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

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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.

Elm Waseca County Sls Inc (NPI 1770625477)

Field	Value
Entity Type	Organization
Organization	Elm Waseca County Sls Inc
Address	204 2nd St Sw
City	Waseca
State	MN
ZIP	56093
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	February 12, 2007

Payer Source	Total Paid
Medicaid	$78.9M
Medicare	$0

Key Findings

ELM WASECA COUNTY SLS INC reports no Medicare billing on file and $78.9M in lifetime Medicaid revenue, making it effectively a single‑payer (Medicaid) provider in the claims dataset. The absence of Medicare revenue means any payer-mix analysis should treat Medicaid as the dominant — and near‑exclusive — source of recorded payment activity.

Revenue is highly concentrated: the provider’s top three Medicaid codes account for 99.8% of total Medicaid revenue, with S5140 representing 57.3%, T2016 representing 40.0%, and T2019 representing 2.5% of Medicaid revenue. This concentration indicates the business is overwhelmingly driven by a very narrow set of service lines rather than a broad portfolio of billable activities.

The service-line mix is consistent with residential and habilitation care for individuals with intellectual and developmental disabilities: S5140 is foster care, adult; per diem and T2016 is habilitation, residential, waiver; per diem, while T2019 is habilitation, supported employment, waiver; per 15 minutes. Together these codes imply the provider operates primarily as a community‑based residential treatment/foster‑care operator delivering day-to-day habilitation and residential supports rather than episodic clinical procedures.

Operational scale is reflected in high claim volumes and per‑diem payment patterns: S5140 shows 218.6K claims at $207 avg paid/claim generating $45.3M, and T2016 shows 157.7K claims at $200 avg paid/claim generating $31.5M. The large counts and per‑diem pricing suggest steady census-driven revenue streams dependent on resident placements and waiver enrollment rather than low-frequency high-dollar interventions.

Relative to in‑state peers the provider is a solid, above‑median participant on its primary codes but not a statewide dominant outlier: S5140 ranks #15 of 59 providers (76th percentile; described as typical, unremarkable volume), T2016 ranks #11 of 34 (70th percentile; typical, unremarkable volume), and T2019 ranks #6 of 22 (76th percentile; typical, unremarkable volume). These rankings indicate consistent, mid‑to‑upper tier presence in Minnesota for these service lines without an extreme statistical deviation in utilization.

The provider’s NPI was enumerated on 2007-02-12 (~19 years ago), indicating long-term registry tenure and operational persistence in the market; this longevity aligns with the steady, per‑diem residential business model suggested by the code mix. Long tenure may support established relationships with state Medicaid waiver programs and local referral networks.

Ancillary activity is minimal relative to the core residential habilitation lines: T2003 (non‑emergency transportation; encounter/trip) contributes only $192.1K (0.2% of total Medicaid revenue) across 13.7K claims at $14 avg paid/claim. The extreme reliance on the top three codes means the provider’s Medicaid revenue profile is concentrated in a few programmatic levers, so changes in per‑diem rates, waiver rules, or placement volumes for S5140/T2016 would materially affect overall revenue flows.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	218,610	$210	$45.3M
T2016	Habilitation, residential, waiver; per diem	157,670	$200	$31.5M
T2019	Habilitation, supported employment, waiver; per 15 minutes	17,030	$110	$1.9M
T2003	Non-emergency transportation; encounter/trip	13,720	$10	$192.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Elm Waseca County Sls Inc — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	15	60	33,770	$300	$37.6M
T2016	Habilitation, residential, waiver; per diem	11	30	84,870	$240	$23.9M
T2019	Habilitation, supported employment, waiver; per 15 minutes	6	20	3,250	$70	$1.1M
T2003	Non-emergency transportation; encounter/trip	87	240	7,020	$30	$803.5K

Nearby Providers

Other providers in the same ZIP code as Elm Waseca County Sls Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alee Services	MN	In Home Supportive Care Agency	$0	$11.3M
Inds School Dist 829	MN	Local Education Agency (LEA)	$0	$4.8M
Thrifty Drug Stores Inc	MN	Community/Retail Pharmacy	$41.5K	$2.2K

Elm Waseca County Sls Inc — Billing Profile & Reimbursement Data

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Elm Waseca County Sls 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