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.

Big Lakes Developmental Center Inc (NPI 1275656035)

Field	Value
Entity Type	Organization
Organization	Big Lakes Developmental Center Inc
Address	1416 Hayes Dr
City	Manhattan
State	KS
ZIP	66502
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 9, 2007

Payer Source	Total Paid
Medicaid	$49.8M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only billing entity: there is no Medicare billing on file and lifetime Medicaid revenue is $49.8M. The absence of Medicare activity means payer exposure and growth opportunities are concentrated entirely in the Medicaid program rather than split across federal and state sources.

Revenue is extremely concentrated in a narrow set of services: the precomputed top three Medicaid codes account for 99.8% of this provider's total Medicaid revenue, with T2016 alone contributing 65.6% and T2021 contributing 33.4%. That concentration indicates the business model is built almost exclusively around a small set of habilitation services rather than a diversified portfolio of medical or ancillary procedures.

The code mix—dominated by T2016 (Habilitation, residential, waiver; per diem) and T2021 (Day habilitation, waiver; per 15 minutes)—signals that the organization primarily operates residential and day habilitation programs for individuals with developmental disabilities. The high average paid/claim amounts for these codes ($1859 avg paid/claim for T2016 and $825 avg paid/claim for T2021) reinforce that revenue is driven by ongoing, intensive day- and residential-support services rather than low-intensity encounters.

State-level competitive standing on the largest code shows modest scale: for T2016 the provider ranks #40 of 121 in-state and sits at the 68th percentile with a label of typical, unremarkable volume. This suggests a solid but not dominant role in residential habilitation across Kansas—meaning the provider is a meaningful participant but not a statewide leader for this service line.

The provider is relatively stronger in day habilitation: for T2021 it ranks #30 of 130 providers in-state and sits at the 78th percentile with a typical, unremarkable volume label. That percentile indicates above-average activity relative to peers for day habilitation, implying competitive strength in delivering community or center-based habilitation services.

Complementary codes represent only a token share of revenue and limited reach: T1017 (Targeted case management) contributes $406.8K (0.8% of Medicaid revenue) and ranks #115 of 218 (47th percentile), while H2023 (Supported employment) contributes $34.2K (0.1% of revenue) and ranks #3 of 4 (33th percentile). These smaller lines show the provider offers ancillary supports but at very low absolute scale compared with its core habilitation services.

Operational tenure is long enough to signal stability: the NPI was enumerated 2007-04-09 (~19 years ago). This multi‑year presence in Medicaid suggests established relationships with state payers and experience delivering waiver-based habilitation services.

The extreme revenue concentration creates business risk: with T2016 and T2021 together representing the vast majority of billed revenue, policy, reimbursement, or utilization changes affecting those waiver habilitation rates or service definitions would disproportionately impact the provider’s financial profile. Analysts should monitor state waiver rate-setting, utilization management, and contracting dynamics for these two codes to assess near-term revenue vulnerability.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	17,590	$1,860	$32.7M
T2021	Day habilitation, waiver; per 15 minutes	20,170	$830	$16.6M
T1017	Targeted case management, each 15 minutes	5,090	$80	$406.8K
H2023	Supported employment, per 15 minutes	1,220	$30	$34.2K
T2003	Non-emergency transportation; encounter/trip	2,260	$10	$31.6K
S5190	Wellness assessment, performed by non-physician	460	$40	$16.4K
A0100	Non-emergency transportation; taxi	1,100	$10	$13.2K
A0130	Non-emergency transportation: wheelchair van	90	$30	$2.5K

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

Big Lakes Developmental Center Inc — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	40	120	5,080	$400	$13.8M
T2021	Day habilitation, waiver; per 15 minutes	30	130	5,710	$380	$6.2M
H2023	Supported employment, per 15 minutes	3	10	5,650	$260	$1.5M
T1017	Targeted case management, each 15 minutes	115	220	5,390	$40	$599.4K
A0100	Non-emergency transportation; taxi	15	30	1,100	$40	$198.2K
T2003	Non-emergency transportation; encounter/trip	22	40	2,210	$30	$150.8K
A0130	Non-emergency transportation: wheelchair van	18	20	1,220	$50	$135.8K
S5190	Wellness assessment, performed by non-physician	12	50	120	$40	$14.4K

Nearby Providers

Other providers in the same ZIP code as Big Lakes Developmental Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pawnee Mental Health Service, Inc.	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$25.6M
Pawnee Mental Health Service, Inc.	KS	Community/Behavioral Health Agency	$0	$14M
Pediatric Associates Of Manhattan, P. A.	KS	Pediatric Adolescent Medicine Physician	$0	$4.5M
Travis Koeneke	KS	Hematology & Oncology Physician	$4.4M	$0
Sound Physicians Emergency Medicine Of Kansas, LLC	KS	Emergency Medicine Physician	$0	$3.3M
No Stone Unturned Foundation	KS	Physical Therapy Clinic/Center	$0	$2.8M
Manhattan-ogden Usd 383	KS	Local Education Agency (LEA)	$0	$2.7M
Ascension Via Christi Hospital Manhattan, Inc.	KS	General Acute Care Hospital	$0	$1.3M
County Of Riley	KS	Ambulance	$564.6K	$693.9K
Martin Bell	KS	Radiation Oncology Physician	$1M	$0

Big Lakes Developmental Center Inc — Billing Profile & Reimbursement Data

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Big Lakes Developmental Center 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