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.

Iowa Central Industries (NPI 1972680320)

Field	Value
Entity Type	Organization
Organization	Iowa Central Industries
Address	127 Avenue M
City	Fort Dodge
State	IA
ZIP	50501
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$29.5M
Medicare	$0

Key Findings

IOWA CENTRAL INDUSTRIES is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $29.5M in lifetime Medicaid revenue, making Medicaid the sole material payer in the dataset for this entity. This concentrated payer mix means analyses of utilization and financial exposure should treat the organization as single-payer–dependent for the claims observed.

The provider has a long presence in the enrollments file, with its NPI enumerated on 2006-11-01 (~20 years ago), indicating multi-year operation and an established footprint in its service area. Tenure at this scale supports the interpretation that current billing patterns reflect an ongoing service model rather than a short-term program.

Revenue is highly concentrated in a very small set of service codes: the precomputed top three Medicaid codes account for 91.3% of the provider’s total Medicaid revenue. In particular, S5136 alone accounts for $14.7M (49.8% of Medicaid revenue) and H2016 contributes $9.3M (31.6% of Medicaid revenue), so these two codes together anchor the business model and financial stability reported.

The mix of top codes (S5136 – Companion care, adult (e.g., iadl/adl); per diem; H2016 – Comprehensive community support services, per diem; and T2021 – Day habilitation, waiver; per 15 minutes) indicates the organization operates primarily as a community/behavioral health agency focused on long-duration, community-based support and high-volume habilitation/day services. The prominence of per-diem companion care and comprehensive community supports suggests a service-line orientation toward ongoing daily supports, while T2021’s per-15-minute billing pattern reflects a parallel emphasis on structured habilitation programming.

Competitive standing varies by service line: for T2021 the provider is a statewide outlier, ranking #2 of 103 providers and sitting at the 99th percentile (labeled an "extreme outlier"), which signals unusually high volume in day habilitation waiver services relative to peers. By contrast, S5136 ranks #24 of 82 in-state (72th percentile) and H2016 ranks #69 of 176 (61th percentile), both described as typical or unremarkable volumes, implying the provider is not uniformly dominant across all of its major codes.

Operational and resourcing implications are apparent from the payment and volume mix: S5136 shows very high per-claim payment ($539 avg paid/claim) across 27.3K claims, while T2021 shows much lower unit payments ($60 avg paid/claim) but extremely high claim volume (48.9K claims for $2.9M revenue). This pattern suggests staffing and scheduling models that must support both higher-cost per-diem companion services and very high-frequency habilitation sessions, which has direct implications for workforce planning, site capacity, and billing administration.

The provider’s secondary service lines contribute smaller shares but reinforce the community-support orientation: H2025 (ongoing support to maintain employment, per 15 minutes) generated $1.1M (3.9% of Medicaid revenue) and T2020 (day habilitation, waiver; per diem) contributed $738.8K (2.5% of Medicaid revenue), both with percentile placements described as typical for their peer sets. These ancillary lines broaden the program mix into employment supports and alternative habilitation billing modalities, suggesting a diversified menu within the community behavioral health space even as revenue remains concentrated in the top three codes.

From a risk and contracting perspective, the extreme concentration in the top three codes — explicitly 91.3% of Medicaid revenue — creates exposure to payer policy changes or rate adjustments specific to S5136, H2016, or T2021. Analysts and contracting teams should prioritize monitoring policy, utilization, and audit activity for those codes given their outsized role in 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.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	27,270	$540	$14.7M
H2016	Comprehensive community support services, per diem	19,470	$480	$9.3M
T2021	Day habilitation, waiver; per 15 minutes	48,920	$60	$2.9M
H2025	Ongoing support to maintain employment, per 15 minutes	4,500	$250	$1.1M
T2020	Day habilitation, waiver; per diem	9,350	$80	$738.8K
H2015	Comprehensive community support services, per 15 minutes	9,710	$50	$485.4K
H2023	Supported employment, per 15 minutes	9,190	$20	$183.7K
T2015	Habilitation, prevocational, waiver; per hour	1,280	$30	$38.3K

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

Iowa Central Industries — 1 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	24	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	69	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	54	100	10,960	$110	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	23	70	2,970	$300	$1.9M
H2015	Comprehensive community support services, per 15 minutes	37	100	4,130	$160	$1.9M
H2023	Supported employment, per 15 minutes	11	30	4,810	$60	$542.5K
T2015	Habilitation, prevocational, waiver; per hour	20	30	1,920	$70	$425.6K
T2021	Day habilitation, waiver; per 15 minutes	2	100	2,780	$60	$386.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center Of Fort Dodge Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$23.6M
Community And Family Resources	IA	Substance Abuse Rehabilitation Facility	$0	$21M
North Central Iowa Mental Health Center Inc	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.3M
Community School District	IA	Local Education Agency (LEA)	$0	$15.1M
Trinity Regional Medical Center	IA	General Acute Care Hospital	$0	$12.3M
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$6.4M
Unitypoint At Home	IA	Durable Medical Equipment & Medical Supplies	$0	$6.4M
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$5.7M
Fort Dodge Ywca Women's Halfway House	IA	Substance Abuse Rehabilitation Facility	$0	$5.7M
Trinity Regional Medical Center	IA	Emergency Medicine Physician	$0	$4.6M

Iowa Central Industries — Billing Profile & Reimbursement Data

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Iowa Central Industries — 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