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

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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.

Rem South Central, Inc. (NPI 1972678266)

Field	Value
Entity Type	Organization
Organization	Rem South Central, Inc.
Address	903 Highway 71 Ne
City	Willmar
State	MN
ZIP	56201
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicaid	$145.6M
Medicare	$0

Key Findings

REM SOUTH CENTRAL, INC. is effectively a single‑payer provider: it has no Medicare billing on file and reports $145.6M in lifetime Medicaid revenue, indicating heavy reliance on Medicaid for its entire documented payer mix. The absence of Medicare activity suggests its services are targeted to populations covered by Medicaid programs rather than older adult or Medicare-covered populations.

Medicaid revenue is highly concentrated in a very small set of codes: the top three Medicaid codes account for 97.8% of the provider’s total Medicaid revenue, with S5140 alone representing $99.9M (68.6% of Medicaid revenue). This concentration implies that a small number of per‑diem residential and waiver services drive nearly all of the organization’s financials under Medicaid.

The code mix points to a residential, habilitation‑focused operation: S5140 (Foster care, adult; per diem) and T2016 (Habilitation, residential, waiver; per diem) together comprise the vast majority of revenue and indicate the provider operates high‑volume, per‑diem residential placements and waiver‑funded habilitation programs. Time‑based behavioral and skills codes such as H2014 (Skills training and development, per 15 minutes) are present but account for a tiny share ($2.3M, 1.6%), which suggests ancillary programmatic services are secondary to room‑and‑board and residential habilitation revenue streams.

Competitive standing by code shows meaningful statewide scale for key lines: REM SOUTH CENTRAL ranks #8 of 59 for S5140 (88th percentile) and #4 of 34 for T2016 (91th percentile), which—combined with the large revenue shares for those codes—identifies the provider as a major participant in Minnesota’s foster/adult residential and waiver‑habilitation market. Use of the plain‑English descriptors provided also highlights that S5140 is “notably above typical state volume for this code,” underscoring above‑typical market presence in that service.

Despite the high concentration in two per‑diem codes, several ancillary Medicaid codes appear at modest volumes and dollar impact: H2014 ($2.3M, 1.6%), H2032 ($948.4K, 0.7%), T2017 ($918.4K, 0.6%), S5125 ($885.2K, 0.6%), and H2019 ($499.7K, 0.3%). Each of these smaller codes is labeled as representing typical, unremarkable volume (or in the case of S5125, a lower percentile), indicating the provider’s behavioral and habilitation time‑based services are operational but not primary revenue drivers.

The concentration of revenue in per‑diem foster care and residential habilitation creates business implications: operational capacity, bed inventory, and waiver authorization throughput are likely the key levers for revenue growth or risk, whereas marginal increases in per‑15‑minute therapy billing would have limited impact on total revenue given the current distribution. Payers and analysts should therefore focus utilization management and rate negotiations on per‑diem residential line items to influence this provider’s financials.

Statistical standing and volume signals are internally consistent with a long‑tenured operation: the provider’s NPI was enumerated on 2006-11-21 (~20 years ago), which supports the interpretation that its dominant role in S5140 and T2016 markets is built on long‑running service lines rather than a recent expansion. Long tenure plus concentrated per‑diem billing patterns typically reflect established residential service arrangements within state waiver and foster care systems.

For payer strategy and network planning, REM SOUTH CENTRAL’s profile signals a concentrated counterparty: because S5140 and T2016 together drive the business (and top three codes total 97.8% of Medicaid revenue), contracting and care‑management efforts targeted at residential foster/adult placements and waiver habilitation will have outsized impact. Given there is no Medicare activity, Medicaid policy changes or waiver rate adjustments represent the primary external risks and opportunities for this provider.

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
S5140	Foster care, adult; per diem	368,610	$270	$99.9M
T2016	Habilitation, residential, waiver; per diem	201,450	$200	$40.1M
H2014	Skills training and development, per 15 minutes	17,530	$130	$2.3M
H2032	Activity therapy, per 15 minutes	8,860	$110	$948.4K
T2017	Habilitation, residential, waiver; 15 minutes	9,090	$100	$918.4K
S5125	Attendant care services; per 15 minutes	6,110	$150	$885.2K
H2019	Therapeutic behavioral services, per 15 minutes	5,680	$90	$499.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Rem South Central, Inc. — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	8	60	33,770	$300	$37.6M
T2016	Habilitation, residential, waiver; per diem	4	30	84,870	$240	$23.9M
S5125	Attendant care services; per 15 minutes	17	30	7,060	$130	$5.2M
H2014	Skills training and development, per 15 minutes	50	190	6,230	$120	$2.2M
H2019	Therapeutic behavioral services, per 15 minutes	26	50	5,850	$110	$1.2M
H2032	Activity therapy, per 15 minutes	18	70	3,950	$120	$1M
T2017	Habilitation, residential, waiver; 15 minutes	5	20	6,790	$100	$879.8K

Nearby Providers

Other providers in the same ZIP code as Rem South Central, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Divine House, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$230.9M
Greater Minnesota Family Services	MN	Mental Health Counselor	$0	$51.9M
Samah Home Health Care LLC	MN	Home Health Agency	$0	$39M
Woodland Centers	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$35M
West Central Interpreting Services, LLC.	MN	Interpreter	$0	$23.4M
Central Minnesota Senior Care, Inc.	MN	Assisted Living Facility	$0	$18.9M
Divine Home Care Inc	MN	Home Health Agency	$0	$15.9M
Carris Health LLC	MN	Multi-Specialty Clinic/Center	$0	$12.4M
Centracare Clinic Southwest LLC	MN	Multi-Specialty Clinic/Center	$0	$11.7M
Carris Health LLC	MN	General Acute Care Hospital	$0	$8.3M

Rem South Central, Inc. — Billing Profile & Reimbursement Data

Sign up for Rem South Central, Inc. — Billing Profile & Reimbursement Data policy alerts

Rem South Central, Inc. — Billing Profile & Reimbursement Data

Sign up for Rem South Central, Inc. — 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