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    OpenPayerNPI Medicare & MedicaidCommunity Neurorehab Of Iowa
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    Community Neurorehab Of Iowa — Billing Profile & Reimbursement Data

    NPI 1750696852 · Des Moines, IA · Mental Illness Community Based Residential Treatment Facility

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    Community Neurorehab Of Iowa is a mental illness community based residential treatment facility provider located in Des Moines, Iowa. This profile covers 0 Medicare and 1 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
    OrganizationCommunity Neurorehab Of Iowa
    Address3000 Sw 37th St
    CityDes Moines
    StateIA
    ZIP50321
    TaxonomyMental Illness Community Based Residential Treatment Facility
    NPI EnumeratedAugust 12, 2010

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

    Payer SourceTotal Paid
    Medicaid$28M
    Medicare$0

    Key Findings

    The provider’s Medicaid billing is dominated by H0019, a long-term behavioral health residential per diem code described as non-medical and typically used for stays longer than 30 days; this operational profile aligns with the listed taxonomy of Mental Illness Community Based Residential Treatment Facility and indicates the entity is operating a bed-based, non-acute residential program rather than an outpatient or medical-somatic service line. Precomputed data show the top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, and the single listed code H0019 itself represents 100.0% of the provider’s total Medicaid revenue ($28M), confirming extreme concentration of revenue into that one service line. The provider reports no Medicare billing on file and $28M in Medicaid revenue, so it is effectively a single-payer (Medicaid) operation at scale; there is no Medicare-based revenue diversification to offset state program exposure. H0019 activity totals 2K claims with an average paid per claim of $14336, which implies a high average payment per claim consistent with long-term, high-intensity per-diem or aggregated stay billing patterns for residential treatment services. Competitively, this provider ranks #12 of 14 in-state on H0019 (15th percentile) and is characterized in the data as “typical, unremarkable volume for this code,” so it is a modest participant in the state market for this service rather than a dominant provider. The NPI was enumerated 2010-08-12 (~16 years ago), indicating an established presence in the market and a sustained billing history tied to the same service focus. Given the complete concentration of Medicaid revenue in H0019 and the absence of Medicare receipts, the provider’s financial performance is highly sensitive to changes in state Medicaid policy, reimbursement rates, or eligibility rules affecting long-term residential behavioral health reimbursement.

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0019Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem1,950$14,340$28M

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0019Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem121013,540$150$5M

    Nearby Providers

    Other providers in the same ZIP code as Community Neurorehab Of Iowa, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Molly BremenIAPediatric Dentistry$0$1.1M
    Hy-vee IncIACommunity/Retail Pharmacy$234.7K$96.9K

    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
    Community Neurorehab Of Iowa — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa