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.

Option Services, Inc (NPI 1205132776)

Field	Value
Entity Type	Organization
Organization	Option Services, Inc
Address	1445 S Mahaffie Cir
City	Olathe
State	KS
ZIP	66062
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	February 1, 2011

Payer Source	Total Paid
Medicaid	$33.6M
Medicare	$0

Key Findings

OPTION SERVICES, INC is effectively a single-payer Medicaid provider: there is no Medicare billing on file while total Medicaid revenue is $33.6M, indicating the organization's operations and reimbursement reliance are concentrated in Medicaid programs rather than Medicare. This payer mix suggests the entity is focused on services typically funded by state Medicaid waivers and community supports rather than Medicare-covered clinical services.

Revenue concentration is extremely high in a narrow set of waiver habilitation services: the top 3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, with T2016 representing $23M (68.3%) and T2021 representing $10.6M (31.7%) of the $33.6M Medicaid total. This concentration implies the bulk of the business is driven by residential habilitation per diem and day habilitation time-based services.

The code mix (T2016 and T2021) indicates the provider operates as an intellectual/developmental disabilities community-based habilitation and residential program. T2016 (Habilitation, residential, waiver; per diem) dominance points to a substantial residential placement capacity, while material revenue from T2021 (Day habilitation, waiver; per 15 minutes) signals an associated day program or structured day services for enrolled beneficiaries.

Competitive standing within the state is modest for the leading codes: for T2016 the provider ranks #62 of 121 in-state (49th percentile), and for T2021 it ranks #67 of 130 in-state (49th percentile). Both percentiles are described as typical or unremarkable volume for those codes, indicating OPTION SERVICES competes at a mid-market level rather than as a dominant statewide provider for these waiver services.

One anomalous reported code is T2017 (Habilitation, residential, waiver; 15 minutes): the dataset shows 55 claims with $0 avg paid/claim and $0 revenue, while the provider ranks #2 of 4 in-state (67th percentile) for that code. This suggests billing or reporting of time-based residential units occurred but did not generate recorded Medicaid payments in the dataset, which is noteworthy for reconciliation or data-quality review rather than an immediate clinical inference.

The provider has been enumerated for approximately 15 years (NPI registered ~2011-02-01), indicating an established presence in the market. That tenure, combined with the concentrated Medicaid revenue base, suggests a stable, specialized operation focused on long-term habilitation and residential services funded through waiver programs.

Given the heavy reliance on per diem residential revenue (T2016) and day habilitation (T2021), operational risk and growth prospects are likely closely tied to Medicaid waiver policy, state reimbursement rates, and enrollment in developmental disability programs. Any changes in state waiver design, per diem rates, or eligibility could have outsized financial impact because these two codes together represent 100.0% of Medicaid revenue for the provider.

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	4,900	$4,690	$23M
T2021	Day habilitation, waiver; per 15 minutes	5,470	$1,940	$10.6M
T2017	Habilitation, residential, waiver; 15 minutes	60	$0	$0

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

Option Services, Inc — 0 of 2 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	62	120	5,080	$400	$13.8M
T2021	Day habilitation, waiver; per 15 minutes	67	130	5,710	$380	$6.2M
T2017	Habilitation, residential, waiver; 15 minutes	2	10	40	$1	$50

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kidstlc, Inc.	KS	Community/Behavioral Health Agency	$0	$48M
Leblanc & Associates Dentistry For Children, P.A.	KS	Pediatric Dentistry	$0	$30.1M
Reflection Of Peace Home Care And Assisted Living	KS	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$6.7M
Midwest Homestead Of Olathe Operations, LLC	KS	Assisted Living Facility	$0	$4.4M
Community Treatment Services, LLC	KS	Mental Health Counselor	$0	$3.6M
Midwest Homestead Of Olathe Operations, LLC	KS	Assisted Living Facility	$0	$3.4M
Health Partnership Clinic, Inc.	KS	Federally Qualified Health Center (FQHC)	$0	$2.4M
David Cobb	KS	Pediatric Dentistry	$0	$2M
Kingdom Transportation LLC	KS	Non-emergency Medical Transport (VAN)	$0	$1.2M
Sweet Tooth Olathe, LLC	KS	Dental Clinic/Center	$0	$844.7K

Option Services, Inc — Billing Profile & Reimbursement Data

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Option 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