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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Encompass Family Support Services (NPI 1861054637)

Field	Value
Entity Type	Organization
Organization	Encompass Family Support Services
Address	320 5th St N
City	Fargo
State	ND
ZIP	58102
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 2, 2019

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Key Findings

ENCOMPASS FAMILY SUPPORT SERVICES is effectively a Medicaid-focused provider in Fargo, ND with $4.2M in total Medicaid revenue on file and no Medicare billing recorded. The absence of any Medicare revenue makes Medicaid the sole commercial payer in the dataset for this entity, concentrating its reimbursement relationships and financial exposure to state-program rules and rates.

The provider's NPI was enumerated on 2019-07-02 (~7 years ago), indicating roughly seven years of billing history under the current identifier. This tenure is long enough to establish stable payer relationships but still places the organization in a relatively recent cohort compared with legacy community behavioral health agencies.

Revenue is highly concentrated in a very small set of procedure codes: the precomputed top three Medicaid codes account for 99.7% of the provider’s total Medicaid revenue, and a single code, S5125, represents $3.5M — 85.0% of the $4.2M Medicaid total. That level of concentration signals material exposure to any changes in coverage, rates, or audit focus directed at those specific services.

S5125 (S5125 – Attendant care services; per 15 minutes) being the dominant code suggests the organization operates primarily as a community-based attendant care provider delivering time-based hands-on support. The presence of S5150 (Unskilled respite care, not hospice; per 15 minutes) alongside S5125 further supports an operational focus on in-home or community respite and attendant services rather than clinic-based medical procedures.

Two of the top revenue drivers (W0300 and W0500) are listed without descriptions in the dataset; W0300 produced $581.8K (14.0% of total Medicaid revenue) and W0500 produced $31.2K (0.8% of total Medicaid revenue). The undisclosed descriptions for these W-codes limit precise service-line interpretation, but their combined material share of revenue (especially W0300) indicates at least one additional non-S5125 revenue stream supporting the business model.

On competitive standing within the state for its largest code, ENCOMPASS ranks #3 of 18 providers for S5125 and sits in the 88th percentile, which positions it as a strong statewide participant for attendant care though not necessarily the market leader; the dataset also characterizes its S5125 volume as "typical, unremarkable" for this code. By contrast, W0300 ranks #9 of 13 (around the 33rd percentile) and W0500 ranks #9 of 9 (0th percentile), both described as "typical, unremarkable" volumes, indicating no clear market dominance beyond the S5125 line.

Operational and payer-mix implications are clear: with essentially all attributable revenue coming from Medicaid and virtually all Medicaid revenue concentrated in three codes (99.7%), the provider is exposed to state Medicaid policy, benefit design, and rate changes affecting attendant and related community support services. For analysts, monitoring Medicaid policy updates, state managed care contract changes, and any coding or coverage clarifications for the W-series codes will be critical to assessing near-term revenue risk and growth opportunities.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	17,190	$210	$3.5M
W0300	N/A	1,190	$490	$581.8K
W0500	N/A	250	$130	$31.2K
S5150	Unskilled respite care, not hospice; per 15 minutes	70	$160	$11.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Encompass Family Support Services — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W0300	N/A	9	10	2,370	$630	$4M
S5125	Attendant care services; per 15 minutes	3	20	10,750	$180	$2.7M
W0500	N/A	9	10	10,780	$140	$2M
S5150	Unskilled respite care, not hospice; per 15 minutes	10	10	540	$150	$119.6K

Nearby Providers

Other providers in the same ZIP code as Encompass Family Support Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Care Center	ND	Federally Qualified Health Center (FQHC)	$0	$12.7M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M
Family Health Care Center	ND	Dental Clinic/Center	$0	$1.8M
Gregory Pippin	ND	Otolaryngology Physician	$48.4K	$1.7M
Encompass Family Support Services	ND	Early Intervention Provider Agency	$0	$1M
Midwest Mental Health Clinic PLLC	ND	Psychiatric/Mental Health Nurse Practitioner	$0	$1M
Donald Stallman	ND	Diagnostic Radiology Physician	$610.1K	$0
Sri Vardhan Reddy Kooturu	ND	Internal Medicine Physician	$585.5K	$0
Jantey Carey	ND	Hospitalist Physician	$450.3K	$0
Midwest Mental Health Clinic PLLC	ND	Addiction (Substance Use Disorder) Counselor	$0	$405.6K

Encompass Family Support Services — Billing Profile & Reimbursement Data

Sign up for Encompass Family Support Services — Billing Profile & Reimbursement Data policy alerts

Encompass Family Support Services — Billing Profile & Reimbursement Data

Sign up for Encompass Family Support Services — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References