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.

Handicapped Development Center (NPI 1770635310)

Field	Value
Entity Type	Organization
Organization	Handicapped Development Center
Address	3402 Hickory Grove Rd
City	Davenport
State	IA
ZIP	52806
Taxonomy	Respite Care
NPI Enumerated	January 16, 2007

Payer Source	Total Paid
Medicaid	$59.8M
Medicare	$0

Key Findings

HANDICAPPED DEVELOPMENT CENTER is effectively a single-payer Medicaid provider: total Medicaid revenue is $59.8M and there is no Medicare billing on file. This profile indicates the organization’s entire legacy billing footprint in the available data is concentrated in Medicaid programs.

Revenue is highly concentrated in a very small set of service lines: the precomputed top three Medicaid codes account for 97.6% of the provider’s Medicaid revenue. Those top codes are S5136 ($41.3M, 69.1% of Medicaid revenue), T2020 ($15.3M, 25.6%), and H2025 ($1.7M, 2.9%), showing a narrow dependence on a few high-volume services.

The code mix indicates the business is focused on per-diem, community-based habilitation and companion services rather than episodic medical care: S5136 (Companion care, adult; per diem) and T2020 (Day habilitation, waiver; per diem) together drive the vast majority of billed dollars. High claim counts (S5136: 200.5K claims; T2020: 168.2K claims) and per-diem payment patterns suggest large-scale, day-to-day service delivery operations centered on non-clinical support and habilitation.

For S5136 the provider is a major in-state participant: S5136 generated $41.3M with 200.5K claims and a $206 avg paid/claim, ranking #4 of 82 providers in-state and sitting in the 96th percentile. That rank and the data descriptor “notably above typical state volume” indicate this provider is one of the larger companion-care vendors in Iowa by volume.

T2020 performance shows even stronger concentration and exceptional scale: T2020 produced $15.3M across 168.2K claims at a $91 avg paid/claim, ranking #4 of 101 providers in-state and in the 97th percentile. The precomputed label “extreme outlier, far above typical state volume” supports classifying the provider as a dominant outlier in day habilitation services within the state.

H2025 (ongoing support to maintain employment) represents a much smaller revenue stream ($1.7M, 2.9% of Medicaid revenue) with 6.2K claims and a $279 avg paid/claim, ranking #14 of 65 providers and in the 80th percentile. That placement and the characterization “typical, unremarkable volume” suggest employment-support services are offered but are not a primary revenue driver relative to the provider’s day habilitation and companion-care operations.

The provider’s financial profile is sensitive to utilization and rate changes in a narrow set of per-diem services: with 97.6% of Medicaid revenue concentrated in S5136, T2020, and H2025 (two of which are per-diem codes), policy, reimbursement, or utilization shifts for those specific codes would materially affect overall revenue. Analysts should treat future changes to per-diem rates or program rules for companion care and day habilitation as high-impact to this organization’s Medicaid performance.

The NPI tenure (enumerated 2007-01-16 (~19 years ago)) indicates an established presence in the market; coupled with top-5 statewide ranks on the two largest codes, the organization appears to be a mature Medicaid provider with sustained focus on companion care and day habilitation services in Iowa.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	200,490	$210	$41.3M
T2020	Day habilitation, waiver; per diem	168,200	$90	$15.3M
H2025	Ongoing support to maintain employment, per 15 minutes	6,190	$280	$1.7M
T2021	Day habilitation, waiver; per 15 minutes	16,080	$40	$691.4K
H2016	Comprehensive community support services, per diem	1,370	$240	$328.8K
T2015	Habilitation, prevocational, waiver; per hour	3,700	$60	$203.4K
H2015	Comprehensive community support services, per 15 minutes	2,740	$70	$189.3K
T2018	Habilitation, supported employment, waiver; per diem	20	$200	$3.4K

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

Handicapped Development Center — 2 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	4	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	139	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	4	100	10,960	$110	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	14	70	2,970	$300	$1.9M
H2015	Comprehensive community support services, per 15 minutes	58	100	4,130	$160	$1.9M
T2015	Habilitation, prevocational, waiver; per hour	14	30	1,920	$70	$425.6K
T2021	Day habilitation, waiver; per 15 minutes	11	100	2,780	$60	$386.9K
T2018	Habilitation, supported employment, waiver; per diem	31	30	440	$100	$140.6K

Nearby Providers

Other providers in the same ZIP code as Handicapped Development Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Iowa Community Services, Inc	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$87.2M
Vera French Restorative Care Facilities	IA	Psychiatric Residential Treatment Facility	$0	$29.9M
Center For Behavioral Health Iowa LLC	IA	Methadone Clinic	$69.5K	$3.1M
Familia Dental Davenport LLC	IA	General Practice Dentistry	$0	$2.7M
Amana Medical Care, Inc.	IA	Urgent Care Clinic/Center	$0	$2.4M
Companion Care Quad Cities Inc. Dba Home Helpers	IA	Home Health Agency	$0	$1.8M
Scott Hansen	IA	General Practice Dentistry	$0	$1.6M
Community Centered Counseling Services, LLC.	IA	Community/Behavioral Health Agency	$0	$1.6M
Mouhamed Al Sheikha	IA	Nephrology Physician	$527.9K	$3.9K
William Colantoni	IA	Dermatology Physician	$181.1K	$0

Handicapped Development Center — Billing Profile & Reimbursement Data

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Handicapped Development Center — 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