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    OpenPayerNPI Medicare & MedicaidHope Haven Area Development Center Corporation
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    Hope Haven Area Development Center Corporation — Billing Profile & Reimbursement Data

    NPI 1801920525 · Burlington, IA · Developmentally Disabled Services Day Training Agency

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    Hope Haven Area Development Center Corporation is a developmentally disabled services day training agency provider located in Burlington, Iowa. This profile covers 0 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHope Haven Area Development Center Corporation
    Address828 N 7th St
    CityBurlington
    StateIA
    ZIP52601
    TaxonomyDevelopmentally Disabled Services Day Training Agency
    NPI EnumeratedMarch 15, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$38M
    Medicare$0

    Key Findings

    HOPE HAVEN is effectively a Medicaid-centric provider: there is no Medicare billing on file and the provider reports $38M in lifetime Medicaid revenue, indicating it operates almost entirely within Medicaid payment streams rather than a dual-payer model. This single-payer concentration should be treated as the primary commercial context for any competitive or risk analysis.

    Revenue is highly concentrated in a very small set of day/habilitation codes: the top three Medicaid codes (S5136, T2020, H2016) together account for 86.2% of total Medicaid revenue, with S5136 at $23.3M (61.3%), T2020 at $6.4M (16.9%), and H2016 at $3M (8.0%). This concentration shows the business is largely driven by per-diem and community-support habilitation services rather than a broad mix of procedure-based billing.

    The service-line mix indicates core operations are companion care and day habilitation: S5136 (companion care, adult; per diem) and T2020 (day habilitation, waiver; per diem) dominate revenue, implying the organization runs per-diem day programs, waiver-funded habilitation, and community-based support services rather than clinic- or procedure-focused activities. H2016 (comprehensive community support services, per diem) further reinforces a focus on ongoing community supports and care coordination.

    Competitive standing for the largest revenue driver is solid but not unique: S5136 generates $23.3M (61.3% of Medicaid revenue) and ranks #8 of 82 providers in-state (91st percentile), a designation described as "typical, unremarkable volume" — in other words, the provider draws a large absolute dollars from this code but is one of several sizeable state providers billing it. Similarly, T2020 ($6.4M; 16.9%) ranks #11 of 101 (90th percentile) and is also characterized as typical in-state volume.

    The provider shows topical leadership in supported employment and per-15-minute habilitation buckets even where those codes are smaller revenue contributors: H2023 (supported employment, per 15 minutes) accounts for $1.6M (4.1%) and ranks #1 of 29 providers in-state (100th percentile; labeled "notably above typical"), while T2021 (day habilitation, per 15 minutes) has a 95th-percentile rank (#6 of 103; "notably above typical") despite contributing about $1.2M (3.0%). These placements indicate operational strength in time-based habilitation and supported employment relative to peers.

    Not all community-support codes are state-leading: H2016 ($3M; 8.0%) ranks #74 of 176 (58th percentile) and is described as typical, unremarkable volume, suggesting the provider’s dominance is concentrated in a few specific service lines rather than uniformly across all community support categories. This mixed ranking profile suggests targeted strengths rather than broad market leadership across every Medicaid service category.

    The provider offers ancillary services but they are modest revenue contributors: codes such as T1005 (respite care), S0215 (non-emergency transportation mileage), and A0100 (taxi) appear in the top-25 but collectively represent only small fractions of revenue (each is ≪1% of the $38M total). Their presence indicates a comprehensive service portfolio to support clients’ needs, but these lines are operational complements rather than primary revenue drivers.

    HOPE HAVEN has long tenure in the market, with an NPI enumeration date of 2007-03-15 (~19 years ago), which supports interpretation of these billing patterns as established operational strategy rather than a recent pivot; given the heavy dependence on a few per-diem waiver and community-support codes, monitoring payer policy or waiver-rate changes affecting S5136 and T2020 should be a priority for financial forecasting and competitive assessment.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5136Companion care, adult (e.g., iadl/adl); per diem119,260$200$23.3M
    T2020Day habilitation, waiver; per diem76,520$80$6.4M
    H2016Comprehensive community support services, per diem16,550$180$3M
    H2023Supported employment, per 15 minutes33,350$50$1.6M
    H2015Comprehensive community support services, per 15 minutes19,420$70$1.4M
    T2021Day habilitation, waiver; per 15 minutes28,090$40$1.2M
    H2025Ongoing support to maintain employment, per 15 minutes2,820$360$1M
    T1005Respite care services, up to 15 minutes670$40$26.9K
    S0215Non-emergency transportation; mileage, per mile530$50$25.4K
    T2018Habilitation, supported employment, waiver; per diem260$70$19.5K

    Showing 1–10 of 11

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Iowa median

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5136Companion care, adult (e.g., iadl/adl); per diem8809,410$490$17.9M
    H2016Comprehensive community support services, per diem7418010,790$390$15.2M
    T2020Day habilitation, waiver; per diem1110010,960$110$3M
    H2025Ongoing support to maintain employment, per 15 minutes35702,970$300$1.9M
    H2015Comprehensive community support services, per 15 minutes191004,130$160$1.9M
    T1005Respite care services, up to 15 minutes15201,490$160$930.8K
    S0215Non-emergency transportation; mileage, per mile24308,260$40$722.2K
    H2023Supported employment, per 15 minutes1304,810$60$542.5K
    T2021Day habilitation, waiver; per 15 minutes61002,780$60$386.9K
    A0100Non-emergency transportation; taxi37403,990$50$278.9K

    Showing 1–10 of 11

    Nearby Providers

    Other providers in the same ZIP code as Hope Haven Area Development Center Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Burlington C.s.d.IALocal Education Agency (LEA)$0$12.9M
    Self-relianceIADevelopmentally Disabled Services Day Training Agency$0$12.3M
    Hope Haven Area Development CenterIACommunity/Behavioral Health Agency$0$6.5M
    City Of BurlingtonIAAmbulance$515.3K$5.5M
    Young House Family Services, IncorporatedIASocial Worker$0$5.8M
    Alcohol & Drug Dependency ServicesIASubstance Abuse Rehabilitation Facility$0$2.1M
    Advanced Home Health CareIAHome Health Agency$0$1.7M
    Heritage Medical Equipment And Supplies IncIADurable Medical Equipment & Medical Supplies$0$1.1M
    Hy-vee IncIACommunity/Retail Pharmacy$355.7K$121.1K
    Tod GerhardtIAOptometrist$63.5K$337.1K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Iowa Providers
    6 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Hope Haven Area Development Center Corporation — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa