Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidD&s Residential Services, LP
    Ask Trek AI about this page

    D&s Residential Services, LP — Billing Profile & Reimbursement Data

    NPI 1033328596 · Austin, TX · Intellectual Disabilities Intermediate Care Facility

    Customize your policy alerts

    Sign up for D&s Residential Services, LP — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    D&s Residential Services, LP is a intellectual disabilities intermediate care facility provider located in Austin, Texas. This profile covers 0 Medicare and 42 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationD&s Residential Services, LP
    Address8911 North Capital Of Texas Highway
    CityAustin
    StateTX
    ZIP78759
    TaxonomyIntellectual Disabilities Intermediate Care Facility
    NPI EnumeratedMay 22, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$97M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-focused operation: there is "no Medicare billing on file" while lifetime Medicaid revenue is $97M, and the precomputed top-3 Medicaid codes account for 69.8% of total Medicaid revenue. That concentration and payer mix indicate the organization relies almost entirely on Medicaid-funded services for its billing and revenue base.

    Service-line profile aligns with community-based habilitation and supports for people with intellectual disabilities: the top revenue driver is H2016 (Comprehensive community support services, per diem) with $53.8M (56.2% of Medicaid revenue), and other high-volume codes include H2014 (Skills training and development, per 15 minutes) and T2020 (Day habilitation, waiver; per diem). Combined with the provider taxonomy (Intellectual Disabilities Intermediate Care Facility), the code mix suggests the entity operates large-scale day habilitation and community support programs plus per-15-minute skills training services.

    Revenue concentration is high and heavily dominated by a single code: H2016 alone represents $53.8M and 56.2% of the provider’s Medicaid revenue, and the precomputed top-3 share confirms 69.8% concentration among the three highest-revenue codes. That level of concentration signals that changes in reimbursement, utilization, or policy for these specific service codes would materially affect this provider’s financials.

    Competitive standing within Texas is strong and in multiple cases extreme: the provider ranks #3 of 430 in-state for H2016 (100th percentile; extreme outlier) and ranks highly for several other codes (H2014 ranks #5 of 560, 99th percentile; T2020 ranks #3 of 365, 99th percentile). Multiple entries flagged as "extreme outlier" or "notably above typical state volume" indicate the organization is a dominant statewide provider for core habilitation and community support services.

    Operational breadth includes ancillary clinical supports beyond core habilitation: notable claim volume and revenue for T1002 (Rn services, up to 15 minutes) with 61.9K claims and $1.5M revenue and D0120 (Periodic oral evaluation) with $646.2K revenue imply the provider either directly delivers or coordinates nursing and dental services as part of its care package. These ancillary codes appear in high percentiles (T1002 ranks #2 of 433, 100th percentile), reinforcing that nursing services are a significant component of their offering.

    Several non-descriptive M-codes are prominent in the billing mix and often rank well above peers (for example, M0150: 43.7K claims, $7M revenue, ranks #2 of 79, 99th percentile; M0299: 22.2K claims, $644.5K revenue, ranks #2 of 305, 100th percentile). The prevalence and high ranks of these M-codes suggest the provider uses program- or state-specific procedure codes extensively; analysts should treat those codes as material to understanding service delivery and consider mapping them to local benefit definitions.

    Tenure is long enough to indicate established operations: the NPI was enumerated on 2007-05-22 (~19 years ago), which supports the interpretation that the provider has built sustained Medicaid relationships and program capacity over multiple policy cycles. That longevity, combined with concentrated Medicaid revenue, suggests institutional experience in the state’s intellectual-disability service ecosystem.

    Risk and sensitivity observations: because H2016, H2014, and M0150 together account for a precomputed 69.8% of Medicaid revenue, regulatory, audit, or reimbursement adjustments specifically targeting comprehensive community supports or skills-training services could disproportionately impact this organization. Given the provider’s extreme-outlier rankings on multiple codes, any policy or network changes affecting high-ranked codes (several noted at 100th or 99th percentile) would likely shift competitive dynamics in the state market rather than being absorbed as marginal variation.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2016Comprehensive community support services, per diem358,520$150$53.8M
    M0150N/A43,660$160$7M
    H2014Skills training and development, per 15 minutes145,540$40$6M
    M0152N/A24,720$180$4.3M
    T2020Day habilitation, waiver; per diem50,620$50$2.5M
    M0122N/A31,360$70$2.3M
    M0123N/A29,980$80$2.3M
    M0166N/A12,150$150$1.8M
    M0153N/A5,600$290$1.6M
    M0149N/A10,500$150$1.6M

    Showing 1–10 of 42

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    42 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem691106,810$200$8.1M
    H2016Comprehensive community support services, per diem34305,020$270$5.6M
    M0153N/A1105,600$290$1.6M
    T1013Sign language or oral interpretive services, per 15 minutes830210$630$1.5M
    M0150N/A2806,450$160$1.4M
    H2014Skills training and development, per 15 minutes55609,630$80$1.4M
    M0151N/A4106,170$200$1.4M
    M0152N/A2405,390$170$1.3M
    M0166N/A2205,660$150$1.2M
    M0149N/A2105,440$150$1M

    Showing 1–10 of 42

    Nearby Providers

    Other providers in the same ZIP code as D&s Residential Services, LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Entrusted Pediatric Home Care L.L.C.TXHome Health Agency$0$46.8M
    D&s Residential Services, LPTXIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$41.7M
    D&s Residential Services, LPTXIntellectual Disabilities Intermediate Care Facility$0$39.1M
    D&s Residential Services, LPTXIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$33.7M
    D&s Residential Services, LPTXIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$33.3M
    Mga Healthcare Texas, LLCTXHome Health Agency$0$30.7M
    D&s Residential Services, LPTXIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$19.6M
    D&s Residential Services, LPTXIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$17.8M
    D&s Residential Services, LPTXIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$14.4M
    Lone Star Circle Of CareTXFederally Qualified Health Center (FQHC)$0$13.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Texas Providers
    4 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    D&s Residential Services, LP — 15 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas