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    OpenPayerNPI Medicare & MedicaidCottonwood Incorporated
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    Cottonwood Incorporated — Billing Profile & Reimbursement Data

    NPI 1275539744 · Lawrence, KS · Customized Equipment (DME)

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    Cottonwood Incorporated is a customized equipment (dme) provider located in Lawrence, Kansas. This profile covers 0 Medicare and 7 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
    OrganizationCottonwood Incorporated
    Address2801 W 31st St
    CityLawrence
    StateKS
    ZIP66047
    TaxonomyCustomized Equipment (DME)
    NPI EnumeratedJune 21, 2005

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

    Payer SourceTotal Paid
    Medicaid$46.5M
    Medicare$0

    Key Findings

    COTTONWOOD INCORPORATED is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports Total Medicaid revenue of $46.5M. Its NPI was enumerated on 2005-06-21 (~21 years ago), indicating roughly two decades of enrollment activity in payer systems.

    Revenue is highly concentrated in a small set of Medicaid service lines: the precomputed top 3 Medicaid codes (T2016, T2021, H2023) account for 94.4% of this provider's total Medicaid revenue. Individually those codes are T2016: $23.9M (51.3%); T2021: $15.7M (33.7%); and H2023: $4.4M (9.4%), showing the bulk of receipts come from a narrow suite of habilitation and supported-employment services.

    The code mix indicates COTTONWOOD operates primarily as a habilitation and long-term daily-support provider: T2016 is billed as Habilitation, residential, waiver (per diem), and T2021 is Day habilitation, waiver (per 15 minutes), while H2023 is Supported employment (per 15 minutes). The presence of per-diem and per-15-minute codes points to time-intensive residential and day-program operations with embedded employment support rather than episodic medical services.

    On competitive standing for its largest code, T2016 (residential habilitation), the provider ranks #39 of 121 in-state at the 68th percentile, a typical and unremarkable state-level volume for this code despite its large share of the provider's revenue. For T2021 (day habilitation), COTTONWOOD ranks #27 of 130 at the 80th percentile, indicating stronger but still within-typical state participation in day habilitation services.

    H2023 (supported employment) represents a smaller share of revenue at $4.4M (9.4%) but the provider ranks #2 of 4 in-state for that code and is at the 67th percentile; the small denominator of providers reporting H2023 suggests the rank should be interpreted cautiously even though the provider is one of the very few billing that code at scale. This pattern suggests niche strength in supported employment relative to a limited set of peers.

    Other Medicaid codes are materially smaller contributors: T1017 (Targeted case management) generates $2.3M (5.0%) and ranks #46 of 218 in-state (79th percentile), while T2003 and A0100 (non-emergency transportation variants) and S5190 (wellness assessment) together account for only modest revenue (examples: T2003 $148K, A0100 $33.1K, S5190 $71.2K). S5190 notably ranks #3 of 52 providers in-state and is labeled "notably above typical state volume," indicating above-typical billing activity for wellness assessments despite its small dollar impact on overall revenue.

    Because the business is concentrated in a few Medicaid habilitation and day-support codes and reports no Medicare revenue, the provider’s financial profile is highly dependent on Medicaid policy, waiver rules, and reimbursement rates for time-based habilitation services. Any changes to waiver eligibility, per-diem or per-15-minute rates, or state-level program scope could have outsized impact given the $46.5M Medicaid base and the 94.4% revenue concentration in T2016/T2021/H2023.

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem17,780$1,340$23.9M
    T2021Day habilitation, waiver; per 15 minutes21,520$730$15.7M
    H2023Supported employment, per 15 minutes10,070$440$4.4M
    T1017Targeted case management, each 15 minutes17,430$130$2.3M
    T2003Non-emergency transportation; encounter/trip5,690$30$148K
    S5190Wellness assessment, performed by non-physician1,740$40$71.2K
    A0100Non-emergency transportation; taxi2,210$20$33.1K

    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

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem391205,080$400$13.8M
    T2021Day habilitation, waiver; per 15 minutes271305,710$380$6.2M
    H2023Supported employment, per 15 minutes2105,650$260$1.5M
    T1017Targeted case management, each 15 minutes462205,390$40$599.4K
    A0100Non-emergency transportation; taxi11301,100$40$198.2K
    T2003Non-emergency transportation; encounter/trip13402,210$30$150.8K
    S5190Wellness assessment, performed by non-physician350120$40$14.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trinity In-home CareKSHome Health Agency$0$4M
    Dccca, IncKSSubstance Use Disorder Rehabilitation Clinic/Center$0$1.8M
    Hospice Preferred Choice, IncKSCommunity Based Hospice Care Agency$0$569.8K
    M Scott HickmanKSOphthalmology Physician$405.9K$0
    Kelcie StreckerKSPhysician Assistant$205.7K$0
    Hy-vee IncKSCommunity/Retail Pharmacy$180.6K$0
    Chad JohanningKSFamily Medicine Physician$127.9K$0
    Blake PhippsKSFamily Medicine Physician$83.2K$0
    Amanda FloydKSFamily Nurse Practitioner$77.1K$0
    Nathan BloomKSFamily Medicine Physician$74.1K$0

    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
    Cottonwood Incorporated — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas