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.

Hills And Dales Child Development Center (NPI 1932253374)

Field	Value
Entity Type	Organization
Organization	Hills And Dales Child Development Center
Address	1011 Davis St
City	Dubuque
State	IA
ZIP	52001
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicaid	$68.5M
Medicare	$0

Key Findings

HILLS AND DALES CHILD DEVELOPMENT CENTER is effectively a single-payer provider in the available data: there is no Medicare billing on file while reported Medicaid revenue totals $68.5M, indicating the organization’s operations and reimbursement are concentrated within Medicaid programs. The absence of Medicare activity suggests its services and payer relationships are focused on Medicaid-covered developmental/intellectual disability supports rather than Medicare-eligible medical care.

Revenue concentration is extremely high around a very small set of Medicaid service lines: the precomputed top three Medicaid codes account for 98.7% of the provider’s total Medicaid revenue. This indicates that the organization’s business model is highly specialized and dependent on a narrow set of community-based and day habilitation services rather than a broad mix of procedure codes.

The dominant revenue driver is H2016 (Comprehensive community support services, per diem), which generates $38.2M and represents 55.8% of the provider’s Medicaid revenue. While this single per-diem service supplies the majority of revenue, the provider ranks #126 of 176 in-state (29th percentile) for H2016, suggesting it is not a statewide leader in volume for that code but rather a typical-volume participant relative to peers.

S5136 (Companion care, adult; per diem) is the second major revenue line with $25.9M (37.8% of Medicaid revenue). The provider’s rank of #61 of 82 in-state (26th percentile) on this code indicates similar conclusions as for H2016: the code is a primary revenue source for this provider, yet the provider’s share and utilization are modest relative to many in-state peers.

T2020 (Day habilitation, waiver; per diem) contributes $3.5M (5.1% of Medicaid revenue) and represents the third largest Medicaid code by revenue. With a rank of #30 of 101 providers in-state (71st percentile), the provider shows a stronger competitive standing on this day-habilitation per-diem service than on its two largest codes, implying relative depth or specialization in waiver day habilitation services compared with statewide peers.

Other reported Medicaid codes are small contributors in aggregate: H2025, H2015, T2021, and T1026 together constitute only a minor portion of revenue (individual shares range from 0.5% down to 0.1%). The presence of these per-15-minute and clinic-hour codes indicates the provider offers a mix of ongoing support, periodic comprehensive sessions, and targeted clinic-based multidisciplinary services, but none approach the revenue scale of the top three per-diem codes.

Given the taxonomy (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) and the top-coded services (H2016, S5136, T2020), the service mix aligns with community-based supports, companion care, and day habilitation rather than acute medical treatment. This pattern supports an operational profile centered on long-term support and habilitation for people with intellectual and developmental disabilities.

The provider has long tenure in the NPI registry, enumerated since 2007-01-23 (~19 years ago), which combined with a concentrated Medicaid revenue base suggests an established Medicaid-focused operation with sustained participation in state waiver and community support programs. This longevity may support stable relationships with state Medicaid payers despite modest in-state rank for the largest codes.

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
H2016	Comprehensive community support services, per diem	2,910	$13,160	$38.2M
S5136	Companion care, adult (e.g., iadl/adl); per diem	2,640	$9,820	$25.9M
T2020	Day habilitation, waiver; per diem	29,150	$120	$3.5M
H2025	Ongoing support to maintain employment, per 15 minutes	1,190	$310	$372.4K
H2015	Comprehensive community support services, per 15 minutes	520	$570	$292.5K
T2021	Day habilitation, waiver; per 15 minutes	2,840	$60	$164.7K
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	300	$120	$35.8K

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

Hills And Dales Child Development Center — 0 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
S5136	Companion care, adult (e.g., iadl/adl); per diem	61	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	126	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	30	100	10,960	$110	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	49	70	2,970	$300	$1.9M
H2015	Comprehensive community support services, per 15 minutes	83	100	4,130	$160	$1.9M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	2	10	4,130	$120	$499.5K
T2021	Day habilitation, waiver; per 15 minutes	51	100	2,780	$60	$386.9K

Nearby Providers

Other providers in the same ZIP code as Hills And Dales Child Development Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Area Residential Care Inc.	IA	Intellectual Disabilities Intermediate Care Facility	$0	$32.8M
Hillcrest Family Services	IA	Child & Adolescent Psychiatry Physician	$0	$32.5M
Crescent Community Health Center	IA	Federally Qualified Health Center (FQHC)	$0	$29.5M
Dubuque Community School District	IA	Local Education Agency (LEA)	$0	$26.6M
The Finley Hospital	IA	General Acute Care Hospital	$0	$14.1M
City Of Dubuque	IA	Land Ambulance	$690.9K	$8.9M
Hillcrest Family Services	IA	Social Worker	$0	$7.1M
Mercy Medical Center-dubuque	IA	General Acute Care Hospital	$0	$5.2M
Hills And Dales Child Development Center	IA	Intellectual Disabilities Intermediate Care Facility	$0	$4.7M
Dubuque Internal Medicine PC	IA	Internal Medicine Physician	$0	$3.9M

Hills And Dales Child Development Center — Billing Profile & Reimbursement Data

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Hills And Dales Child Development Center — 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