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.

Kyppec,inc (NPI 1114052057)

Field	Value
Entity Type	Organization
Organization	Kyppec,inc
Address	1101 Herr Ln
City	Louisville
State	KY
ZIP	40222
Taxonomy	Pediatric Skilled Nursing Facility
NPI Enumerated	February 22, 2007

Payer Source	Total Paid
Medicaid	$109.1M
Medicare	$0

Key Findings

KYPPEC,INC operates as a highly focused pediatric skilled nursing provider: its reported Medicaid activity is dominated by multidisciplinary pediatric clinic services, with T1025 (per diem intensive, extended multidisciplinary services) and T1026 (hourly equivalent) together representing the entirety of recorded Medicaid revenue. The presence of both per‑diem and per‑hour codes indicates the organization bills for intensive, ongoing clinical management of children with complex medical, physical, mental and psychosocial impairments rather than a broad mix of unrelated service lines.

Medicaid revenue scale and payer mix are concentrated — the provider reports $109.1M in total Medicaid revenue and has no Medicare billing on file, making it effectively a single‑payer (Medicaid) operation in the available data. The absence of any Medicare revenue ("none below — this provider has no Medicare billing on file") means competitive and financial analyses should be anchored to Medicaid program behavior and reimbursement policies.

Revenue concentration risk is material: the precomputed top‑codes share shows the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T1025 alone accounting for $75.2M (68.9% of this provider's total Medicaid revenue) and T1026 contributing $33.9M (31.1% of this provider's total Medicaid revenue). This narrow code mix implies financial performance will be highly sensitive to policy, reimbursement, or utilization changes affecting these specific intensive pediatric service codes.

Operational scale and utilization are high for these specialized codes: KYPPEC reported 313.2K claims for T1025 at an average paid per claim of $240 and 210.4K claims for T1026 at an average paid per claim of $161, signaling very large volumes of billed service encounters rather than occasional or sporadic use. Such claim volumes are consistent with a facility that provides frequent, ongoing multidisciplinary care to a sizeable population of medically complex children.

State‑level competitive standing is dominant for these service lines: KYPPEC ranks #1 of 6 providers in‑state for T1025 and #1 of 5 providers for T1026, placed at the 100th percentile and described as "notably above typical state volume for this code." These rankings identify KYPPEC as a major statewide provider of intensive pediatric multidisciplinary clinic services rather than a marginal or niche participant.

The code mix and provider taxonomy together imply a service model oriented to sustained clinical management and subspecialty coordination rather than episodic acute care: both T1025 and T1026 are framed as intensive, extended multidisciplinary services for children with complex impairments, which aligns with a pediatric skilled nursing facility delivering bundled daily care and billable hourly activities. Analysts should expect operational emphasis on care coordination, specialized nursing, therapy services, and multidisciplinary clinician visits.

Tenure is long enough to suggest an established presence in the market: the NPI was enumerated on 2007-02-22 (~19 years ago), indicating nearly two decades of enrollment that may reflect institutional stability and sustained Medicaid contracting relationships. Longevity combined with the concentrated code dominance supports the interpretation of a mature, specialized service provider rather than a recent entrant.

Given the extreme concentration in two intensive pediatric codes and the 100.0% share captured by the top codes, any payer policy changes, audits, or shifts in referral patterns affecting T1025 or T1026 would likely have outsized revenue impact. Stakeholders modeling financial risk or negotiating contracts should prioritize monitoring utilization and reimbursement trends for these specific codes in Kentucky.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	313,210	$240	$75.2M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	210,450	$160	$33.9M

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

Kyppec,inc — 2 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	1	10	18,050	$240	$15.7M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	1	10	15,150	$190	$9.9M

Nearby Providers

Other providers in the same ZIP code as Kyppec,inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edwards Health Care Services, Inc.	KY	Durable Medical Equipment & Medical Supplies	$0	$81.9M
Cedar Lake Residences, Inc.	KY	Developmentally Disabled Services Day Training Agency	$0	$27M
Milestones Services LLC	KY	Developmentally Disabled Services Day Training Agency	$0	$6.3M
Killer Bees LLC	KY	Ambulatory Surgical Clinic/Center	$2.3M	$2.2M
Kids Dentistree - Westport Village	KY	Pediatric Dentistry	$0	$4.2M
Abundant Hope Counseling Services, LLC	KY	Mental Health Counselor	$0	$3M
Heartland Diagnostics, LLC	KY	Radiology Clinic/Center	$586.9K	$0
Larry Zhou	KY	Interventional Pain Medicine Physician	$323.9K	$52.3K
Michael Cronen	KY	Pain Medicine (Anesthesiology) Physician	$307.9K	$0
Lee Goldstein	KY	Podiatrist	$220.3K	$0

Kyppec,inc — Billing Profile & Reimbursement Data

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Kyppec,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