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.

Development Homes Inc (NPI 1982202677)

Field	Value
Entity Type	Organization
Organization	Development Homes Inc
Address	3880 S Columbia Rd
City	Grand Forks
State	ND
ZIP	58201
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 14, 2020

Payer Source	Total Paid
Medicaid	$53.9M
Medicare	$0

Key Findings

DEVELOPMENT HOMES INC is effectively a single-payer Medicaid provider with no Medicare billing on file and $53.9M in lifetime Medicaid revenue; the absence of any Medicare revenue indicates its operations and revenue base are concentrated entirely within Medicaid programs rather than the Medicare market.

Three Medicaid codes account for a very large share of this provider's Medicaid revenue: T2016, W0725, and T2021 together represent 87.6% of the provider's total Medicaid revenue, signaling a high concentration of income in a small set of service lines.

The dominant revenue driver is T2016 (Habilitation, residential, waiver; per diem), generating $26.6M or 49.4% of the provider's Medicaid revenue. This suggests the organization focuses heavily on residential habilitation services and likely operates or contracts for long-stay or per-diem residential supports as a central part of its business model.

W0725 is the second-largest line with $16.5M (30.7% of Medicaid revenue) from 3K claims and an average paid/claim of $5542; its high average payment per claim and large share of revenue indicate substantial utilization of a high-dollar service category, reinforcing the provider’s reliance on a small number of high-value Medicaid service lines.

T2021 (Day habilitation, waiver; per 15 minutes) drives $4.1M (7.6% of Medicaid revenue) across 30.8K claims, indicating substantial volume in day habilitation/waiver services even though per-claim payments are relatively low ($133 avg); together with T2047 and other habilitation codes, this mix shows the provider offers both residential and day habilitation services, spanning time-based and per-diem billing models.

On competitive standing within North Dakota, the provider’s volume for its largest code T2016 ranks #20 of 29 providers (32nd percentile), which positions it as a modest, not dominant, participant in residential habilitation statewide; conversely, its rank of #6 of 25 (79th percentile) for W0725 suggests stronger relative market presence for that specific high-dollar code.

Tenure-wise, DEVELOPMENT HOMES INC has an NPI enumerated on 2020-10-14 (~6 years ago), indicating several years of Medicaid activity but a relatively recent market entry compared with long-established providers; this timeline is consistent with building a concentrated set of service lines rather than a broad multi-payor footprint.

Across the code-level percentile comparisons, most code volumes are described as “typical, unremarkable volume,” with no codes flagged as extreme outliers; where percentiles are higher (e.g., W0725 at the 79th percentile and W0260 at the 71st percentile) the data indicate above-average strength for those specific services, but the overall pattern is concentrated rather than broadly market-leading.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	4,950	$5,380	$26.6M
W0725	N/A	2,980	$5,540	$16.5M
T2021	Day habilitation, waiver; per 15 minutes	30,770	$130	$4.1M
W0700	N/A	3,900	$470	$1.8M
W0260	N/A	230	$5,350	$1.2M
W0715	N/A	3,450	$340	$1.2M
T2047	Habilitation, prevocational, waiver; per 15 minutes	9,970	$110	$1M
W0300	N/A	2,370	$210	$497.3K
T2019	Habilitation, supported employment, waiver; per 15 minutes	7,050	$50	$338.2K
W0200	N/A	140	$2,170	$308.1K

Showing 1–10 of 13

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

Development Homes Inc — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	20	30	21,220	$400	$14.1M
W0725	N/A	6	30	1,380	$2,520	$9.9M
T2021	Day habilitation, waiver; per 15 minutes	14	30	32,410	$170	$6.6M
W0300	N/A	7	10	2,370	$630	$4M
W0715	N/A	20	30	6,250	$450	$3.8M
S5125	Attendant care services; per 15 minutes	15	20	10,750	$180	$2.7M
T2019	Habilitation, supported employment, waiver; per 15 minutes	16	20	11,310	$80	$1.2M
W0700	N/A	7	20	3,430	$280	$1.2M
W0260	N/A	5	20	150	$4,920	$1M
T2047	Habilitation, prevocational, waiver; per 15 minutes	5	10	8,770	$90	$988.3K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Development Homes Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Altru Health System	ND	Clinic/Center	$0	$29.7M
Altru Health System	ND	General Acute Care Hospital	$0	$18.7M
L.i.s.t.e.n. Inc	ND	Community/Behavioral Health Agency	$0	$9.4M
Peterson Medical Clinics, LLC	ND	Multi-Specialty Clinic/Center	$0	$8.8M
Edgewood Sartell LLC	ND	Assisted Living Facility	$0	$7.1M
Northeast Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.7M
Spectra Health	ND	Federally Qualified Health Center (FQHC)	$0	$5.5M
Little Miracles, Inc.	ND	Multi-Specialty Clinic/Center	$0	$5.5M
Anil Potti	ND	Hematology & Oncology Physician	$4.9M	$0
Valley Oral & Facial Surgery PC	ND	Oral and Maxillofacial Surgery Clinic/Center	$0	$4.5M

Development Homes Inc — Billing Profile & Reimbursement Data

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Development Homes 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