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 North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Easter Seals Goodwill Nd, Inc. (NPI 1972101343)

Field	Value
Entity Type	Organization
Organization	Easter Seals Goodwill Nd, Inc.
Address	211 Collins Ave
City	Mandan
State	ND
ZIP	58554
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 16, 2020

Payer Source	Total Paid
Medicaid	$70.5M
Medicare	$0

Key Findings

EASTER SEALS GOODWILL ND, INC. has no Medicare billing on file and reports $70.5M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) billing entity in the available data. The absence of Medicare volume means analyses of its competitive and service strategies should focus on Medicaid program lines and state-level market positioning.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 72.8% of this provider's total Medicaid revenue. Those top three codes are W0300 ($22.2M, 31.4%), S5125 ($20.7M, 29.4%), and T2016 ($8.5M, 12.0%), which together drive the majority of billed dollars.

The code mix points to an operation centered on time-based attendant and habilitation services. S5125 (Attendant care services; per 15 minutes) shows 98.3K claims with a $211 avg paid/claim and $20.7M revenue, while T2016 (Habilitation, residential, waiver; per diem) reports 24K claims with a $352 avg paid/claim and $8.5M revenue; T2021 (Day habilitation, waiver; per 15 minutes) also appears as a material line with 34.1K claims and $6.9M revenue, indicating a mix of residential, day-program, and attendant care delivery.

Competitive standing within North Dakota is bifurcated by code: the provider is a clear statewide leader on S5125, ranking #1 of 18 providers and labeled an "extreme outlier" (100th percentile), which signals dominant volume for attendant care services. By contrast, W0300 ($22.2M) ranks #3 of 13 providers (83th percentile) and is described as typical, and T2016 ranks #14 of 29 providers (54th percentile), suggesting strong specialist status in some lines but only a typical presence in others.

There are notable secondary outliers that reflect targeted strengths: S5150 (Unskilled respite care, not hospice; per 15 minutes) is ranked #1 of 10 providers (100th percentile; notably above typical state volume) even though it represents a smaller share ($586.2K, 0.8%). This pattern suggests the provider maintains niche dominance in certain lower-revenue but high-rank services alongside its principal revenue drivers.

Certain codes imply episodic, high-cost services alongside high-volume time-based care. For example, W0725 has 874 claims with a $6230 avg paid/claim producing $5.4M in revenue (7.7%), which contrasts with the very high-claim, low-unit-rate structure of S5125 (98.3K claims, $211 avg). This mix indicates the organization runs both frequent, workforce-intensive programs and less frequent, higher-cost episodes.

The provider's heavy reliance on a narrow set of Medicaid codes represents concentration risk: with the top three codes comprising 72.8% of Medicaid revenue and no Medicare offset, shifts in state policy, reimbursement, or utilization for S5125, W0300, or T2016 would disproportionately affect total revenue. Analysts should treat changes to attendant care and habilitation reimbursement as material to the business profile.

EASTER SEALS GOODWILL ND, INC. has a relatively recent provider tenure, with its NPI enumerated on 2020-10-16 (~6 years ago), indicating that its current market footprint and the concentration observed were established within the past several years rather than over multiple decades of billing history. This timing may be relevant when comparing growth trajectories or entry strategies versus longer-tenured in-state providers.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W0300	N/A	11,880	$1,870	$22.2M
S5125	Attendant care services; per 15 minutes	98,320	$210	$20.7M
T2016	Habilitation, residential, waiver; per diem	24,030	$350	$8.5M
T2021	Day habilitation, waiver; per 15 minutes	34,050	$200	$6.9M
W0725	N/A	870	$6,230	$5.4M
T2017	Habilitation, residential, waiver; 15 minutes	16,640	$140	$2.3M
W0715	N/A	2,560	$630	$1.6M
W0720	N/A	900	$1,670	$1.5M
W0260	N/A	120	$4,880	$604.7K
S5150	Unskilled respite care, not hospice; per 15 minutes	2,780	$210	$586.2K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Dakota Distribution

Easter Seals Goodwill Nd, Inc. — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	14	30	21,220	$400	$14.1M
W0725	N/A	15	30	1,380	$2,520	$9.9M
T2021	Day habilitation, waiver; per 15 minutes	13	30	32,410	$170	$6.6M
W0300	N/A	3	10	2,370	$630	$4M
W0715	N/A	24	30	6,250	$450	$3.8M
S5125	Attendant care services; per 15 minutes	1	20	10,750	$180	$2.7M
T2019	Habilitation, supported employment, waiver; per 15 minutes	19	20	11,310	$80	$1.2M
W0260	N/A	13	20	150	$4,920	$1M
T2017	Habilitation, residential, waiver; 15 minutes	3	10	4,870	$100	$1M
W0720	N/A	9	10	2,730	$190	$847.3K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Easter Seals Goodwill Nd, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hit Inc.	ND	Community/Behavioral Health Agency	$0	$55.1M
Hit Inc.	ND	Community/Behavioral Health Agency	$0	$27.7M
Prairie Rose Family Dentists	ND	Dentist	$0	$1.6M
Kids In Motion Inc	ND	Physical Therapy Clinic/Center	$0	$1.5M
Easter Seals Goodwill Nd, Inc.	ND	In Home Supportive Care Agency	$0	$1M
Western Plains Public Health	ND	Public Health or Welfare Agency	$68.7K	$174.6K
Carter Chiropractic P C	ND	Chiropractor	$0	$187.2K
Mcbw Chiropractic PC	ND	Chiropractor	$0	$160.7K
Laura Archuleta	ND	Family Medicine Physician	$133.3K	$0
Transitions Healthcare PLLC	ND	Clinic/Center	$0	$95.2K

Easter Seals Goodwill Nd, Inc. — Billing Profile & Reimbursement Data

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Easter Seals Goodwill Nd, 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