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.

Unlimited Service, Inc. (NPI 1801953807)

Field	Value
Entity Type	Organization
Organization	Unlimited Service, Inc.
Address	308 S. River Park Dr.
City	Guttenberg
State	IA
ZIP	52052
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	January 2, 2007

Payer Source	Total Paid
Medicaid	$28.3M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scope: there is no Medicare billing on file and all reported lifetime revenue is from Medicaid, totaling exactly $28.3M. The absence of Medicare activity indicates the organization operates almost exclusively within Medicaid-funded programs rather than Medicare-covered clinical services.

Revenue is highly concentrated in a very small set of service lines: the precomputed top 3 Medicaid codes (S5136, H2016, T2020) account for 96.1% of this provider's total Medicaid revenue. The single largest line, S5136, produces $19.7M (69.6% of Medicaid revenue), creating a strong dependence on companion care/per‑diem adult services.

The code mix maps closely to an Intellectual and/or Developmental Disabilities community‑based residential and day services model: S5136 (Companion care, adult; per diem), H2016 (Comprehensive community support services; per diem), and T2020 (Day habilitation, waiver; per diem) together point to a business built around per‑diem residential companionship, community supports, and day habilitation. High claim volumes for these codes support that operational profile (S5136 has 21.9K claims with $901 avg paid/claim; T2020 has 37K claims with $82 avg paid/claim), suggesting routine daily service delivery rather than episodic medical procedures.

Competitive standing varies by service line within the state: for S5136 this provider ranks #26 of 82 providers in-state (69th percentile), which the data labels as "typical, unremarkable volume for this code" and indicates a solid but not dominant market position for companion care. By contrast, for T2020 the provider ranks #19 of 101 in-state (82th percentile) and so is comparatively stronger in day habilitation relative to peers, while H2016 ranks #127 of 176 (28th percentile) and does not signal market leadership in comprehensive community support services.

Smaller ancillary codes make up only marginal shares of revenue, evidencing limited diversification beyond the top per‑diem services: H2025 contributes $773.6K (2.7%), S5102 $183.8K (0.6%), T2021 $66.5K (0.2%), T2015 $47.6K (0.2%), and H2023 $21.8K (0.1%). Those supporting codes generally sit in lower percentiles (for example, H2025 ranks #47 of 65, 28th percentile; H2023 ranks #26 of 29, 11th percentile) and are described as having typical volumes, so they currently do not materially offset the top‑code concentration.

The operational footprint is scale‑oriented around high claim counts and modest per‑claim payments in some lines: T2020 shows 37K claims at $82 avg paid/claim while S5136 shows 21.9K claims at $901 avg paid/claim, indicating a mix of high‑frequency low‑unit‑rate day habilitation and lower‑frequency higher‑unit‑rate companion care that together drive the Medicaid revenue base. This split suggests revenue sensitivity both to utilization patterns (days served) and to rate changes on the dominant per‑diem codes.

The provider has an established regulatory tenure, with NPI enumeration dated 2007-01-02 (~19 years ago), which points to long‑standing participation in state Medicaid networks. Coupled with the absence of Medicare billing, the long tenure reinforces that the organization is an established Medicaid‑centric IDD service provider rather than a general acute or Medicare‑focused provider.

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	21,880	$900	$19.7M
H2016	Comprehensive community support services, per diem	2,750	$1,630	$4.5M
T2020	Day habilitation, waiver; per diem	36,980	$80	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	1,230	$630	$773.6K
S5102	Day care services, adult; per diem	2,390	$80	$183.8K
T2021	Day habilitation, waiver; per 15 minutes	2,660	$30	$66.5K
T2015	Habilitation, prevocational, waiver; per hour	990	$50	$47.6K
H2023	Supported employment, per 15 minutes	730	$30	$21.8K

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

Unlimited Service, Inc. — 0 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	26	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	127	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	19	100	10,960	$110	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	47	70	2,970	$300	$1.9M
S5102	Day care services, adult; per diem	11	20	3,060	$90	$1.1M
H2023	Supported employment, per 15 minutes	26	30	4,810	$60	$542.5K
T2015	Habilitation, prevocational, waiver; per hour	21	30	1,920	$70	$425.6K
T2021	Day habilitation, waiver; per 15 minutes	55	100	2,780	$60	$386.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guttenberg Municipal Hospital	IA	Rural Health Clinic/Center	$0	$4.1M
Prescription Shoppe, Inc.	IA	Community/Retail Pharmacy	$33.9K	$0

Unlimited Service, Inc. — Billing Profile & Reimbursement Data

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Unlimited Service, 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