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.

Three Rivers, Inc. (NPI 1093851206)

Field	Value
Entity Type	Organization
Organization	Three Rivers, Inc.
Address	408 Lincoln Ave.
City	Wamego
State	KS
ZIP	66547
Taxonomy	Case Management Agency
NPI Enumerated	January 29, 2007

Payer Source	Total Paid
Medicaid	$32.6M
Medicare	$0

Key Findings

THREE RIVERS, INC. (Case Management Agency) is a long-tenured Medicaid-focused provider based in WAMEGO, KS, with an NPI enumerated 2007-01-29 (~19 years ago). The entity shows no Medicare billing on file and its lifetime Medicaid revenue is $32.6M, indicating sustained participation in state Medicaid programs over nearly two decades.

This provider is effectively single-payer at scale: there is no Medicare revenue on file and all reported lifetime public billing is Medicaid ($32.6M). Analysts should treat Medicaid policy, waiver design, and state rate-setting as the primary drivers of this organization’s financial performance.

Revenue is highly concentrated in a handful of HCBS and waiver-related codes: the precomputed top-3 Medicaid codes account for 90.0% of the provider’s total Medicaid revenue. The largest single code is S5125 (282.6K claims, $76 avg paid/claim, $21.5M revenue; 65.9%), followed by T2025 (49.6K claims, $89 avg paid/claim, $4.4M revenue; 13.5%) and T1019 (41.3K claims, $83 avg paid/claim, $3.4M revenue; 10.5%).

Code mix and billing units point to an operation centered on time-based home- and community-based services: S5125 and T1019 are per-15-minute attendant/personal care codes, while T2025 is a waiver services NOS code and T2040 (also present at $3.3M, 10.0%) covers financial management for self-directed waivers. This combination suggests the organization largely supplies direct care attendants and administrative supports for waiver participants rather than inpatient or skilled services.

S5125 is the dominant revenue driver and also ranks highly statewide: it is #10 of 197 providers and listed at the 95th percentile, yet is described as a typical, unremarkable volume for this code. In practice that means THREE RIVERS has a very large absolute dollar exposure to attendant-care time billing relative to peers, even though its per-provider activity for this code is within the state’s common usage patterns.

The provider’s standing on the other top codes is more modest: T2025 ranks #14 of 28 (52th percentile; typical, unremarkable volume), T1019 ranks #20 of 55 (65th percentile; typical, unremarkable volume), and T2040 ranks #11 of 19 (44th percentile; typical, unremarkable volume). These rank/percentile combinations indicate steady participation across multiple waiver-related services but not market dominance for those specific lines.

The concentration of Medicaid receipts (S5125 alone is 65.9% of Medicaid revenue and the precomputed top-3 total is 90.0%) creates operational and reimbursement sensitivity: changes to attendant care time-rate methodologies, waiver eligibility, or state audit/enforcement priorities for time-based HCBS codes could materially affect overall revenue. Analysts should treat S5125 reimbursement policy and utilization trends as the single highest-impact monitoring item.

Taken together, the data describe a focused HCBS/waiver operator rather than a diversified medical supplier: no Medicare billing on file, $32.6M lifetime Medicaid revenue, and dominant reliance on attendant/personal care and waiver financial-management codes. Competitive positioning is strongest on S5125 (top decile by rank) but otherwise modest across other in-state code rankings, consistent with a specialized Medicaid waiver services business rather than a broad multi-payer provider.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	282,590	$80	$21.5M
T2025	Waiver services; not otherwise specified (nos)	49,570	$90	$4.4M
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…	41,320	$80	$3.4M
T2040	Financial management, self-directed, waiver; per 15 minutes	24,720	$130	$3.3M

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

Three Rivers, Inc. — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	20	60	21,510	$90	$8.5M
T2025	Waiver services; not otherwise specified (nos)	14	30	44,470	$90	$7.2M
S5125	Attendant care services; per 15 minutes	10	200	1,110	$110	$5.9M
T2040	Financial management, self-directed, waiver; per 15 minutes	11	20	25,600	$130	$5.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advocate Home Specialty Care Inc	KS	Home Health Agency	$0	$8.7M
Cpf Senior Living - Wamego LLC	KS	Assisted Living Facility	$0	$862.1K
Wamego Hospital Association	KS	Rural Health Clinic/Center	$0	$571.3K
James Hurtig	KS	Cardiovascular Disease Physician	$431.1K	$0
County Of Pottawatomie	KS	Land Ambulance	$333.5K	$94.4K
Christopher Grennan	KS	Family Medicine Physician	$160.2K	$0
Ryan Kueker	KS	Optometrist	$92.4K	$9.9K
Wamego Drug Store Inc	KS	Community/Retail Pharmacy	$84.5K	$0

Three Rivers, Inc. — Billing Profile & Reimbursement Data

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Three Rivers, 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