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 Southwest Services, Inc. (NPI 1972678829)

Field	Value
Entity Type	Organization
Organization	Rem Southwest Services, Inc.
Address	110 Saint Olaf Ave N
City	Canby
State	MN
ZIP	56220
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	November 22, 2006

Payer Source	Total Paid
Medicaid	$64.5M
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: there is no Medicare billing on file while lifetime Medicaid revenue totals $64.5M, indicating its operations are funded almost entirely through Medicaid programs rather than Medicare. The absence of Medicare claims suggests its service mix and patient population are concentrated in Medicaid-eligible long-term/residential supports rather than acute or fee-for-service Medicare care.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes account for 99.3% of this provider's total Medicaid revenue, signaling that the business relies heavily on a very small set of per-diem and habilitation services for the bulk of its income. That concentration elevates operational sensitivity to rate changes or contract shifts affecting those specific codes.

The dominant revenue driver is S5140 (Foster care, adult; per diem), which generates $43.2M and represents 67.0% of this provider's Medicaid revenue. S5140 volume is substantial in dollar terms but ranks #22 of 59 providers in-state (64th percentile; typical, unremarkable volume for this code), indicating the provider is above the median for this line but not a statewide leader or extreme outlier.

T2016 (Habilitation, residential, waiver; per diem) is the second major driver with $19.9M in revenue, representing 30.8% of Medicaid revenue. T2016 ranks #19 of 34 providers in-state (45th percentile; typical, unremarkable volume for this code), which positions the provider as a modest participant in residential habilitation relative to peers rather than a dominant statewide provider.

H2014 (Skills training and development, per 15 minutes) contributes $946.3K or 1.5% of Medicaid revenue and ranks #88 of 185 providers in-state (53th percentile; typical, unremarkable volume for this code). The small share and middle-percentile rank indicate skills training is a marginal but consistent adjunct to the provider's core per-diem residential services rather than a primary revenue stream.

H2019 (Therapeutic behavioral services, per 15 minutes) is a minor revenue line with $450.3K (0.7% of Medicaid revenue) and ranks #19 of 49 providers in-state (63th percentile; typical, unremarkable volume for this code). Although present, therapeutic behavioral services represent only a small complement to the facility’s dominant per-diem foster care and habilitation billing.

Service-line implications from the code mix (S5140 and T2016 as the overwhelming majority of revenue, plus smaller H2014/H2019 activity) point to an operational model focused on adult foster-care style residential placement and waiver-funded residential habilitation for people with intellectual and developmental disabilities, with ancillary skills training and behavioral services provided on top of room-and-board style per-diem payments. This mix aligns with the provider’s taxonomy as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.

Tenure and market positioning are established but not exceptional: the NPI was enumerated on 2006-11-22 (~20 years ago), indicating long-standing participation in Medicaid markets, while in-state rank/percentile data for the top codes (64th, 45th, 53th percentiles) suggest the provider is a steady, above-median regional operator for foster-care and residential habilitation services rather than a dominant statewide leader or statistical outlier.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	125,570	$340	$43.2M
T2016	Habilitation, residential, waiver; per diem	69,500	$290	$19.9M
H2014	Skills training and development, per 15 minutes	6,860	$140	$946.3K
H2019	Therapeutic behavioral services, per 15 minutes	7,380	$60	$450.3K

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 Southwest Services, Inc. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	22	60	33,770	$300	$37.6M
T2016	Habilitation, residential, waiver; per diem	19	30	84,870	$240	$23.9M
H2014	Skills training and development, per 15 minutes	88	190	6,230	$120	$2.2M
H2019	Therapeutic behavioral services, per 15 minutes	19	50	5,850	$110	$1.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Renae Ries	MN	Optometrist	$45.5K	$0
Holly Gisi-york	MN	Nurse Practitioner	$15.9K	$0

Rem Southwest Services, Inc. — Billing Profile & Reimbursement Data

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Rem Southwest Services, 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