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.

Goodwill Industries Of The Heartland (NPI 1922133792)

Field	Value
Entity Type	Organization
Organization	Goodwill Industries Of The Heartland
Address	1410 S First Ave
City	Iowa City
State	IA
ZIP	52244
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	February 22, 2007

Payer Source	Total Paid
Medicaid	$31M
Medicare	$0

Key Findings

GOODWILL INDUSTRIES OF THE HEARTLAND is effectively a single‑payer Medicaid operator: it has no Medicare billing on file and reports Total Medicaid revenue of $31M. The absence of Medicare activity combined with concentrated Medicaid receipts indicates its commercial scale and regulatory exposure are driven almost entirely by Medicaid programs rather than dual‑payer mix.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes by revenue account for 88.0% of this provider's total Medicaid revenue. Those top codes are H2025 ($16.7M, 53.8%), T2020 ($7.3M, 23.4%), and H2016 ($3.4M, 10.8%), which together form the dominant share of the organization’s billings.

The code mix shows a business model focused on community‑based developmental disability services. H2025 (Ongoing support to maintain employment, per 15 minutes) and H2023/H2025 family of employment supports, plus day habilitation codes such as T2020 (Day habilitation, waiver; per diem) and T2021 (Day habilitation, waiver; per 15 minutes), indicate the provider delivers both employment support and center‑based day habilitation as core service lines. H2016 and H2015 (Comprehensive community support services, per diem and per 15 minutes) further emphasize ongoing community support and habilitation rather than acute medical care.

GOODWILL is dominant statewide in at least one service line: H2025 is ranked #1 of 65 providers in-state (100th percentile) and is explicitly labeled an "extreme outlier, far above typical state volume for this code," accounting for $16.7M or 53.8% of the provider's Medicaid revenue. This ranking and revenue share mark the organization as the leading in-state provider for ongoing employment support by a wide margin, underscoring market leadership in that niche.

The provider is also a significant player in day habilitation: T2020 generates $7.3M (23.4% of Medicaid revenue) and ranks #8 of 101 providers in-state (93th percentile; notably above typical state volume for this code). By contrast, H2016 ($3.4M, 10.8%) ranks #44 of 176 (75th percentile; typical, unremarkable volume), indicating that while the organization is strong in day habilitation and employment supports, its broader community support services are more typical versus peers.

There are additional notable concentration and outlier signals beyond the top three: T2018 (Habilitation, supported employment, waiver; per diem) brings in $1.2M (3.9% of revenue) but ranks #1 of 33 providers in-state (100th percentile; extreme outlier), indicating state leadership in that specific habilitation per‑diem category despite its smaller share of total revenue. H2015 ($1.6M, 5.1%) and T2021 ($842.1K, 2.7%) each appear at typical to unremarkable percentiles (63th and 91th percentiles respectively), showing the operation mixes high‑volume flagship services with more routine support offerings.

The mix of per‑diem codes (T2020, H2016, T2018) and 15‑minute time‑increment codes (H2025, H2015, T2021) implies the provider operates both center‑based day programs and time‑based individualized or group supported‑employment services. High revenue from H2025 in particular suggests a heavy operational emphasis on minute‑based employment supports, while sizable T2020 receipts show substantial per‑diem day habilitation capacity. This dual billing structure reflects a multi‑modal service delivery platform common among large developmental disability day training agencies.

GOODWILL INDUSTRIES OF THE HEARTLAND is long‑tenured in the Medicare/Medicaid ecosystem, with its NPI enumerated on 2007-02-22 (~19 years ago). That longevity, together with extreme‑outlier rankings in H2025 and T2018 and a concentrated $31M Medicaid revenue base, suggests an established regional footprint and operational scale in Iowa City/IA for developmental disability day and employment services.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2025	Ongoing support to maintain employment, per 15 minutes	81,720	$200	$16.7M
T2020	Day habilitation, waiver; per diem	90,840	$80	$7.3M
H2016	Comprehensive community support services, per diem	41,520	$80	$3.4M
H2015	Comprehensive community support services, per 15 minutes	9,830	$160	$1.6M
T2018	Habilitation, supported employment, waiver; per diem	16,090	$80	$1.2M
T2021	Day habilitation, waiver; per 15 minutes	16,190	$50	$842.1K
H2023	Supported employment, per 15 minutes	2,190	$30	$72.4K

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

Goodwill Industries Of The Heartland — 2 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	44	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	8	100	10,960	$110	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	1	70	2,970	$300	$1.9M
H2015	Comprehensive community support services, per 15 minutes	36	100	4,130	$160	$1.9M
H2023	Supported employment, per 15 minutes	20	30	4,810	$60	$542.5K
T2021	Day habilitation, waiver; per 15 minutes	10	100	2,780	$60	$386.9K
T2018	Habilitation, supported employment, waiver; per diem	1	30	440	$100	$140.6K

Goodwill Industries Of The Heartland — Billing Profile & Reimbursement Data

Sign up for Goodwill Industries Of The Heartland — Billing Profile & Reimbursement Data policy alerts

Goodwill Industries Of The Heartland — Billing Profile & Reimbursement Data

Sign up for Goodwill Industries Of The Heartland — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References