Area Residential Care INC.

Area Residential Care INC. was paid $32.82M by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is S5136, Companion care, adult (e.g., iadl/adl); per diem — 76% of everything it billed.

33Billing provider infoAREA RESIDENTIAL CARE INC.
DUBUQUE, IA 52001

33aNPI1275674749assigned 02/09/2007

33bProvider typeIntellectual Disabilities Intermediate Care Facility

28Total paid$32.82M

24GClaims170,573

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Intellectual Disabilities Intermediate Care Facility providers in Iowa

Rank by total paid#1 of 8

Median peer was paid$3.93M

This provider vs. median8.4×

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

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

Year	Claims	Paid
2018	20,127	$3.76M
2019	27,610	$4.96M
2020	25,550	$4.91M
2021	26,980	$5.10M
2022	26,006	$4.87M
2023	22,825	$4.75M
2024incomplete	21,475	$4.47M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5136	Companion care, adult (e.g., iadl/adl); per diem	76%	104,848	3,707	$25.09M
T2020	Day habilitation, waiver; per diem	15%	54,946	4,182	$5.05M
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	4.9%	3,792	2,150	$1.61M
H2025	Ongoing support to maintain employment, per 15 minutes	2.6%	2,112	921	$861K
S5102	Adult day care, billed per dayDay care services, adult; per diem	<1%	1,335	120	$139K
T2021	Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes	<1%	3,540	1,186	$72K

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 officialROMAINE, JON (EXECUTIVE DIRECTOR)