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.

Goodwill Industries Of Ne Iowa Inc (NPI 1760548440)

Field	Value
Entity Type	Organization
Organization	Goodwill Industries Of Ne Iowa Inc
Address	2640 Falls Ave
City	Waterloo
State	IA
ZIP	50701
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	December 28, 2006

Payer Source	Total Paid
Medicaid	$52.5M
Medicare	$0

Key Findings

GOODWILL INDUSTRIES OF NE IOWA INC is effectively a Medicaid-focused provider: there is no Medicare billing on file and the provider reports $52.5M in lifetime Medicaid revenue, making Medicaid the sole material public payer relationship shown in these data. Analysts should treat this profile as single-payer (Medicaid) in scale and exposure.

Revenue is highly concentrated in a small set of service lines: the top three Medicaid codes (S5136, H2016, H2015) together account for 91.1% of the provider's total Medicaid revenue. In particular, S5136 alone represents $28.4M (54.1%), H2016 represents $14.3M (27.3%), and H2015 represents $5.1M (9.7%), so these three codes drive the vast majority of billing.

The code mix points to an operational emphasis on community-based non-clinical supports and behavioral health-related services rather than traditional inpatient or acute-care hospice billing; dominant codes include S5136 (companion care, per diem) and H2016/H2015 (comprehensive community support services, per diem and per 15 minutes). This suggests the organization’s delivery model centers on ongoing daily-living assistance and community support interventions.

Competitive standing on the state level is mixed but generally within typical ranges for the largest revenue drivers: S5136 ranks #21 of 82 in-state (75th percentile; described as typical, unremarkable volume), H2016 ranks #58 of 176 (67th percentile; typical), and H2015 ranks #25 of 95 (74th percentile; typical). These placements indicate the provider is a steady, mid-to-upper-tier participant for these common Medicaid community-support codes rather than a statewide dominant funder.

There is one notable statistical outlier in utilization: H2023 (Supported employment, per 15 minutes) shows 33.3K claims, $72 avg paid/claim, $2.4M revenue (4.6%) and ranks #2 of 29 providers in-state (96th percentile; notably above typical state volume). While H2023 contributes a smaller share of total Medicaid revenue, the provider appears to be a regional leader in supported employment services relative to peers.

Other billed codes are materially smaller contributors: H2025 (4.8K claims, $468 avg paid/claim, $2.2M revenue; 4.3%) and S5150 (204 claims, $274 avg paid/claim, $55.9K revenue; 0.1%) each account for only a few percent or less of total Medicaid revenue and rank in the mid-to-lower state percentiles. These secondary lines diversify services modestly but do not materially change the provider’s revenue concentration.

The provider has an established operating history in public programs: NPI enumerated 2006-12-28 (~20 years ago), indicating long tenure and a sustained presence in state Medicaid networks. That longevity supports interpretation of these utilization patterns as stable offerings rather than transient activity.

Given the heavy dependence on a small set of Medicaid service codes and the complete absence of Medicare billing, the provider’s revenue profile is sensitive to state Medicaid policy, rate changes, or authorization rules for S5136, H2016, and H2015. Analysts monitoring financial or contracting risk should prioritize policy developments and utilization audits tied to those specific codes and to supported employment (H2023) where the provider is unusually concentrated compared with peers.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	34,070	$830	$28.4M
H2016	Comprehensive community support services, per diem	23,480	$610	$14.3M
H2015	Comprehensive community support services, per 15 minutes	14,040	$360	$5.1M
H2023	Supported employment, per 15 minutes	33,270	$70	$2.4M
H2025	Ongoing support to maintain employment, per 15 minutes	4,790	$470	$2.2M
S5150	Unskilled respite care, not hospice; per 15 minutes	200	$270	$55.9K

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

Goodwill Industries Of Ne Iowa Inc — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	21	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	58	180	10,790	$390	$15.2M
H2025	Ongoing support to maintain employment, per 15 minutes	22	70	2,970	$300	$1.9M
H2015	Comprehensive community support services, per 15 minutes	25	100	4,130	$160	$1.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	37	40	2,200	$240	$1.6M
H2023	Supported employment, per 15 minutes	2	30	4,810	$60	$542.5K

Nearby Providers

Other providers in the same ZIP code as Goodwill Industries Of Ne Iowa Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Exceptional Persons Inc	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$80.3M
Vgm Group, Inc.	IA	Durable Medical Equipment & Medical Supplies	$0	$54.4M
Veridian Fiscal Solutions LLC	IA	Community/Behavioral Health Agency	$0	$47M
North Star Community Services, Inc	IA	Developmentally Disabled Services Day Training Agency	$0	$26.7M
Families First Counseling Services Of Iowa, L.L.C.	IA	Community/Behavioral Health Agency	$0	$16.3M
Resources For Human Development	IA	Community/Behavioral Health Agency	$0	$13.1M
Cedar Valley Community Support Services	IA	Developmentally Disabled Services Day Training Agency	$0	$11.1M
Vgm Group, Inc.	IA	Case Management Agency	$0	$5.4M
Pathways Behavioral Services Inc	IA	Community/Behavioral Health Agency	$0	$4.5M
Kenny Rodriguez	IA	Otolaryngology Physician	$3.2M	$0

Goodwill Industries Of Ne Iowa Inc — Billing Profile & Reimbursement Data

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Goodwill Industries Of Ne Iowa 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