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.

Rem Iowa Community Services, Inc (NPI 1811032949)

Field	Value
Entity Type	Organization
Organization	Rem Iowa Community Services, Inc
Address	402 Main St
City	Keokuk
State	IA
ZIP	52632
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	February 20, 2007

Payer Source	Total Paid
Medicaid	$28.8M
Medicare	$0

Key Findings

REM IOWA COMMUNITY SERVICES, INC is effectively a Medicaid-focused provider: it has no Medicare billing on file and $28.8M in lifetime Medicaid revenue, indicating its entire recorded payment activity is concentrated in state Medicaid programs rather than Medicare. This makes the organization functionally a single-payer (Medicaid) operator in the available data.

Revenue concentration is extremely high within a tight set of service codes: the precomputed top 3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, with H2016 alone representing $22.8M (79.2% of Medicaid revenue) and S5136 contributing $6M (20.8%). This indicates nearly all Medicaid income flows from a small number of community-based support and companion-care service lines.

The code mix (H2016 — Comprehensive community support services, per diem; and S5136 — Companion care, adult; per diem) positions the organization as an intellectual and developmental disabilities community-based residential treatment and support provider focused on day-to-day community supports and companion/adl iadl assistance. The predominance of per-diem community support and companion care services suggests operations centered on sustained, recurring service delivery rather than episodic medical procedures.

In-state competitive standing for the largest code H2016 is modest: the provider ranks #34 of 176 in Iowa for H2016 (81th percentile), which the data describes as typical and unremarkable volume for that code. For S5136 the provider ranks #27 of 82 in-state (68th percentile), likewise described as typical volume; neither rank signals market dominance but rather a stable, middle-tier presence among peers offering these services.

The provider’s tenure is long-established: its NPI was enumerated on 2007-02-20 (~19 years ago), indicating nearly two decades of being in the claims system and likely operational stability in its service area. That history aligns with the steady, per-diem revenue picture implied by the dominant codes.

Because the entire Medicaid revenue is derived from community support and companion-care per-diem codes, the organization likely relies on sustained enrollment or placements to generate revenue. This concentration creates operational sensitivity to changes in Medicaid policy, per-diem rates, or program authorization for H2016 and S5136, since those two codes together constitute 100.0% of reported Medicaid revenue.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	65,840	$350	$22.8M
S5136	Companion care, adult (e.g., iadl/adl); per diem	21,580	$280	$6M

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

Rem Iowa Community Services, Inc — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	27	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	34	180	10,790	$390	$15.2M

Nearby Providers

Other providers in the same ZIP code as Rem Iowa Community Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Centers Of Southeastern Iowa, Inc	IA	Federally Qualified Health Center (FQHC)	$0	$8.7M
Keokuk C.s.d.	IA	Local Education Agency (LEA)	$0	$5.1M
Counseling Associates, Inc	IA	Community/Behavioral Health Agency	$0	$4.6M
Keokuk Area Hospital	IA	General Acute Care Hospital	$0	$2.1M
Community Health Centers Of Southeastern Iowa, Inc	IA	Federally Qualified Health Center (FQHC)	$0	$1.8M
Heartland Pathways Inc	IA	Mental Health Counselor	$0	$1.7M
Quincy Physicians & Surgeons Clinic, PLLC	IA	Rural Health Clinic/Center	$0	$1.4M
Air Evac Ems Inc	IA	Air Ambulance	$893.2K	$12.1K
William Schulte	IA	Family Medicine Physician	$221.9K	$190.4K
Hy-vee Inc	IA	Community/Retail Pharmacy	$174.6K	$43.5K

Rem Iowa Community Services, Inc — Billing Profile & Reimbursement Data

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Rem Iowa Community Services, 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