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 South Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Meadows On Sycamore Inc (NPI 1740698513)

Field	Value
Entity Type	Organization
Organization	Meadows On Sycamore Inc
Address	130 N Sycamore Ave
City	Sioux Falls
State	SD
ZIP	57110
Taxonomy	Assisted Living Facility
NPI Enumerated	July 24, 2014

Payer Source	Total Paid
Medicaid	$8.2M
Medicare	$0

Key Findings

MEADOWS ON SYCAMORE INC is classified as an Assisted Living Facility and its NPI was enumerated on 2014-07-24 (~12 years ago), indicating over a decade of enrollment in federal provider directories and an established operational tenure in the market. This taxonomy and tenure are consistent with a long-running residential care operator rather than a short-term clinical or acute-care provider.

This provider has no Medicare billing on file, so its commercial/Medicare-facing footprint is effectively absent in the dataset; all reported federal program revenue is concentrated in Medicaid. Analysts should treat MEADOWS ON SYCAMORE as a Medicaid-focused operator rather than a dual-payer facility based on the available claims.

Total Medicaid revenue on file is $8.2M, and the precomputed top-3 Medicaid codes account for 100.0% of that figure. In practice the dataset shows a single dominant code, T2031, generating $8.2M (100.0% of this provider's total Medicaid revenue) from 8.4K claims at an average paid per claim of $981, so almost the provider’s entire Medicaid income stream is tied to this single waiver per-diem code.

The code mix is operationally revealing: T2031 (Assisted living; waiver, per diem) indicates the facility is billing Medicaid waiver per-diem rates for ongoing assisted-living services rather than episodic clinical procedures. This suggests MEADOWS ON SYCAMORE’s business model centers on continuous residential care under a waiver program, with revenue realized as per-diem payments rather than procedure-driven services.

Revenue concentration risk is high because the provider’s Medicaid revenue is essentially 100.0% dependent on T2031 (as reflected in the top-3 aggregate), meaning any change in waiver eligibility, enrollment, or state per-diem rates would disproportionately affect the provider’s top-line Medicaid receipts. From an audit or contracting perspective, the lack of diversification across codes/payments should be noted as a material single-payer/single-code exposure.

Competitive standing within South Dakota is dominant for this service: the provider ranks #1 of 43 providers in-state for T2031, placing it at the 100th percentile and labeled an extreme outlier, far above typical state volume for this code. This ranking signals a market-leading position in Medicaid waiver-assisted living volume within the state and implies scale advantages relative to in-state peers for that specific service.

For payer strategy and network design, MEADOWS ON SYCAMORE’s profile flags it as a large Medicaid-waiver per-diem provider that will be sensitive to state Medicaid policy decisions; payers and Medicaid program managers should treat the facility as a key counterparty for waiver program capacity and rate negotiations given its outsized state share. Its lack of Medicare claims also limits the potential for immediate revenue diversification into fee-for-service Medicare unless the provider expands services or changes contracting approaches.

Data caveats for analysts: Medicare CPT/HCPCS top-25 are omitted because this provider has no Medicare billing on file, and the Medicaid top-25 is dominated by T2031 as described. All dollar and claim figures cited are the rounded/abbreviated values provided in the dataset and should be used as reported ($8.2M total Medicaid revenue; 8.4K claims; $981 avg paid/claim; 100.0% concentration).

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
T2031	Assisted living; waiver, per diem	8,370	$980	$8.2M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other South Dakota providers billing the same CPT/HCPCS codes.

Claims Volume vs. South Dakota Distribution

Meadows On Sycamore Inc — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2031	Assisted living; waiver, per diem	1	40	340	$1,090	$1.1M

Nearby Providers

Other providers in the same ZIP code as Meadows On Sycamore Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childrens Home Society Of South Dakota	SD	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$62.7M
Lisa Hemmingson	SD	Mental Health Counselor	$0	$655.6K
Dr. John W Sivesind, O.d., P.C.	SD	Corneal and Contact Management Optometrist	$0	$520.2K
Bonnie Deen	SD	Mental Health Counselor	$0	$415.7K
Hy-vee Inc	SD	Community/Retail Pharmacy	$245.9K	$0
Avera Mckennan	SD	Endocrinology, Diabetes & Metabolism Physician	$0	$155.1K
Precision Vision, Inc	SD	Eyewear Supplier	$0	$150K
Best Life, LLC	SD	Professional Counselor	$0	$133.5K
Jallah Kpanquoi	SD	In Home Supportive Care Agency	$0	$131.6K
Jed Assam	SD	Ophthalmology Physician	$131.3K	$0

Meadows On Sycamore Inc — Billing Profile & Reimbursement Data

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Meadows On Sycamore 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