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.

Trivium Life Services (NPI 1841327673)

Field	Value
Entity Type	Organization
Organization	Trivium Life Services
Address	1851 Madison Ave Ste 718
City	Council Bluffs
State	IA
ZIP	51503
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicaid	$149.2M
Medicare	$0

Key Findings

TRIVIUM LIFE SERVICES has no Medicare billing on file and reports $149.2M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) provider at this scale. The absence of Medicare revenue limits cross-payer diversification and ties the organization’s financial profile closely to Medicaid policy and reimbursement trends in Iowa.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 96.3% of the provider’s total Medicaid revenue, driven by H2016 ($86.5M, 58.0%), S5136 ($41.9M, 28.1%), and T2020 ($15.2M, 10.2%). This concentration means changes to per-diem rates, waiver rules, or utilization for these specific codes would have outsized impact on overall revenue.

The code mix indicates TRIVIUM operates large-scale day habilitation and community support services for people with developmental disabilities: H2016 (Comprehensive community support services, per diem), T2020 (Day habilitation, waiver; per diem), and S5136 (Companion care, adult; per diem) together dominate services and revenue. The predominance of per-diem codes suggests the business model centers on sustained daily programs and community-based support rather than short episodic or medically oriented services.

TRIVIUM is a dominant in-state player on several high-volume lines: H2016 ranks #2 of 176 providers in Iowa (99th percentile; extreme outlier) and T2020 ranks #1 of 101 providers in Iowa (100th percentile; extreme outlier), while S5136 ranks #6 of 82 (94th percentile; notably above typical state volume). These rankings position the provider among the largest statewide operators for day habilitation and comprehensive community supports, giving it scale advantages within those service lines.

Operational scale is reflected in claims and unit economics: H2016 shows 379.4K claims at $228 avg paid/claim, S5136 shows 170.9K claims at $245 avg paid/claim, and T2020 shows 202.6K claims at $75 avg paid/claim. High per-diem claim volumes combined with the shown average paid amounts explain why a small set of codes produces the vast majority of revenue and indicate substantial daily throughput of program participants.

TRIVIUM’s NPI was enumerated 2007-02-28 (~19 years ago), indicating long tenure in the Medicaid market and likely established relationships with state administrators and managed care plans. That longevity supports the scale observed in high-volume codes and suggests experience navigating waiver and community-support program requirements.

Smaller but notable components of the service mix include H2025 ($2.5M, 1.7%; rank #9 of 65, 88th percentile) and H2015 ($1.8M, 1.2%; rank #7 of 95, 94th percentile), which point to supplemental time-based supports such as employment maintenance and per-15-minute community support. These services are modest revenue contributors compared with the dominant per-diem lines but indicate breadth of program offerings beyond core day habilitation.

The extreme revenue concentration in a few per-diem waiver and community support codes creates both risk and leverage: because H2016 and T2020 are labeled extreme outliers in state volume and together with S5136 make up 96.3% of Medicaid revenue, policy changes, rate adjustments, or utilization management actions focused on these codes would materially affect TRIVIUM’s financial position, while successful contract negotiations or favorable waiver approvals could similarly have outsized positive impact.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	379,420	$230	$86.5M
S5136	Companion care, adult (e.g., iadl/adl); per diem	170,890	$250	$41.9M
T2020	Day habilitation, waiver; per diem	202,630	$80	$15.2M
H2025	Ongoing support to maintain employment, per 15 minutes	11,700	$220	$2.5M
H2015	Comprehensive community support services, per 15 minutes	34,750	$50	$1.8M
T2021	Day habilitation, waiver; per 15 minutes	28,430	$30	$796K
T2018	Habilitation, supported employment, waiver; per diem	2,840	$80	$221.6K
T2015	Habilitation, prevocational, waiver; per hour	5,180	$40	$217.6K
S5102	Day care services, adult; per diem	520	$60	$28.7K

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

Trivium Life Services — 3 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	6	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	2	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	1	100	10,960	$110	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	9	70	2,970	$300	$1.9M
H2015	Comprehensive community support services, per 15 minutes	7	100	4,130	$160	$1.9M
S5102	Day care services, adult; per diem	17	20	3,060	$90	$1.1M
T2015	Habilitation, prevocational, waiver; per hour	12	30	1,920	$70	$425.6K
T2021	Day habilitation, waiver; per 15 minutes	5	100	2,780	$60	$386.9K
T2018	Habilitation, supported employment, waiver; per diem	5	30	440	$100	$140.6K

Nearby Providers

Other providers in the same ZIP code as Trivium Life Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vocational Development Center Inc	IA	Developmentally Disabled Services Day Training Agency	$0	$59M
Rem Iowa Community Services, Inc	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$54.3M
Focus-family Options & Community Supports, Inc	IA	Developmentally Disabled Services Day Training Agency	$0	$41.2M
Council Bluffs Community School District	IA	Local Education Agency (LEA)	$0	$17.5M
Family Connections, Inc	IA	Case Management Agency	$0	$15.1M
Alegent Health Bergan Mercy Health System	IA	General Acute Care Hospital	$0	$13M
Jennie Edmundson Memorial Hospital	IA	General Acute Care Hospital	$0	$9.8M
Alegent Creighton Clinic	IA	Family Medicine Physician	$0	$9.6M
City Of Council Bluffs	IA	Ambulance	$425.7K	$6.2M
Alegent Creighton Health	IA	Psychiatry Physician	$0	$5.8M

Trivium Life Services — Billing Profile & Reimbursement Data

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Trivium Life Services — 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