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.

Tri-valley Developmental Services, Inc. (NPI 1114072709)

Field	Value
Entity Type	Organization
Organization	Tri-valley Developmental Services, Inc.
Address	3740 S Santa Fe Ave
City	Chanute
State	KS
ZIP	66720
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicaid	$37.6M
Medicare	$0

Key Findings

TRI-VALLEY DEVELOPMENTAL SERVICES, INC. is essentially a Medicaid-focused provider: it has no Medicare billing on file while reporting $37.6M in lifetime Medicaid revenue, indicating operations and reimbursement streams are driven almost entirely by state Medicaid programs rather than Medicare. This makes the provider effectively single-payer in scope for the data available.

Revenue concentration is highly focused: the top three Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, with two codes overwhelmingly dominant. Specifically, T2016 contributes $24.7M (65.6% of Medicaid revenue) and T2021 contributes $12.7M (33.7%), together representing the vast majority of Medicaid receipts and signaling limited service diversification beyond those core offerings.

The code mix (T2016 — Habilitation, residential, waiver; per diem and T2021 — Day habilitation, waiver; per 15 minutes) indicates the organization’s core business is community-based intellectual and developmental disability (I/DD) residential habilitation and day habilitation services. The predominance of per-diem residential habilitation and time-based day habilitation claims suggests the provider operates one or more residential habilitation sites plus associated day programs rather than primarily offering outpatient medical services.

Competitive standing in-state is solid but not dominant for its top codes: for T2016 the provider ranks #9 of 121 (93rd percentile) and for T2021 it ranks #17 of 130 (88th percentile), which the source characterizes as typical, unremarkable volume for those codes. These rankings indicate TRI-VALLEY is an established mid-to-upper-tier participant among Kansas providers of these waiver habilitation services but not the single largest provider in the market.

Smaller ancillary service lines are present but minimal: T1017 (Targeted case management, each 15 minutes) accounts for $287.4K (0.8% of Medicaid revenue) and ranks #65 of 218 (71st percentile), reflecting modest engagement in case management relative to its core habilitation business. The case management revenue is a minor complement to the dominant residential and day habilitation lines rather than a major independent revenue stream.

The provider has an extended operational tenure, with its NPI enumerated on 2007-01-24 (~19 years ago), which supports the notion of an established provider with enduring presence in the Kansas I/DD service market. That longevity combined with concentrated revenue in waiver habilitation codes suggests a stable, programmatic focus rather than recent entry or rapid diversification.

Given the extreme concentration in two waiver habilitation codes (T2016 at 65.6% and T2021 at 33.7%), any changes in state Medicaid policy, waiver rates, or case mix for residential or day habilitation could disproportionately affect TRI-VALLEY’s financial results. The provider’s exposure is high to reimbursement or utilization shifts in those specific service categories because they make up essentially 100.0% of reported Medicaid revenue.

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	145,180	$170	$24.7M
T2021	Day habilitation, waiver; per 15 minutes	33,430	$380	$12.7M
T1017	Targeted case management, each 15 minutes	11,980	$20	$287.4K

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

Tri-valley Developmental Services, 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	9	120	5,080	$400	$13.8M
T2021	Day habilitation, waiver; per 15 minutes	17	130	5,710	$380	$6.2M
T1017	Targeted case management, each 15 minutes	65	220	5,390	$40	$599.4K

Nearby Providers

Other providers in the same ZIP code as Tri-valley Developmental Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri-valley Developmental Services, Inc.	KS	Case Management Agency	$0	$2M
Ashley Clinic LLC	KS	Rural Health Clinic/Center	$0	$1.7M
Neosho Memorial Regional Medical Center	KS	Critical Access Hospital	$0	$1.6M
Neosho Memorial Regional Medical Center	KS	Rural Health Clinic/Center	$0	$1.2M
Ashley Clinic, LLC	KS	Family Medicine Physician	$0	$1.1M
Darren Klish	KS	Radiation Oncology Physician	$1M	$0
Med-trans Corporation	KS	Air Ambulance	$557.8K	$0
Kevin Hamm	KS	Diagnostic Radiology Physician	$275.4K	$66.6K
Bruce Lee	KS	Family Medicine Physician	$219.1K	$2.4K
Robert Thomen	KS	Family Medicine Physician	$178.2K	$2.4K

Tri-valley Developmental Services, Inc. — Billing Profile & Reimbursement Data

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Tri-valley Developmental Services, 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