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

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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 Central Lakes, Inc. (NPI 1831264290)

Field	Value
Entity Type	Organization
Organization	Rem Central Lakes, Inc.
Address	1401 1st St Ne
City	Sartell
State	MN
ZIP	56377
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicaid	$122.1M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only billing entity: there is no Medicare billing on file and total reported Medicaid revenue is $122.1M, indicating a single-payer footprint concentrated entirely in state Medicaid programs. The absence of Medicare activity means competitive and reimbursement exposure is driven by Medicaid policy and rates rather than dual-payer dynamics.

Revenue is highly concentrated in a very small set of per-diem residential codes: the precomputed top 3 Medicaid codes account for 97.7% of the provider's total Medicaid revenue, led by S5140 ($84.9M, 69.5% of Medicaid revenue; 319.1K claims, $266 avg paid/claim), T2016 ($32.9M, 26.9% of Medicaid revenue; 156.5K claims, $210 avg paid/claim), and S5145 ($1.5M, 1.2% of Medicaid revenue; 4.4K claims, $344 avg paid/claim). This concentration signals the business is overwhelmingly driven by per-diem residential/foster-care payments.

Code mix and descriptions point to a residential and foster-care operating model: S5140 (Foster care, adult; per diem) and T2016 (Habilitation, residential, waiver; per diem) together dominate revenue, implying the provider operates adult foster-care placements or residential habilitation settings for individuals with intellectual/developmental disabilities and bills primarily on a per-diem basis. The presence of S5145 (Foster care, therapeutic, child; per diem) at much lower volume suggests some limited child therapeutic foster-care activity but not a major business line.

Competitive standing on the largest line (S5140) is relatively strong within Minnesota: S5140 revenue ranks #10 of 59 providers in-state (84th percentile; typical, unremarkable volume for this code), indicating the provider is in the upper tier of in-state adult foster-care billers but not a single dominant statewide operator. The dataset label characterizes the provider’s S5140 volume as typical rather than an extreme outlier.

For residential habilitation (T2016) the provider is a mid-to-upper peer participant: T2016 ranks #12 of 34 providers in-state (67th percentile; typical, unremarkable volume for this code), reflecting a meaningful but not market-leading presence in waiver-funded residential habilitation services. That positioning suggests capacity in waiver programs without monopolizing the local habilitation market.

Smaller professional/service codes represent a negligible portion of revenue and show only typical in-state volume: H2014 ($1.1M; 6.8K claims, $162 avg), H2019 ($555.7K; 6.3K claims, $88 avg) and H2032 ($545K; 6.1K claims, $90 avg) together account for under 2% of Medicaid revenue and rank mid-range among peers (H2014 rank #89 of 185, 52th percentile; H2019 rank #23 of 49, 54th percentile; H2032 rank #25 of 69, 65th percentile; all noted as typical, unremarkable volume for these codes). These ancillary services appear operationally secondary to per-diem residential billing.

The provider’s NPI tenure is long-standing: NPI enumerated 2006-11-21 (~20 years ago), which supports interpretation that the current revenue mix reflects an established operating model rather than a transient billing pattern. Longevity combined with the concentrated per-diem mix suggests business stability tied to residential/foster-care contracts and placements.

Concentration risk and operational implication: because S5140 and T2016 together make up the vast majority of Medicaid revenue (69.5% and 26.9% respectively, with the precomputed top-3 share at 97.7%), the provider is highly exposed to changes in Medicaid per-diem rates, waiver policy, or foster-care placement demand. The lack of Medicare revenue further limits diversification, so reimbursement or policy shifts in state Medicaid programs would materially affect overall revenue.

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
S5140	Foster care, adult; per diem	319,140	$270	$84.9M
T2016	Habilitation, residential, waiver; per diem	156,520	$210	$32.9M
S5145	Foster care, therapeutic, child; per diem	4,410	$340	$1.5M
H2014	Skills training and development, per 15 minutes	6,770	$160	$1.1M
H2019	Therapeutic behavioral services, per 15 minutes	6,320	$90	$555.7K
H2032	Activity therapy, per 15 minutes	6,060	$90	$545K
T2017	Habilitation, residential, waiver; 15 minutes	4,720	$80	$372.6K
S5125	Attendant care services; per 15 minutes	2,170	$140	$296.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Rem Central Lakes, Inc. — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	10	60	33,770	$300	$37.6M
T2016	Habilitation, residential, waiver; per diem	12	30	84,870	$240	$23.9M
S5125	Attendant care services; per 15 minutes	26	30	7,060	$130	$5.2M
S5145	Foster care, therapeutic, child; per diem	3	10	8,640	$400	$3.3M
H2014	Skills training and development, per 15 minutes	89	190	6,230	$120	$2.2M
H2019	Therapeutic behavioral services, per 15 minutes	23	50	5,850	$110	$1.2M
H2032	Activity therapy, per 15 minutes	25	70	3,950	$120	$1M
T2017	Habilitation, residential, waiver; 15 minutes	14	20	6,790	$100	$879.8K

Nearby Providers

Other providers in the same ZIP code as Rem Central Lakes, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sleep Therapy	MN	Durable Medical Equipment & Medical Supplies	$0	$11.6M
Northway Academy, Inc.	MN	Community/Behavioral Health Agency	$0	$10.5M
Centracare Clinic	MN	Primary Care Clinic/Center	$0	$6.1M
Dale Reynolds	MN	Ophthalmology Physician	$5.6M	$0
Foundations Autism Center LLC	MN	Adolescent and Children Mental Health Clinic/Center	$0	$4.7M
Regional Diagnostic Radiology	MN	Diagnostic Radiology Physician	$0	$4.4M
Vamsi Gullapalli	MN	Ophthalmology Physician	$380.4K	$17.4K
Charles Cunningham	MN	Diagnostic Radiology Physician	$256.8K	$0
Barry Labine	MN	Dermatology Physician	$201.4K	$0
Mats Liden	MN	Diagnostic Radiology Physician	$172.4K	$0

Rem Central Lakes, Inc. — Billing Profile & Reimbursement Data

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Rem Central Lakes, 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