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

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

The Arc Of Iberia (NPI 1811928328)

Field	Value
Entity Type	Organization
Organization	The Arc Of Iberia
Address	3716 Redwood Dr
City	New Iberia
State	LA
ZIP	70560
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$72.5M
Medicare	$0

Key Findings

THE ARC OF IBERIA’s billing profile is consistent with its taxonomy as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: its Medicaid revenue is entirely driven by S5125 (Attendant care services; per 15 minutes), indicating the organization primarily provides hands-on attendant care and sustained personal-support services rather than acute medical procedures. The code mix suggests operations centered on direct care delivery in community or residential settings with substantial ongoing staff time billed in 15-minute units.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, and S5125 alone represents $72.5M (100.0% of the provider’s Medicaid revenue) across 493.3K claims at an average paid amount of $147 per claim. This means the provider’s entire reported Medicaid book of business is concentrated in a single service line and a single code.

This provider is effectively single-payer in practice: there is no Medicare billing on file (none below), and lifetime Medicaid revenue totals $72.5M. The absence of Medicare claims indicates THE ARC OF IBERIA’s revenue and payer exposure are dominated by Medicaid rather than a mixed Medicare/Medicaid payer mix.

Competitive standing in-state for S5125 is dominant: THE ARC OF IBERIA ranks #1 of 486 providers in Louisiana and sits at the 100th percentile for this code, described in the underlying data as an "extreme outlier, far above typical state volume for this code." That ranking signals the provider is a market leader for attendant care services within the state.

The raw volume and unit economics underline operational scale: 493.3K S5125 claims with a $147 average paid/claim yielding $72.5M in Medicaid revenue imply a very large cumulative number of billed 15-minute attendant care units. Such volume typically requires substantial staffing, scheduling infrastructure, and administrative capacity to support continuous attendant care services.

The provider’s tenure adds context: the NPI was enumerated 2006-07-05 (~20 years ago), indicating a long-established presence in the market. This longevity combined with the large Medicaid footprint suggests sustained specialization in attendant care over an extended period.

The single-code revenue concentration creates business and policy vulnerability: because 100.0% of Medicaid revenue is tied to S5125, any changes in Medicaid coverage policy, rate adjustments for attendant care, or shifts in provider credentialing for this code could materially affect the organization’s finances. Analysts should treat the provider as highly dependent on continued reimbursement for attendant care.

From a payer/competitive-analysis perspective, the combination of rank (#1 of 486), the 100th percentile designation, and the "extreme outlier" label marks THE ARC OF IBERIA as an unusually large provider of S5125 in Louisiana; this position may translate into operational leverage or heightened oversight interest by payers given the concentration and scale of claims activity.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	493,280	$150	$72.5M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

The Arc Of Iberia — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	1	490	35,970	$140	$7.3M

Nearby Providers

Other providers in the same ZIP code as The Arc Of Iberia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hulin Urgent Care Services LLC	LA	Urgent Care Clinic/Center	$0	$31.8M
Hospital Service District No. 1 Of Iberia Parish	LA	General Acute Care Hospital	$0	$20.4M
The Arc Of Iberia, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$13.3M
Helping Hands Of Acadiana	LA	Developmentally Disabled Services Day Training Agency	$0	$10.3M
A & L Personal Care, Inc.	LA	Home Health Agency	$0	$9.8M
Main Street Emergency Group LLC	LA	Emergency Medicine Physician	$0	$9.4M
The Arc Of Iberia	LA	Developmentally Disabled Services Day Training Agency	$0	$7.9M
A & L Personal Care, Inc.	LA	Home Health Agency	$0	$7.5M
Home Sweet Home Personal Care Services, Inc.	LA	Home Health Agency	$0	$7.5M
Home Sweet Home Personal Care Services, Inc.	LA	Home Health Agency	$0	$7.2M

The Arc Of Iberia — Billing Profile & Reimbursement Data

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The Arc Of Iberia — 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