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.

Rescare Minnesota, Inc. (NPI 1881946564)

Field	Value
Entity Type	Organization
Organization	Rescare Minnesota, Inc.
Address	1865 Old Hudson Rd
City	Saint Paul
State	MN
ZIP	55119
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	October 5, 2012

Payer Source	Total Paid
Medicaid	$93.6M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file and all reported lifetime federal reimbursement is through Medicaid, totaling $93.6M. The absence of Medicare revenue indicates the organization’s business and reimbursement relationships are concentrated entirely in the Medicaid program rather than split between payers.

Revenue is highly concentrated in a very small set of Medicaid service lines: the precomputed top three codes account for 95.3% of the provider’s total Medicaid revenue. In particular, S5140 alone contributes $58.3M (62.3% of Medicaid revenue), T2016 contributes $20.6M (22.0%), and T1016 contributes $10.2M (10.9%), underlining dependence on a few high-revenue line items.

The code mix maps directly to residential and habilitation operations consistent with the provider’s taxonomy as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. Heavy reliance on S5140 (Foster care, adult; per diem) and T2016 (Habilitation, residential, waiver; per diem) indicates the organization primarily delivers per-diem residential supports, while a substantial T1016 (Case management, each 15 minutes) volume shows a significant case-management component supporting those residential services.

Claim-volume and unit-payment patterns show the economics of the operation: S5140 has 305.4K claims at $191 avg paid/claim producing $58.3M, T2016 has 108.5K claims at $190 avg paid/claim producing $20.6M, and T1016 has 179.3K claims at $57 avg paid/claim producing $10.2M. This mix implies most revenue is driven by higher-dollar per-diem residential units while case management generates many billed units but lower average payment per unit.

State competitive standing varies by service line. For case management (T1016) the provider ranks #14 of 236 (94th percentile), indicating a leading statewide position for that service; for adult foster care (S5140) it ranks #11 of 59 (83th percentile) which reflects a solid but not dominant statewide role; and for residential habilitation waiver per diem (T2016) it ranks #16 of 34 (55th percentile), a mid-tier position in-state. These rank/percentile positions suggest strength in case management but more typical volumes for its primary residential lines.

Beyond the top three, the provider offers a range of habilitation and therapeutic supports (for example H2032 activity therapy: $2.1M and 15.3K claims; H2014 skills training and development: $1.1M and 10.5K claims), but these services represent only small shares of total Medicaid revenue (each around 1–2%). The presence of these codes indicates breadth of programming around the core residential model, though they are not major revenue drivers.

Several lower-ranked codes further underscore the provider’s focused service mix: codes such as S5125 (attendant care services) and T2034 (crisis intervention, waiver) generate comparatively small revenue and sit at low state percentiles (for example S5125 ranks #23 of 27 at the 15th percentile and T2034 ranks #12 of 13 at the 8th percentile). These low-percentile positions suggest limited activity in attendant-care and crisis-intervention relative to peers, reinforcing that revenue and operational scale are centered on foster-care and residential habilitation services.

The provider has an established enrollment history (NPI enumerated 2012-10-05, ~14 years ago) and large cumulative claim volumes (hundreds of thousands of claims for primary codes), which together indicate an operationally mature Medicaid provider. Given the high concentration of revenue in S5140 and T2016 (the top three codes together account for 95.3% of Medicaid revenue), the organization is exposed to policy or rate changes affecting foster-care and residential waiver per-diem reimbursements, which would materially impact overall revenue.

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
S5140	Foster care, adult; per diem	305,360	$190	$58.3M
T2016	Habilitation, residential, waiver; per diem	108,500	$190	$20.6M
T1016	Case management, each 15 minutes	179,260	$60	$10.2M
H2032	Activity therapy, per 15 minutes	15,250	$140	$2.1M
H2014	Skills training and development, per 15 minutes	10,530	$110	$1.1M
T2017	Habilitation, residential, waiver; 15 minutes	7,840	$90	$690K
S5125	Attendant care services; per 15 minutes	5,150	$90	$447.6K
T2019	Habilitation, supported employment, waiver; per 15 minutes	420	$80	$32.8K
T2034	Crisis intervention, waiver; per diem	840	$10	$10.9K

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

Rescare Minnesota, Inc. — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	11	60	33,770	$300	$37.6M
T2016	Habilitation, residential, waiver; per diem	16	30	84,870	$240	$23.9M
S5125	Attendant care services; per 15 minutes	23	30	7,060	$130	$5.2M
T2034	Crisis intervention, waiver; per diem	12	10	12,570	$80	$2.8M
H2014	Skills training and development, per 15 minutes	75	190	6,230	$120	$2.2M
T1016	Case management, each 15 minutes	14	240	1,870	$50	$1.9M
T2019	Habilitation, supported employment, waiver; per 15 minutes	18	20	3,250	$70	$1.1M
H2032	Activity therapy, per 15 minutes	11	70	3,950	$120	$1M
T2017	Habilitation, residential, waiver; 15 minutes	6	20	6,790	$100	$879.8K

Nearby Providers

Other providers in the same ZIP code as Rescare Minnesota, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Summit Senior Living, LLC	MN	Assisted Living Facility (Behavioral Disturbances)	$0	$21.1M
Community Dental Care Inc	MN	Dentist	$0	$19.1M
Dental Associates Of St. Paul PA	MN	General Practice Dentistry	$0	$15.5M
Dental Delivery Systems Of St. Paul LLC	MN	General Practice Dentistry	$0	$8.6M
People Incorporated	MN	Community/Behavioral Health Agency	$0	$7.6M
Rhsc Inc.	MN	Mental Illness Community Based Residential Treatment Facility	$0	$4.5M
Judy Pauletich	MN	Adult Health Nurse Practitioner	$1M	$0

Rescare Minnesota, Inc. — Billing Profile & Reimbursement Data

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Rescare Minnesota, 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