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.

Rem Iowa Community Services, Inc. (NPI 1902968266)

Field	Value
Entity Type	Organization
Organization	Rem Iowa Community Services, Inc.
Address	1220 Industrial Ave Ste C
City	Hiawatha
State	IA
ZIP	52233
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	December 14, 2006

Payer Source	Total Paid
Medicaid	$155M
Medicare	$0

Key Findings

REM IOWA COMMUNITY SERVICES, INC. reports $155M in lifetime Medicaid revenue and has no Medicare billing on file; this makes the organization effectively a Medicaid-focused provider with negligible Medicare presence. The absence of Medicare billing on file indicates payer concentration on state Medicaid programs rather than dual Medicare/Medicaid reimbursement streams.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. This extreme concentration means a very small set of service lines drives the entire Medicaid revenue base, increasing sensitivity to rate or utilization changes for those codes.

Code H2016 is a principal revenue driver with 264.6K claims, $294 avg paid/claim, and $77.8M revenue (50.2% of this provider's total Medicaid revenue); the provider ranks #3 of 176 in-state and is described as notably above typical state volume for this code. The scale and ranking indicate substantial in-state capacity to deliver comprehensive community support services on a per-diem basis.

Code S5136 is the other dominant line with 305.1K claims, $253 avg paid/claim, and $77.2M revenue (49.8% of this provider's total Medicaid revenue); the provider ranks #2 of 82 in-state and is labeled an extreme outlier, far above typical state volume for this code. This position suggests the organization is delivering companion care at volumes that outstrip nearly all peers in Iowa and is a uniquely large vendor for that service.

The provider taxonomy (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) aligns with the two dominant codes (H2016 and S5136), both per-diem community and companion care services, indicating operations focused on day-to-day residential and community support for individuals with developmental or intellectual disabilities. The code mix implies the business model is built on high-volume, per-diem service delivery rather than episodic medical services.

Competitive standing within Iowa is strong for the specific service lines: ranking #3/176 for H2016 and #2/82 for S5136 (both at the 99th percentile) identifies REM IOWA as a major in-state provider for community support and companion care. These rank and percentile positions suggest the provider is a dominant regional participant for these Medicaid-covered support services.

Operational scale is reflected in the sheer claim volumes and per-diem payments: 264.6K claims for H2016 and 305.1K claims for S5136, with avg paid/claim of $294 and $253 respectively, point to ongoing daily service delivery and significant staffing/administrative throughput to support continuous billing. These figures imply a substantial operational footprint to sustain daily per-diem care at the reported scale.

The provider has an established operational tenure, with its NPI enumerated on 2006-12-14 (~20 years ago), which supports the likelihood that its high-volume Medicaid billing patterns are the result of a long-standing service model and established payer relationships in the state. Longevity combined with top-state rankings indicates entrenched service delivery rather than a recent scaling event.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	264,640	$290	$77.8M
S5136	Companion care, adult (e.g., iadl/adl); per diem	305,120	$250	$77.2M

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

Rem Iowa Community Services, Inc. — 2 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	2	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	3	180	10,790	$390	$15.2M

Nearby Providers

Other providers in the same ZIP code as Rem Iowa Community Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Iowa Developmental Services, Inc.	IA	Developmentally Disabled Services Day Training Agency	$0	$18.1M
Paul Boeke	IA	Ophthalmology Physician	$7.1M	$0
Mercy Surgery Center LLC	IA	Ambulatory Surgical Clinic/Center	$1.7M	$67.6K
Recover Health Of Iowa, Inc.	IA	Home Health Agency	$0	$932.3K
Edward Hu	IA	Ophthalmology Physician	$706.8K	$2.3K
Brian Dvorak	IA	Foot Surgery Podiatrist	$136.8K	$0
Caroline Wilson	IA	Ophthalmology Physician	$127.7K	$0
Timothy Sagers	IA	Family Medicine Physician	$126.7K	$0
Brian Ray	IA	Family Medicine Physician	$115.2K	$0
Todd Dolphin	IA	Podiatrist	$103.9K	$0

Rem Iowa Community Services, Inc. — Billing Profile & Reimbursement Data

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Rem Iowa Community Services, 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