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.

Vocational Development Center Inc (NPI 1952320087)

Field	Value
Entity Type	Organization
Organization	Vocational Development Center Inc
Address	612 S Main
City	Council Bluffs
State	IA
ZIP	51503
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	July 19, 2006

Payer Source	Total Paid
Medicaid	$59M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and all recorded lifetime federal billing is through Medicaid, which totals $59M. In practical terms VOCATIONAL DEVELOPMENT CENTER INC is effectively a single-payer Medicaid provider in the available data, concentrating its reimbursement exposure entirely on state Medicaid programs rather than Medicare.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 92.5% of this provider's total Medicaid revenue. Those top three are H2016 ($26.3M, 44.6%), S5136 ($18.9M, 32.1%), and T2020 ($9.3M, 15.8%), so the business depends heavily on a very small set of service lines.

The mix of top codes (H2016, S5136, T2020) indicates the operation is focused on community-based day services and companion/support care: H2016 is comprehensive community support services (per diem), S5136 is companion care, adult (per diem), and T2020 is day habilitation, waiver (per diem). This profile is consistent with an organization that runs day habilitation programs, community supports and in-home/ADL companion services rather than acute medical or Medicare-driven services.

Average paid-per-claim patterns differ sharply across the top codes: H2016 reports a $7003 avg paid/claim and S5136 reports a $4849 avg paid/claim, while T2020 reports a much lower $529 avg paid/claim. The high average payments for H2016 and S5136 are consistent with bundled per-diem or packaged community support/companion services, whereas T2020 reflects a lower per-diem day habilitation rate.

State-level competitive standing for the headline codes is modest rather than dominant. H2016 ranks #119 of 176 providers in-state (33th percentile) and is described as typical/unremarkable volume, S5136 ranks #52 of 82 (37th percentile) and is also described as typical/unremarkable, while T2020 performs closer to mid-market at #42 of 101 (59th percentile) with a typical/unremarkable volume designation. Overall these ranks indicate the provider is a regular participant in these service lines but not a statewide leader.

Secondary service lines contribute only small shares of revenue and also show generally typical volumes: H2015 ($236.4K, ranks #85 of 95, 11th percentile), H2025 ($2M, ranks #31 of 65, 53th percentile), T2015 ($1.7M, ranks #10 of 29, 68th percentile), T2021 ($462.2K, ranks #36 of 103, 66th percentile) and T2018 ($13.7K, ranks #27 of 33, 19th percentile). These additional habilitation, prevocational and employment-support codes round out a service mix focused on long-term community supports at modest scale.

The provider’s NPI was enumerated on 2006-07-19 (~20 years ago), indicating a long tenure in Medicaid billing. Combined with $59M in lifetime Medicaid revenue and the concentrated code mix, the organization appears established in its niche of day habilitation and companion/community support services.

Because Medicaid accounts for the entirety of recorded federal billing and the business is heavily concentrated in three per-diem/waiver codes, the provider has elevated exposure to changes in Medicaid reimbursement or waiver rules that affect H2016, S5136, and T2020. Any material policy or rate changes for those codes would disproportionately affect its revenue base given that the top three codes make up 92.5% of Medicaid revenue.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	3,760	$7,000	$26.3M
S5136	Companion care, adult (e.g., iadl/adl); per diem	3,900	$4,850	$18.9M
T2020	Day habilitation, waiver; per diem	17,640	$530	$9.3M
H2025	Ongoing support to maintain employment, per 15 minutes	2,980	$670	$2M
T2015	Habilitation, prevocational, waiver; per hour	6,690	$250	$1.7M
T2021	Day habilitation, waiver; per 15 minutes	5,440	$90	$462.2K
H2015	Comprehensive community support services, per 15 minutes	410	$580	$236.4K
T2018	Habilitation, supported employment, waiver; per diem	30	$430	$13.7K

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

Vocational Development Center Inc — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	52	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	119	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	42	100	10,960	$110	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	31	70	2,970	$300	$1.9M
H2015	Comprehensive community support services, per 15 minutes	85	100	4,130	$160	$1.9M
T2015	Habilitation, prevocational, waiver; per hour	10	30	1,920	$70	$425.6K
T2021	Day habilitation, waiver; per 15 minutes	36	100	2,780	$60	$386.9K
T2018	Habilitation, supported employment, waiver; per diem	27	30	440	$100	$140.6K

Nearby Providers

Other providers in the same ZIP code as Vocational Development Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trivium Life Services	IA	Developmentally Disabled Services Day Training Agency	$0	$149.2M
Rem Iowa Community Services, Inc	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$54.3M
Focus-family Options & Community Supports, Inc	IA	Developmentally Disabled Services Day Training Agency	$0	$41.2M
Council Bluffs Community School District	IA	Local Education Agency (LEA)	$0	$17.5M
Family Connections, Inc	IA	Case Management Agency	$0	$15.1M
Alegent Health Bergan Mercy Health System	IA	General Acute Care Hospital	$0	$13M
Jennie Edmundson Memorial Hospital	IA	General Acute Care Hospital	$0	$9.8M
Alegent Creighton Clinic	IA	Family Medicine Physician	$0	$9.6M
City Of Council Bluffs	IA	Ambulance	$425.7K	$6.2M
Alegent Creighton Health	IA	Psychiatry Physician	$0	$5.8M

Vocational Development Center Inc — Billing Profile & Reimbursement Data

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Vocational Development Center 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