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    OpenPayerNPI Medicare & MedicaidDevelopmental Services Of Northwest Kansas, Inc.
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    Developmental Services Of Northwest Kansas, Inc. — Billing Profile & Reimbursement Data

    NPI 1275531295 · Hays, KS · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

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    Developmental Services Of Northwest Kansas, Inc. is a intellectual and/or developmental disabilities community based residential treatment facility provider located in Hays, Kansas. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDevelopmental Services Of Northwest Kansas, Inc.
    Address2703 Hall St
    CityHays
    StateKS
    ZIP67601
    TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
    NPI EnumeratedJuly 13, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$71.6M
    Medicare$0

    Key Findings

    DEVELOPMENTAL SERVICES OF NORTHWEST KANSAS, INC. is effectively a Medicaid-centered provider with no Medicare billing on file; total Medicaid revenue is $71.6M and there is explicitly no recorded Medicare revenue, indicating its operations and reimbursement reliance are concentrated in the Medicaid program rather than Medicare. Its NPI was enumerated on 2005-07-13 (~21 years ago), showing a long-tenured presence in the market and likely established referral and contracting relationships within state Medicaid networks.

    Revenue is highly concentrated in a small set of service codes: the top 3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, demonstrating a narrow service mix where a few program lines drive virtually all billed dollars. This concentration implies operational focus and resource allocation around specific habilitation and day services rather than a broad spectrum of Medicaid billing.

    The single largest revenue driver is T2016 (Habilitation, residential, waiver; per diem), which accounts for $49.4M or 69.0% of the provider’s Medicaid revenue. The provider ranks #4 of 121 in-state for T2016 and is in the 98th percentile, a competitive standing described as notably above typical state volume; this positions the organization as a major residential habilitation provider within Kansas.

    T2021 (Day habilitation, waiver; per 15 minutes) is the other major program line, contributing $22.1M or 30.9% of Medicaid revenue with 53.6K claims and a $413 average paid per claim. The provider ranks #6 of 130 in-state for T2021 and sits in the 96th percentile, indicating strong statewide scale in day habilitation services and reinforcing a business model built around both residential and day habilitation.

    S5190 (Wellness assessment, performed by non-physician) appears as a very small revenue source at $63.7K (0.1% of total Medicaid revenue) but the provider ranks #4 of 52 in-state and is in the 94th percentile for that code, which suggests they systematically incorporate non-physician wellness assessments into their care model at a rate higher than most peers even though it contributes little to total revenue. This may reflect programmatic completeness or billing practices tied to their habilitation services.

    T1017 (Targeted case management, each 15 minutes) is essentially negligible for this provider—$1.3K and listed at 0.0% of total Medicaid revenue—and the provider ranks #212 of 218 in-state (3rd percentile), indicating virtually no material engagement in targeted case management relative to peers. The low use of T1017 contrasts with heavy emphasis on T2016/T2021, underscoring specialization in direct habilitation services rather than case management.

    Given the code mix and dollar distribution (T2016 at 69.0% and T2021 at 30.9%), the organization’s service-line implications are clear: it operates primarily as an intellectual and developmental disabilities community-based residential treatment facility with substantial day habilitation complement. The predominance of per-diem residential habilitation revenue suggests sizeable residential capacity and aligns with the provider taxonomy listed.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem246,860$200$49.4M
    T2021Day habilitation, waiver; per 15 minutes53,560$410$22.1M
    S5190Wellness assessment, performed by non-physician1,520$40$63.7K
    T1017Targeted case management, each 15 minutes50$30$1.3K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kansas median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem41205,080$400$13.8M
    T2021Day habilitation, waiver; per 15 minutes61305,710$380$6.2M
    T1017Targeted case management, each 15 minutes2122205,390$40$599.4K
    S5190Wellness assessment, performed by non-physician450120$40$14.4K

    Nearby Providers

    Other providers in the same ZIP code as Developmental Services Of Northwest Kansas, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Link IncKSHome Health Agency$0$31.4M
    High Plains Mental Health CenterKSCommunity/Behavioral Health Agency$0$14.9M
    High Plains Mental Health CenterKSMental Health Clinic/Center (Including Community Mental Health Center)$0$14.5M
    First Care Clinic, Inc.KSFederally Qualified Health Center (FQHC)$0$4.1M
    Kvc Hospitals IncKSPsychiatric Residential Treatment Facility$0$3.7M
    Homestead Of Hays Operations LLCKSAssisted Living Facility$0$2.5M
    Developmental Services Of Northwest Kansas, Inc.KSCase Management Agency$0$2.4M
    Hays Medical Center, Inc.KSRural Health Clinic/Center$0$2.3M
    Med-trans CorporationKSAir Ambulance$1.4M$0
    Hays Medical Center, Inc.KSInternal Medicine Physician$0$1.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Kansas Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    Developmental Services Of Northwest Kansas, Inc. — 2 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas