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 Kansas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kansas 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. Kansas (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.

Rescare Kansas, Inc. (NPI 1013097609)

Field	Value
Entity Type	Organization
Organization	Rescare Kansas, Inc.
Address	5031 Matney Ave
City	Kansas City
State	KS
ZIP	66106
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$22.3M
Medicare	$0

Key Findings

RESCARE KANSAS, INC. is effectively a Medicaid-focused intellectual/developmental disabilities community-based residential treatment provider: it reports no Medicare revenue on file and $22.3M in lifetime Medicaid revenue, indicating near-total dependence on Medicaid for billed services. The provider’s taxonomy and the top codes billed align with a facility model that combines residential per-diem care with structured day programs and case management services.

Revenue concentration is very high and tightly focused: the precomputed top three Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with T2016 generating $13.5M (60.4%), T2021 generating $7M (31.3%), and T1017 generating $1.9M (8.3%). This concentration implies that changes to reimbursement or utilization for these specific codes would disproportionally affect the provider’s financial performance.

Service-line implications from the top codes: T2016 (Habilitation, residential, waiver; per diem) being the single largest revenue driver ($13.5M) indicates a core business in facility-based residential habilitation. T2021 (Day habilitation, waiver; per 15 minutes) as the second-largest ($7M) shows substantial delivery of day habilitation services on a per-15-minute billing model, while T1017 (Targeted case management, each 15 minutes) at $1.9M reflects a smaller but meaningful role in care coordination. Together these codes describe an operation that combines round-the-clock residential supports with daytime habilitation programming and targeted case management.

Volume and pricing signals: the provider billed 41.5K claims for T2016 at $325 avg paid/claim, 37.8K claims for T2021 at $185 avg paid/claim, and 23.2K claims for T1017 at $80 avg paid/claim. These claim counts and average payments show both high utilization of residential and day habilitation services and use of time-based billing for the day habilitation and case management lines, consistent with hands-on programmatic service delivery.

Competitive standing within the state varies by service line: T2021 ranks #14 of 130 providers in-state (90th percentile; typical, unremarkable volume for this code), indicating a relatively strong statewide position in day habilitation. T2016 ranks #25 of 121 providers in-state (80th percentile; typical, unremarkable volume for this code), suggesting a solid but not dominant role in residential habilitation. T1017 ranks #37 of 218 providers in-state (83th percentile; typical, unremarkable volume for this code), showing above-average but not leading activity in targeted case management.

Despite heavy revenue concentration in a few codes, the payer mix is single-payer: the provider has no Medicare billing on file and relies entirely on Medicaid revenue ($22.3M), making Medicaid policy and waiver rates the principal drivers of its reimbursement risk and market exposure. Analysts should treat Medicare-related competitive comparisons as not applicable for this entity.

Tenure and regulatory footprint: the NPI was enumerated on 2006-10-17 (~20 years ago), indicating long-standing presence in the market; this tenure is consistent with an established community residential habilitation operator rather than a recent market entrant. Longevity may signal stable local referral relationships and operational experience within Kansas waiver programs.

Statistical-outlier assessment: each of the top codes is described in the source data as showing "typical, unremarkable volume" despite above-average percentile placements for some codes, so while the provider is concentrated in a narrow set of service lines, its utilization patterns are not flagged as extreme outliers within the state peer set. For payers or auditors, this suggests careful monitoring of reimbursement changes is warranted, but the pattern itself aligns with common service mixes for community-based residential habilitation providers.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	41,500	$330	$13.5M
T2021	Day habilitation, waiver; per 15 minutes	37,790	$190	$7M
T1017	Targeted case management, each 15 minutes	23,170	$80	$1.9M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Kansas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Kansas Distribution

Rescare Kansas, Inc. — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	25	120	5,080	$400	$13.8M
T2021	Day habilitation, waiver; per 15 minutes	14	130	5,710	$380	$6.2M
T1017	Targeted case management, each 15 minutes	37	220	5,390	$40	$599.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medevac Midamerica Inc	KS	Ambulance	$932.4K	$1.2M
Turner Unified School District #202	KS	Local Education Agency (LEA)	$0	$1.2M
Turner Dental Group	KS	Dental Clinic/Center	$0	$796.8K
Karen Parker	KS	Certified Registered Nurse Anesthetist	$119.2K	$0
Maykol Postigo Jasahui	KS	Pulmonary Disease Physician	$57.4K	$0
Nader Dadkhah	KS	Internal Medicine Physician	$33.9K	$0

Rescare Kansas, Inc. — Billing Profile & Reimbursement Data

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Rescare Kansas, 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