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

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

Willows Way, Inc. (NPI 1275654923)

Field	Value
Entity Type	Organization
Organization	Willows Way, Inc.
Address	800 Friedens Rd
City	Saint Charles
State	MO
ZIP	63303
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 2, 2007

Payer Source	Total Paid
Medicaid	$74M
Medicare	$0

Key Findings

WILLOWS WAY, INC. is effectively a single‑payer Medicaid provider with no Medicare billing on file; its lifetime Medicare revenue is reported as none while lifetime Medicaid revenue totals $74M, indicating Medicaid is the primary and near‑exclusive source of billed revenue.

Revenue is highly concentrated in a small set of habilitation and waiver services: the top 3 Medicaid codes (T2016, T2021, S5136) together account for 98.8% of the provider's total Medicaid revenue, signaling that day and residential habilitation services constitute the core of the business model.

T2016 (Habilitation, residential, waiver; per diem) is the dominant single revenue driver with $54M in revenue (73.1% of Medicaid revenue) and 122.6K claims; its volume places the provider at rank #22 of 193 in‑state (89th percentile), which is a high but not exceptional statewide presence for residential habilitation services.

T2021 (Day habilitation, waiver; per 15 minutes) contributes $14M (18.9% of Medicaid revenue) across 72.7K claims and ranks #14 of 167 providers in‑state (92nd percentile); this positioning indicates the provider is a stronger relative competitor in day habilitation than in residential habilitation, with substantial utilization of time‑based day services.

S5136 (Companion care, adult; per diem) represents $5M (6.8% of Medicaid revenue) from 18.3K claims and ranks #7 of 14 providers in‑state (54th percentile), suggesting modest participation in companion/adult IADL/ADL services but a smaller market footprint and more limited specialization compared with the two habilitation codes.

Smaller ancillary codes (T2001, T1002, S5108) together represent a very small share of revenue (each at or below 0.6% except S5108 at 0.1%), indicating the provider’s operations focus on core habilitation/residential day services rather than transportation, nursing, or home‑care training as primary lines of business.

The provider has a long tenure on file: NPI enumeration occurred on 2007-04-02 (~19 years ago), which supports interpretation of the current billing mix as the result of an established service footprint rather than a recent market entrant.

Across its top Medicaid codes the provider’s percentile ranks are mostly in the higher end of the statewide distribution (89th–92nd percentiles for the two largest codes), which positions WILLOWS WAY as a sizable regional participant in habilitation services but not the dominant statewide leader based on rank and peer counts provided.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	122,560	$440	$54M
T2021	Day habilitation, waiver; per 15 minutes	72,700	$190	$14M
S5136	Companion care, adult (e.g., iadl/adl); per diem	18,280	$280	$5M
T2001	Non-emergency transportation; patient attendant/escort	3,640	$120	$440K
T1002	Rn services, up to 15 minutes	5,470	$80	$426.5K
S5108	Home care training to home care client, per 15 minutes	1,390	$40	$55.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Willows Way, Inc. — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	22	190	38,330	$450	$27M
S5136	Companion care, adult (e.g., iadl/adl); per diem	7	10	18,080	$240	$15.9M
T2021	Day habilitation, waiver; per 15 minutes	14	170	18,890	$180	$5.4M
S5108	Home care training to home care client, per 15 minutes	28	40	6,430	$70	$794.4K
T2001	Non-emergency transportation; patient attendant/escort	22	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	38	200	1,720	$50	$194.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Living With Purpose Of Missouri, Inc.	MO	Health Maintenance Organization	$0	$37.6M
United Home Health Care LLC	MO	Home Health Agency	$0	$18.7M
Preferred Alternatives Of Missouri, Inc	MO	Developmental Disabilities Clinic/Center	$0	$3.8M
Keith Wickenhauser	MO	Internal Medicine Physician	$301.1K	$0
Kurt Piening	MO	Internal Medicine Physician	$296.2K	$0
Paul Susic	MO	Health Service Psychologist	$100.9K	$107.2K
Alexander Schuetz	MO	Internal Medicine Physician	$141.2K	$0
Michael Fritsche	MO	Emergency Medical Services (Emergency Medicine) Physician	$96.2K	$0
Felister Mwangi	MO	Certified Registered Nurse Anesthetist	$61.6K	$22K
Victoria Vondrak	MO	Family Nurse Practitioner	$62.9K	$0

Willows Way, Inc. — Billing Profile & Reimbursement Data

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Willows Way, 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