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

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

Lori Knapp Richland, Inc. (NPI 1225286081)

Field	Value
Entity Type	Organization
Organization	Lori Knapp Richland, Inc.
Address	1140 Sextonville Road #5
City	Richland Center
State	WI
ZIP	53581
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	September 5, 2008

Payer Source	Total Paid
Medicaid	$43.1M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file and all reported program revenue is Medicaid, totaling $43.1M. The lack of any Medicare activity means analyses of this entity should treat Medicaid as the operational and financial primary payer.

Revenue is highly concentrated in a few service codes: the precomputed top three Medicaid codes account for 49.3% of the provider's Medicaid revenue, led by T1005 at $12.4M (28.8%), followed by S5125 at $5.1M (11.9%) and S5150 at $3.7M (8.7%). These three codes together drive roughly half of Medicaid receipts and therefore shape operational priorities.

The mix of high-revenue codes (T1005, S5125, S5150) and other common codes (S5135, 99509, S9125, T2040) indicates the provider operates primarily as a community-based/residential and in-home direct care organization focused on respite, attendant/unskilled care, companion and waiver services rather than clinical or skilled nursing procedures. This code profile aligns with the provider taxonomy of Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility and suggests day-to-day operations emphasize direct care delivery, scheduling, and workforce management.

T1005 (Respite care services, up to 15 minutes) is the single largest Medicaid revenue driver with 80.4K claims, $154 avg paid/claim and $12.4M revenue; the provider ranks #4 of 22 in-state (86th percentile). That ranking positions the organization as one of the larger statewide providers for short-interval respite services, although the percentile indicates its volume is strong but not unique among peers.

S5125 (Attendant care services; per 15 minutes) and S5150 (Unskilled respite care, not hospice; per 15 minutes) together represent substantial recurring-volume work: S5125 shows 50.2K claims at $102 avg and $5.1M revenue (rank #46 of 296, 85th percentile), while S5150 shows 26.3K claims at $142 avg and $3.7M revenue (rank #5 of 27, 85th percentile). These ranks and volumes suggest the provider maintains consistently high throughput in basic attendant and unskilled respite services relative to most in-state peers.

Several specific codes are statistical outliers in the state, signaling specialized program roles rather than routine services: T2025 is #1 of 32 (100th percentile; extreme outlier, far above typical state volume for this code), S5108 is #1 of 5 (100th percentile), S5126 is #1 of 6 (100th percentile; notably above typical state volume for this code), and S0215 is #4 of 195 (98th percentile; extreme outlier). These extreme or notable standings point to unusually large participation in waiver/unspecified waiver services, home care training, per-diem attendant care, and non-emergency transportation compared with in-state peers.

The provider’s delivery model is operationally intensive: multiple high-claim, lower-unit-price services appear throughout the top codes (for example T1005 with 80.4K claims at $154 avg, S5125 with 50.2K claims at $102 avg, and T2040 with 29.2K claims at $74 avg). That pattern implies the business relies on high-frequency, short-interval visits and recurring shift-based labor rather than low-frequency high-revenue procedures, which has implications for workforce, scheduling, and reimbursement sensitivity.

The NPI was enumerated on 2008-09-05 (~18 years ago), indicating a long-tenured operation in the state Medicaid market. Combined with $43.1M in lifetime Medicaid revenue and multiple #1 in-state ranks for waiver and support codes, the tenure supports a conclusion of sustained participation in state Medicaid and waiver programs rather than a newly entered provider profile.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1005	Respite care services, up to 15 minutes	80,410	$150	$12.4M
S5125	Attendant care services; per 15 minutes	50,150	$100	$5.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	26,340	$140	$3.7M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	6,780	$470	$3.2M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	11,520	$230	$2.7M
S9125	Respite care, in the home, per diem	9,700	$260	$2.5M
T2040	Financial management, self-directed, waiver; per 15 minutes	29,200	$70	$2.2M
S5130	Homemaker service, nos; per 15 minutes	5,440	$340	$1.9M
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	7,290	$240	$1.8M
T2025	Waiver services; not otherwise specified (nos)	18,440	$90	$1.6M

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Lori Knapp Richland, Inc. — 4 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1005	Respite care services, up to 15 minutes	4	20	4,180	$90	$3.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	5	30	2,010	$90	$2.1M
S9125	Respite care, in the home, per diem	4	10	1,400	$240	$1.9M
T2040	Financial management, self-directed, waiver; per 15 minutes	3	10	15,320	$60	$1.5M
S5151	Unskilled respite care, not hospice; per diem	5	20	2,030	$280	$1.1M
S5108	Home care training to home care client, per 15 minutes	1	10	10,250	$90	$828.9K
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	12	30	2,580	$90	$784K
T2017	Habilitation, residential, waiver; 15 minutes	9	30	820	$110	$605.6K
T2027	Specialized childcare, waiver; per 15 minutes	3	10	4,210	$60	$518.7K
S5136	Companion care, adult (e.g., iadl/adl); per diem	6	10	270	$100	$449.7K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Lori Knapp Richland, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Richland	WI	Community/Behavioral Health Agency	$0	$12.1M
Richland Hospital	WI	Critical Access Hospital	$0	$9.2M
County Of Richland	WI	Ambulance	$187.5K	$127.7K
Farrell Pharmacy Group, Inc.	WI	Community/Retail Pharmacy	$117.1K	$75.4K
Marcy Kyser	WI	Optometrist	$20.8K	$41.1K
Jennifer Myszkowski	WI	Family Medicine Physician	$23.4K	$0

Lori Knapp Richland, Inc. — Billing Profile & Reimbursement Data

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Lori Knapp Richland, 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