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.

Wesco Industries (NPI 1760545057)

Field	Value
Entity Type	Organization
Organization	Wesco Industries
Address	415 S 11th St
City	Denison
State	IA
ZIP	51442
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	December 18, 2006

Payer Source	Total Paid
Medicaid	$52.6M
Medicare	$0

Key Findings

WESCO INDUSTRIES appears to be effectively a Medicaid-focused operator: there is no Medicare billing on file and the provider reports $52.6M in lifetime Medicaid revenue. This concentration makes the organization a single‑payer Medicaid participant for analysts evaluating its revenue exposure and contracting leverage.

Revenue is highly concentrated in a small set of service lines: the top three Medicaid codes (S5136, H2016, H2025) account for 84.4% of the provider's total Medicaid revenue. Specifically, S5136 generates $25.9M (49.3%), H2016 generates $14.3M (27.2%), and H2025 generates $4.1M (7.9%), indicating dependence on a narrow set of per‑diem and support services.

The code mix and descriptions point to a day‑and‑community services model: S5136 (Companion care, adult; per diem) and T2020 (Day habilitation, waiver; per diem) show large per‑diem volumes, while H2016 (Comprehensive community support services; per diem) and H2025 (Ongoing support to maintain employment; per 15 minutes) indicate community integration and supported‑employment services. Together these codes suggest operations centered on adult day services, habilitation, and employment supports rather than medical or clinical procedures.

Operational scale is reflected in claim volumes for per‑diem services: S5136 has 95.2K claims and H2016 has 70.4K claims, with additional scale in T2020 (45.1K claims) and S5102 (30.8K claims). These high claim counts for per‑diem/day codes imply the provider serves a large number of member‑days and is organized to deliver frequent, routine community/day supports.

Average paid amounts highlight differing unit economics across service types: S5136 averages $272 paid/claim and H2016 averages $203 paid/claim, while H2025 averages $745 paid/claim despite fewer claims (5.5K). The relatively high average for H2025 suggests higher unit value or intensity for employment‑support units compared with day‑service per‑diems.

State competitive standing is above‑typical but not uniquely dominant for its top codes: S5136 ranks #12 of 82 (86th percentile) and is described as typical, unremarkable volume for this code, H2016 ranks #30 of 176 (83th percentile) and is described as typical, unremarkable volume for this code, and H2025 ranks #18 of 65 (73th percentile) and is described as typical, unremarkable volume for this code. These positions indicate WESCO is a sizable, higher‑volume provider in several Medicaid service categories within Iowa but generally within the expected range for peers.

Beyond the top three, T2020 ($3.6M, 6.9%) and S5102 ($2.3M, 4.4%) provide meaningful secondary revenue streams; T2020 ranks #18 of 101 (83th percentile) and S5102 ranks #4 of 19 (83th percentile) and both are labeled typical, unremarkable volume for this code. The presence of multiple day habilitation and day care codes as secondary contributors reinforces a diversified portfolio within the broader day/community support service line.

WESCO has an established operating history: its NPI was enumerated 2006-12-18 (~20 years ago), indicating long tenure in the Medicaid market. That longevity, combined with large per‑diem claim volumes, suggests mature payer relationships and operational stability in providing developmentally disabled day and community services.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	95,240	$270	$25.9M
H2016	Comprehensive community support services, per diem	70,410	$200	$14.3M
H2025	Ongoing support to maintain employment, per 15 minutes	5,550	$750	$4.1M
T2020	Day habilitation, waiver; per diem	45,090	$80	$3.6M
S5102	Day care services, adult; per diem	30,830	$80	$2.3M
H2015	Comprehensive community support services, per 15 minutes	2,950	$720	$2.1M
T2021	Day habilitation, waiver; per 15 minutes	2,700	$30	$75.5K
H2023	Supported employment, per 15 minutes	1,100	$40	$39.6K
S0215	Non-emergency transportation; mileage, per mile	550	$70	$36.9K
S5150	Unskilled respite care, not hospice; per 15 minutes	130	$110	$13.9K

Showing 1–10 of 12

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

Wesco Industries — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	12	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	30	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	18	100	10,960	$110	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	18	70	2,970	$300	$1.9M
H2015	Comprehensive community support services, per 15 minutes	56	100	4,130	$160	$1.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	38	40	2,200	$240	$1.6M
S5102	Day care services, adult; per diem	4	20	3,060	$90	$1.1M
T1005	Respite care services, up to 15 minutes	20	20	1,490	$160	$930.8K
S0215	Non-emergency transportation; mileage, per mile	23	30	8,260	$40	$722.2K
H2023	Supported employment, per 15 minutes	23	30	4,810	$60	$542.5K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Wesco Industries, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mosaic	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$34.7M
Crawford County Memorial Hospital	IA	Rural Health Clinic/Center	$0	$19.5M
Mosaic	IA	Mental Illness Community Based Residential Treatment Facility	$0	$13.6M
Crawford County Memorial Hospital	IA	Critical Access Hospital	$0	$3M
Keith Schrunk	IA	Optometrist	$117.3K	$535.6K
Scott Bowker	IA	Optometrist	$167.6K	$299.1K
Jonathan Hoaglund	IA	Optometrist	$79.8K	$210.6K
Abigail Behrens	IA	Family Nurse Practitioner	$139.7K	$0
Steven Brownmiller	IA	Optometrist	$101.6K	$27.2K
White Drug Enterprises Inc	IA	Community/Retail Pharmacy	$104.4K	$1.5K

Wesco Industries — 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