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.

Progress Industries (NPI 1962592444)

Field	Value
Entity Type	Organization
Organization	Progress Industries
Address	1017 E 7th St N
City	Newton
State	IA
ZIP	50208
Taxonomy	Day Training/Habilitation Specialist
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicaid	$53M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file and the entire reported lifetime revenue is Medicaid-based, totaling $53M. The absence of Medicare activity indicates operations and reimbursement exposure are concentrated entirely in state Medicaid policy and fee schedules rather than dual-payer dynamics.

Revenue is highly concentrated in three codes: S5136 accounts for $26.9M (50.8%), H2016 accounts for $16.5M (31.1%), and T2020 accounts for $4.4M (8.3%), with the top 3 Medicaid codes together representing 90.2% of the provider’s total Medicaid revenue. This concentration implies that changes to reimbursement or utilization for any of these three codes would materially affect overall revenue.

The code mix and descriptions indicate the provider’s business model centers on community-based habilitation and per-diem support services: S5136 (companion care, adult; per diem) and H2016 (comprehensive community support services; per diem) together generate the majority of revenue, while T2020 (day habilitation, waiver; per diem) contributes a smaller but nontrivial share. These patterns are consistent with the stated taxonomy of Day Training/Habilitation Specialist and suggest operations focused on daily program delivery and ongoing community supports.

Competitive standing within the state is mixed by service line. For S5136 the provider ranks #44 of 82 (47th percentile) and for H2016 it ranks #110 of 176 (38th percentile), each described as typical, unremarkable volume for those codes; by contrast, the provider ranks #15 of 101 (86th percentile) for T2020—also described as typical, unremarkable volume—indicating a relatively stronger position in day habilitation waiver claims by rank but not an outlier above typical volumes.

Payer and unit-level economics show revenue driven by relatively high paid-per-claim per-diem services rather than high-volume, low-unit services: S5136 has 8.3K claims at $3242 avg paid/claim and H2016 has 5.5K claims at $2987 avg paid/claim, while T2020 has 52.3K claims at $84 avg paid/claim. This implies total dollars are concentrated in fewer, higher-paid per-diem encounters rather than the very high-volume, low-paid day-habilitation units.

Several ancillary codes contribute small shares of revenue and appear operationally consistent with the core services: H2015 ($4.2M, 7.8%; ranks #50 of 95, typical, unremarkable volume), H2025 ($803.1K, 1.5%; ranks #36 of 65, typical, unremarkable volume), and T2021 ($158.6K, 0.3%; ranks #50 of 103, typical, unremarkable volume). These secondary revenue streams reinforce a service mix focused on comprehensive community supports and time-based habilitation activities rather than clinical procedure billing.

The provider has an established presence in the market with an NPI enumerated on 2006-10-13 (~20 years ago), indicating long tenure in the Medicaid habilitation and day-support space; this longevity likely supports operational experience in delivering per-diem community-based services. Given the combination of long tenure and concentrated Medicaid revenue, strategic or regulatory changes in these specific Medicaid codes would disproportionately affect the provider’s financial profile.

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
S5136	Companion care, adult (e.g., iadl/adl); per diem	8,300	$3,240	$26.9M
H2016	Comprehensive community support services, per diem	5,520	$2,990	$16.5M
T2020	Day habilitation, waiver; per diem	52,320	$80	$4.4M
H2015	Comprehensive community support services, per 15 minutes	3,760	$1,100	$4.2M
H2025	Ongoing support to maintain employment, per 15 minutes	2,420	$330	$803.1K
T2021	Day habilitation, waiver; per 15 minutes	2,990	$50	$158.6K
T2018	Habilitation, supported employment, waiver; per diem	300	$250	$73K

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

Progress Industries — 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	44	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	110	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	15	100	10,960	$110	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	36	70	2,970	$300	$1.9M
H2015	Comprehensive community support services, per 15 minutes	50	100	4,130	$160	$1.9M
T2021	Day habilitation, waiver; per 15 minutes	50	100	2,780	$60	$386.9K
T2018	Habilitation, supported employment, waiver; per diem	19	30	440	$100	$140.6K

Nearby Providers

Other providers in the same ZIP code as Progress Industries, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Capstone Behavioral Healthcare, Inc	IA	Community/Behavioral Health Agency	$0	$17M
Mercy Medical Center-newton	IA	General Acute Care Hospital	$0	$3.6M
Newton Clinic PC	IA	Family Medicine Physician	$0	$3.3M
Newton C.s.d.	IA	Local Education Agency (LEA)	$0	$3.3M
City Of Newton	IA	Land Ambulance	$266.1K	$2.3M
Integrated Treatment Services LLC	IA	Community/Behavioral Health Agency	$0	$1.4M
Des Moines River Physicians, LLC	IA	Emergency Medicine Physician	$0	$1.3M
Hy-vee Inc	IA	Community/Retail Pharmacy	$191.8K	$118.9K
Orville Bunker	IA	Family Medicine Physician	$203.5K	$0
Tze Chan	IA	Internal Medicine Physician	$193.7K	$0

Progress Industries — Billing Profile & Reimbursement Data

Sign up for Progress Industries — Billing Profile & Reimbursement Data policy alerts

Progress Industries — Billing Profile & Reimbursement Data

Sign up for Progress Industries — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References