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.

New Choices Inc (NPI 1760549729)

Field	Value
Entity Type	Organization
Organization	New Choices Inc
Address	2501 18th St
City	Bettendorf
State	IA
ZIP	52722
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 2, 2007

Payer Source	Total Paid
Medicaid	$72.6M
Medicare	$0

Key Findings

NEW CHOICES INC is effectively a single-payer Medicaid provider: there is no Medicare billing on file and reported lifetime Medicaid revenue is $72.6M, indicating the organization’s entire documented payer footprint in this dataset is Medicaid-centric. Its taxonomy as a Developmentally Disabled Services Day Training Agency aligns with the Medicaid codes that dominate its billing profile.

Revenue is highly concentrated in a very small set of services: the top three Medicaid codes (H2016, S5136, H2015) together account for 98.8% of the provider’s total Medicaid revenue. The largest single code, H2016, generated $35M (48.2% of total Medicaid revenue), followed by S5136 at $22.4M (30.8%), and H2015 at $14.4M (19.8%).

The code mix points to a service model built around comprehensive community supports and companion/attendant services. H2016 and H2015 (Comprehensive community support services, per diem and per 15 minutes) plus S5136 (Companion care, adult; per diem) indicate the provider operates major day/community support programs and time-based direct support services rather than acute clinical procedures. This pattern is consistent with an organization focused on developmental disability day training and in-home/community attendant care.

H2015 is an extreme outlier in-state: the provider ranks #1 of 95 providers for that code and is labeled an "extreme outlier, far above typical state volume". That ranking and label indicate NEW CHOICES is the dominant state provider for H2015-type time-based community support services, representing an outsized share of the in-state market for that specific 15-minute billing unit.

By contrast, the provider’s volumes for the other two top codes are closer to typical in-state levels. H2016 ranks #45 of 176 providers (75th percentile) and is described as "typical, unremarkable volume for this code," while S5136 ranks #18 of 82 providers (79th percentile) and is also characterized as "typical, unremarkable volume for this code." This suggests strong specialization in H2015 alongside more ordinary participation in the broader market for per-diem community supports and companion care.

Operationally, the mix of per-diem codes (H2016, S5136) and a high-volume per-15-minute code (H2015) implies a blend of full-day program offerings and intensive, time-tracked direct support services. The heavy reliance on H2015 and per-diem companion services likely reflects large volumes of direct care hours and day training capacity, which could make revenue sensitive to rate or policy changes that affect those specific code types.

Smaller codes such as S5150 ($508.3K, 0.7% of total) and S5125 ($377.8K, 0.5% of total) together represent a tiny share of revenue relative to the top three, reinforcing that the business is dependent on a narrow set of service lines. Those smaller lines (unskilled respite care and attendant care per 15 minutes) are present but not material to overall revenue, so strategic shifts or reimbursement changes in those services would have limited impact compared with changes to H2015, H2016, or S5136.

The provider has an established presence: its NPI was enumerated on 2007-01-02 (approximately 19 years ago), indicating long tenure in the market. That longevity, combined with the #1 statewide position on H2015, suggests institutional scale and operational experience in delivering Medicaid-funded services for people with developmental disabilities.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	37,570	$930	$35M
S5136	Companion care, adult (e.g., iadl/adl); per diem	39,260	$570	$22.4M
H2015	Comprehensive community support services, per 15 minutes	117,810	$120	$14.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	14,120	$40	$508.3K
S5125	Attendant care services; per 15 minutes	9,940	$40	$377.8K

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

New Choices Inc — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	18	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	45	180	10,790	$390	$15.2M
H2015	Comprehensive community support services, per 15 minutes	1	100	4,130	$160	$1.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	7	40	2,200	$240	$1.6M
S5125	Attendant care services; per 15 minutes	14	90	1,140	$70	$831.9K

Nearby Providers

Other providers in the same ZIP code as New Choices Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bettendorf Community School District	IA	Local Education Agency (LEA)	$0	$7.4M
New Choices	IA	Community/Behavioral Health Agency	$0	$6.9M
Trinity Medical Center	IA	General Acute Care Hospital	$0	$5.2M
Helping Hands Transporting Services,llc	IA	Non-emergency Medical Transport (VAN)	$0	$3.5M
Richard Yemm	IA	Ophthalmology Physician	$2.4M	$6.1K
Gengastro LLC	IA	Ambulatory Surgical Clinic/Center	$1.1M	$1M
Martin O'malley	IA	Ophthalmology Physician	$1.9M	$2.7K
New Choices LLC	IA	Home Health Agency	$0	$1.9M
Genesis Health System	IA	Home Health Agency	$0	$1.8M
Hand In Hand	IA	Respite Care	$0	$1.5M

New Choices Inc — Billing Profile & Reimbursement Data

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New Choices 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