Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Nishna Productions, INC.

Nishna Productions, INC. was paid $63.49M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is S5136, Companion care, adult (e.g., iadl/adl); per diem — 46% of everything it billed.

33Billing provider infoNISHNA PRODUCTIONS, INC.
SHENANDOAH, IA 51601
33aNPI1265526248assigned 10/03/2006
28Total paid$63.49M
24GClaims35,240
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Iowa

Rank by total paid#8 of 134
Median peer was paid$2.44M
This provider vs. median26×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20189,612$6.53M
20196,162$8.38M
20204,026$8.58M
20214,277$9.12M
20223,889$9.64M
20233,889$10.76M
2024incomplete3,385$10.49M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5136 Companion care, adult (e.g., iadl/adl); per diem 46% 5,252 3,919 $29.33M
H2016 Community support for mental illness or disability, billed per dayComprehensive community support services, per diem 40% 8,148 3,865 $25.70M
T2020 Day habilitation, waiver; per diem 7.5% 10,746 5,010 $4.76M
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 2.6% 2,728 2,595 $1.62M
H2025 Ongoing support to maintain employment, per 15 minutes 1.5% 2,220 2,147 $963K
T2015 Habilitation, prevocational, waiver; per hour <1% 1,816 1,003 $524K
T2021 Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes <1% 2,247 1,657 $328K
H2023 Supported employment, per 15 minutes <1% 2,057 1,698 $251K
T2018 Habilitation, supported employment, waiver; per diem <1% 26 26 $3K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCLARK, SHERRI (EXECUTIVE DIRECTOR)
Same official

Other billing entities under CLARK, SHERRI

Full network →
ProviderLocationPaid
Lake Region Halfway Homes, INC.Fergus Falls, MN$1.30M
Breaking Barriers LLCDover, DE$14K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.