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.

Lakes Lifeskills LLC (NPI 1710201520)

Field	Value
Entity Type	Organization
Organization	Lakes Lifeskills LLC
Address	1612 Ithaca Ave
City	Spirit Lake
State	IA
ZIP	51360
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 23, 2010

Payer Source	Total Paid
Medicaid	$31.5M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and reports $31.5M in lifetime Medicaid revenue, making its recorded commercial/payer footprint effectively single-payer (Medicaid) based on available claims. The precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, underlining the Medicaid-centric nature of its business.

The Medicaid billing is concentrated in a single service line: H2016 (Comprehensive community support services, per diem). The presence of H2016 as the top and apparently sole revenue-driving code signals an operation focused on ongoing community-based behavioral health supports, care coordination and per-diem service delivery rather than discrete procedure-based care.

H2016 activity is substantial in raw volume: 106.9K claims at an average paid amount of $295 per claim produced the full $31.5M of Medicaid revenue reported. This concentration — one code generating the entirety of Medicaid revenue — indicates heavy operational dependence on per-diem comprehensive community support services for its financial performance.

Competitive standing within Iowa: the provider ranks #17 of 176 in-state for H2016 and sits in the 91th percentile, which positions it as a meaningful regional participant but not the largest provider in the state. The data label for this code describes its volume as "typical, unremarkable volume for this code," suggesting the provider operates at a solid but not extraordinary scale relative to peers.

Tenure and market experience are established: the NPI was enumerated on 2010-03-23 (~16 years ago), indicating more than a decade of enrollment and likely sustained engagement in community behavioral health service delivery. That longevity supports interpretation of the current concentration as a deliberate operational model rather than a short-term anomaly.

The billing mix and concentration create clear revenue and payer risks: with no Medicare income and 100.0% of Medicaid revenue tied to H2016, the provider is exposed to changes to H2016 reimbursement, program eligibility, or per-diem policy adjustments. From a payer or strategic-analyst perspective, diversification of service lines or payers would materially reduce this single-code dependency.

Operational implications of a high-claim, per-diem model: 106.9K claims at $295 per claim implies sustained day-to-day service delivery, which typically requires ongoing staffing, case management capacity, and infrastructure to support continuous community services. Analysts should expect operational metrics (utilization days, average daily census, staff-to-client ratios) to be primary drivers of cost and revenue performance for this provider.

Benchmark interpretation: although the absolute Medicaid revenue ($31.5M) is sizeable, its in-state rank (17/176) and the characterization as "typical, unremarkable volume for this code" indicate the provider is an established, mid-to-upper-tier regional player for H2016 services rather than an extreme outlier or statewide dominant provider. This nuance is important when assessing competitive positioning and growth opportunity within the state market.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	106,940	$300	$31.5M

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

Lakes Lifeskills LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	17	180	10,790	$390	$15.2M

Nearby Providers

Other providers in the same ZIP code as Lakes Lifeskills LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakes Regional Healthcare	IA	Family Medicine Physician	$0	$1.3M
Lakes Regional Healthcare	IA	General Acute Care Hospital	$0	$1M
Crystal Meyer	IA	Nurse Practitioner	$257.6K	$0
Randy Cornwall	IA	Optometrist	$144.1K	$97.9K
Courtney Bolluyt	IA	Physician Assistant	$234.7K	$0
Brett Olson	IA	Family Medicine Physician	$139.6K	$0
Walmart Inc.	IA	Community/Retail Pharmacy	$133.6K	$0
Nicole Stall	IA	Family Nurse Practitioner	$46.1K	$0
Laith Mahdi	IA	Emergency Medicine Physician	$38.3K	$0
John Sherrill	IA	Certified Registered Nurse Anesthetist	$22.3K	$0

Lakes Lifeskills LLC — Billing Profile & Reimbursement Data

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Lakes Lifeskills LLC — 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