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

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

Keystone Services, Inc Dba (NPI 1063539054)

Field	Value
Entity Type	Organization
Organization	Keystone Services, Inc Dba
Address	2210 Meadow Dr
City	Louisville
State	KY
ZIP	40218
Taxonomy	Adult Companion
NPI Enumerated	March 23, 2007

Payer Source	Total Paid
Medicaid	$55.5M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $55.5M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operation based on the available claims data. Analysts should treat Medicaid as the primary — and near-exclusive — source of billed activity when modeling payer mix or forecasting revenue for this entity.

Revenue is extremely concentrated: the top three Medicaid codes account for 97.8% of this provider's total Medicaid revenue, led overwhelmingly by T2016 at 90.5%, with T2021 at 5.5% and 97535 at 1.8%. That concentration indicates the business’s fortunes are dominated by a very small set of service lines rather than a broad code mix.

The code mix points to a residential and habilitation-focused operation: T2016 (habilitation, residential, waiver; per diem) is the dominant code, supported by T2021 (day habilitation, waiver; per 15 minutes) and 97535 (therapeutic instruction/rehabilitation). Together these codes suggest the provider runs residential habilitation services with complementary day program and therapeutic instruction offerings rather than a typical home-health or acute-care practice.

Competitive standing is uneven across services: the provider ranks #1 of 146 in-state for T2016 (100th percentile; extreme outlier, far above typical state volume for this code), indicating statewide dominance in residential habilitation. By contrast, it ranks #27 of 150 (83th percentile) for T2021 and #68 of 305 (78th percentile) for 97535, signaling more typical, unremarkable participation in day habilitation and therapy services relative to peers.

Several smaller revenue streams are present but do not materially change the profile: T1005 (respite care services) generated $518.5K (0.9% of Medicaid revenue) and ranks #48 of 81 (41th percentile); T1019 (personal care services) generated $401.2K (0.7%) and ranks #43 of 51 (16th percentile); E1399 (DME, miscellaneous) generated $324.1K (0.6%) and ranks #10 of 25 (63th percentile). These codes appear as modest supplements to the core habilitation business rather than as strategic growth drivers.

Operationally, the heavy reliance on a per-diem residential habilitation code (T2016) implies that occupancy, program capacity, and waiver-authorized placements will be primary drivers of revenue performance; changes in Medicaid waiver policy, per-diem rates, or resident census could substantially affect top-line results. Given the 97.8% concentration in the top three codes, payers and network managers should expect material sensitivity to any contractual or regulatory changes affecting those specific service lines.

The provider has an NPI enumeration date of 2007-03-23 (~19 years ago), indicating a long-tenured presence in the market. Combined with the #1 statewide rank and extreme outlier status for T2016, this tenure supports an interpretation of an established residential habilitation operator with a leading footprint in Kentucky for that specific service type.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	307,830	$160	$50.2M
T2021	Day habilitation, waiver; per 15 minutes	45,930	$70	$3M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	6,820	$150	$1M
T1005	Respite care services, up to 15 minutes	2,270	$230	$518.5K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	1,800	$220	$401.2K
E1399	Durable medical equipment, miscellaneous	480	$670	$324.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Keystone Services, Inc Dba — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	1	150	42,680	$190	$11.3M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	43	50	13,600	$140	$11.1M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	68	310	830	$120	$3.7M
T2021	Day habilitation, waiver; per 15 minutes	27	150	16,130	$70	$1.7M
E1399	Durable medical equipment, miscellaneous	10	30	170	$600	$996.7K
T1005	Respite care services, up to 15 minutes	48	80	2,880	$70	$799.2K

Nearby Providers

Other providers in the same ZIP code as Keystone Services, Inc Dba, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Freedom Senior Share, LLC	KY	Adult Day Care Clinic/Center	$0	$142.4M
Breaking Barriers Of Ky LLC	KY	Community/Behavioral Health Agency	$0	$15.3M
Alternative Services For Individuals	KY	Adult Mental Health Clinic/Center	$0	$12.3M
Osting Individual And Family Services Inc	KY	Community/Behavioral Health Agency	$0	$9.6M
Bluegrass Counseling Associates	KY	Clinical Social Worker	$0	$9.4M
Kentucky Case Management, LLC	KY	Case Management Agency	$0	$9.3M
Meeting Challenges LLC	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.4M
Active Day Ky, Inc.	KY	Developmental Disabilities Clinic/Center	$0	$6.1M
Board Of Education Of Jefferson County Kentucky	KY	Local Education Agency (LEA)	$0	$4.9M
Renaissance Medical LLC	KY	Durable Medical Equipment & Medical Supplies	$0	$4.5M

Keystone Services, Inc Dba — Billing Profile & Reimbursement Data

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Keystone Services, Inc Dba — 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