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.

Arrowhead West, Inc. (NPI 1053380782)

Field	Value
Entity Type	Organization
Organization	Arrowhead West, Inc.
Address	1100 E Wyatt Earp Blvd
City	Dodge City
State	KS
ZIP	67801
Taxonomy	Vehicle Modifications Contractor
NPI Enumerated	March 15, 2006

Payer Source	Total Paid
Medicaid	$65.8M
Medicare	$0

Key Findings

ARROWHEAD WEST, INC. shows an effectively single-payer billing profile: no Medicare billing on file and Total Medicaid revenue of $65.8M, indicating the organization’s commercial footprint in federal fee-for-service Medicare is absent and its operations are financially dependent on Medicaid funding. This concentration on a single public payer should frame any analysis of revenue stability and reimbursement exposure.

Medicaid revenue is extremely concentrated in a very small set of services: the top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue. T2016 accounts for $44.8M (15.3K claims, $2935 avg paid/claim; 68.1% of Medicaid revenue), T2021 accounts for $21M (13.9K claims, $1512 avg paid/claim; 31.9% of Medicaid revenue), and S5190 accounts for $1.5K (43 claims, $34 avg paid/claim; 0.0% of Medicaid revenue).

The code mix (T2016 – Habilitation, residential, waiver; per diem and T2021 – Day habilitation, waiver; per 15 minutes) indicates the provider’s core business is waiver-funded residential and day habilitation services rather than medical or durable medical equipment services consistent with its Vehicle Modifications Contractor taxonomy. The billing units (per diem and per 15 minutes) and the large claim volumes for these two habilitation codes suggest ongoing program operations for long-term supportive care and structured day programs.

Competitive standing on T2016 is modest within the state: the provider ranks #41 of 121 in-state (67th percentile) and is described as a typical, unremarkable volume participant for this code. This placement indicates a solid regional presence in residential habilitation but not dominance of the statewide market.

For T2021 the provider ranks #39 of 130 in-state (71th percentile) and is likewise characterized as a typical, unremarkable volume participant; the sizable claim count (13.9K) shows meaningful operational scale in day habilitation, yet the rank indicates the provider is one of many similar-size operators rather than a market leader.

S5190 (Wellness assessment, performed by non-physician) is functionally immaterial to the provider’s revenue mix: 43 claims generated $1.5K in revenue (0.0% of Medicaid revenue), and the provider ranks #36 of 52 in-state (29th percentile). This shows wellness assessments are not a core service line and contribute negligible financial weight.

The provider’s NPI was enumerated on 2006-03-15 (~20 years ago), indicating long tenure in the market; combined with the heavy Medicaid concentration and the fact that two codes drive the entirety of Medicaid revenue, the organization appears operationally specialized and may be particularly sensitive to Medicaid waiver policy or reimbursement changes that affect per-diem or per-15-minute habilitation rates.

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	15,280	$2,940	$44.8M
T2021	Day habilitation, waiver; per 15 minutes	13,870	$1,510	$21M
S5190	Wellness assessment, performed by non-physician	40	$30	$1.5K

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

Arrowhead West, 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	41	120	5,080	$400	$13.8M
T2021	Day habilitation, waiver; per 15 minutes	39	130	5,710	$380	$6.2M
S5190	Wellness assessment, performed by non-physician	36	50	120	$40	$14.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Avenue Dental, P.A.	KS	General Practice Dentistry	$0	$5.1M
Arrowhead West, Inc.	KS	Case Management Agency	$0	$4.4M
Idocs Of Dodge City, PA	KS	Optometrist	$0	$1.7M
Western Plains Physician Practices, LLC	KS	Internal Medicine Physician	$0	$1.6M
United Methodist Western Kansas Mexican American Ministries,inc.	KS	Federally Qualified Health Center (FQHC)	$0	$1.3M
Family Practice Associates Of Western Kansas, LLC	KS	Rural Health Clinic/Center	$0	$1.3M
United Methodist Western Kansas Mexican-american Ministries, Inc.	KS	Federally Qualified Health Center (FQHC)	$0	$1.2M
Med-trans Corporation	KS	Air Ambulance	$971.3K	$62.7K
Muhammad Khan	KS	Interventional Cardiology Physician	$935.8K	$60
Dodge City Healthcare Group LLC	KS	Rural Acute Care Hospital	$0	$733.7K

Arrowhead West, Inc. — Billing Profile & Reimbursement Data

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Arrowhead West, 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