Mainstream Living, INC.

Mainstream Living, INC. was paid $134.33M by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 69% of everything it billed.

33Billing provider infoMAINSTREAM LIVING, INC.
AMES, IA 50010

33aNPI1992886881assigned 10/18/2006

33bProvider typeSocial Worker

28Total paid$134.33M

24GClaims137,318

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Social Worker providers in Iowa

Rank by total paid#1 of 83

Median peer was paid$49K

This provider vs. median2,728×

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	29,665	$15.03M
2019	24,916	$18.48M
2020	15,190	$18.22M
2021	18,206	$20.18M
2022	18,162	$20.40M
2023	17,252	$21.08M
2024incomplete	13,927	$20.94M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2016	Community support for mental illness or disability, billed per dayComprehensive community support services, per diem	69%	46,353	14,914	$92.17M
S5136	Companion care, adult (e.g., iadl/adl); per diem	24%	8,131	4,572	$32.12M
T2020	Day habilitation, waiver; per diem	3.9%	32,840	5,506	$5.19M
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	2.3%	23,035	2,418	$3.05M
H2023	Supported employment, per 15 minutes	<1%	18,723	2,467	$968K
H0037	Community psychiatric supportive treatment program, per diem	<1%	2,494	2,467	$647K
T2021	Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes	<1%	5,742	1,311	$195K

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 officialZELLWEGER, JON (V.P. OF OPERATIONS)