waiver codes: the precomputed top 3 Medicaid codes (H2016, S5136, T2020) account for 84.5% of total Medicaid revenue. In dollar terms those codes are H2016 $28.3M (42.6%), S5136 $21.1M (31.7%), and T2020 $6.8M (10.2%), indicating operational dependence on recurring community- and waiver-based service lines.

    The provider’s code mix points to a community-based long-term services and supports model: H2016 (Comprehensive community support services, per diem), S5136 (Companion care, adult; per diem), and T2020 (Day habilitation, waiver; per diem) dominate revenue, which suggests FIRST RESOURCES primarily delivers home- and community-based supports, companion/ADL assistance, and day habilitation rather than medical or acute-care services. The prominence of per-diem and waiver codes implies steady, programmatic service delivery rather than episodic clinical billing.

    Claim volumes reinforce a high-throughput, service-delivery operation: H2016 shows 97.4K claims and T2020 shows 81.9K claims, while S5136 represents 34.4K claims. Those high claim counts, combined with per-diem payment structures, indicate scale in ongoing daily supports and frequent touchpoints with beneficiaries.

    Payment mix within the top codes highlights different unit economics: average paid/claim is $614 for S5136, $291 for H2016, and $83 for T2020, which suggests companion care (S5136) is a relatively higher-paid, likely more labor-intensive per-diem service compared with day habilitation (T2020). Management and contracting strategies should account for these differences in revenue per unit when assessing margins and staffing requirements.

    State-level competitive standing is mixed but shows pockets of relative strength: H2016 ranks #23 of 176 providers in-state (87th percentile; typical, unremarkable volume for this code) and S5136 ranks #20 of 82 providers (77th percentile; typical, unremarkable volume for this code), indicating solid but not dominant positions. T2020 ranks #10 of 101 providers in-state (91th percentile; typical, unremarkable volume for this code) and H0018 ranks #3 of 15 providers (86th percentile; typical, unremarkable volume for this code), which together point to a stronger presence in the day habilitation and short-term residential niches despite the overall description of volumes as typical.

    The provider maintains a long tenure in federal enrollment, with an NPI enumerated on 2006-12-19 (~20 years ago), suggesting an established operational history and likely mature administrative processes for Medicaid billing. That longevity combined with concentrated Medicaid revenue implies institutional experience in state program requirements but also ongoing sensitivity to state-level rate-setting and waiver renewals.

    Secondary behavioral-health and ancillary service lines exist but are much smaller contributors: H0018 (short-term residential) accounts for $3M (4.5% of Medicaid revenue) and a range of psychotherapy, screening, and lab codes (for example 90837, 90834, H0003, 80305) each represent low single-digit or fractional percent contributions. These lines indicate a behavioral-health continuum presence but confirm the primary business is community support and waiver-based habilitation rather than high-revenue clinical psychotherapy or medical services.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2016Comprehensive community support services, per diem97,380$290$28.3M
    S5136Companion care, adult (e.g., iadl/adl); per diem34,350$610$21.1M
    T2020Day habilitation, waiver; per diem81,860$80$6.8M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem20,440$150$3M
    H2015Comprehensive community support services, per 15 minutes13,750$130$1.7M
    H2025Ongoing support to maintain employment, per 15 minutes4,010$420$1.7M
    H2019Therapeutic behavioral services, per 15 minutes9,210$110$1M
    H2023Supported employment, per 15 minutes7,700$100$792.9K
    S5150Unskilled respite care, not hospice; per 15 minutes3,980$90$354K
    99490The 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…1,910$160$306.1K

    Showing 1–10 of 29

    Medicaid: Competitive Analysis & Benchmarks

    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

    29 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5136Companion care, adult (e.g., iadl/adl); per diem20809,410$490$17.9M
    H2016Comprehensive community support services, per diem2318010,790$390$15.2M
    99490The 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…416016,120$150$3.8M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem32011,060$220$3.7M
    T2020Day habilitation, waiver; per diem1010010,960$110$3M
    H2025Ongoing support to maintain employment, per 15 minutes26702,970$300$1.9M
    H2015Comprehensive community support services, per 15 minutes261004,130$160$1.9M
    S5150Unskilled respite care, not hospice; per 15 minutes16402,200$240$1.6M
    H2019Therapeutic behavioral services, per 15 minutes37905,380$100$1.5M
    H2017Psychosocial rehabilitation services, per 15 minutes10203,280$160$960.3K

    Showing 1–10 of 29

    Nearby Providers

    Other providers in the same ZIP code as First Resources Corp, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Keokuk County Health CenterIARural Health Clinic/Center$0$4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Iowa Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    First Resources Corp — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa