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    OpenPayerNPI Medicare & MedicaidSheltered Living Inc.
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    Sheltered Living Inc. — Billing Profile & Reimbursement Data

    NPI 1275687832 · Topeka, KS · Adult Care Home Facility

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    Sheltered Living Inc. is a adult care home facility provider located in Topeka, Kansas. This profile covers 0 Medicare and 3 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
    OrganizationSheltered Living Inc.
    Address3401 Sw Harrison St
    CityTopeka
    StateKS
    ZIP66611
    TaxonomyAdult Care Home Facility
    NPI EnumeratedJanuary 22, 2007

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

    Payer SourceTotal Paid
    Medicaid$42.6M
    Medicare$0

    Key Findings

    SHELTERED LIVING INC. is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $42.6M in lifetime Medicaid revenue, indicating its operations and revenue base are concentrated entirely in Medicaid-funded services. This payer mix suggests strategic dependence on state Medicaid policy and waiver programs rather than on Medicare populations or fee-for-service seniors.

    Revenue is extremely concentrated in a narrow set of waiver and habilitation services: the top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, with T2016 representing $35.3M (82.8%), T2021 $6.5M (15.3%), and T1017 $825.9K (1.9%). This concentration means most cash flow is tied to a small group of residential/day habilitation and case management codes rather than a diversified service mix.

    The provider’s code mix and descriptions point to a facility-based habilitation model: T2016 (Habilitation, residential, waiver; per diem) as the dominant code reflects ongoing residential habilitation services, while T2021 (Day habilitation, waiver; per 15 minutes) indicates supplementary day-program services and T1017 (Targeted case management, each 15 minutes) represents a minor case-management component. Together these codes align with an Adult Care Home Facility offering continuous residential supports supplemented by day habilitation and care coordination.

    T2016 is the primary revenue driver and places the provider into an upper-state standing for that service: the code yields $35.3M (82.8% of Medicaid revenue) and the provider ranks #22 of 121 providers in-state (83th percentile; typical, unremarkable volume for this code), which signals substantial activity in residential waiver billing without making the provider an extreme outlier in the market. The label "typical, unremarkable volume for this code" suggests the provider is a meaningful but not dominant statewide actor for residential habilitation.

    T2021 and T1017 revenues are materially smaller and reflect modest competitive positioning for those service lines: T2021 generated $6.5M (15.3%) and ranks #71 of 130 providers in-state (46th percentile; typical, unremarkable volume for this code), while T1017 produced $825.9K (1.9%) and ranks #114 of 218 providers in-state (48th percentile; typical, unremarkable volume for this code). Both percentiles and labels indicate these are routine volumes and the provider is a modest participant in day habilitation and targeted case management within Kansas.

    Operationally and financially, the heavy dependence on per-diem residential waiver revenue (T2016 at 82.8% of Medicaid revenue) creates a concentration exposure: changes to waiver rates, eligibility, or per-diem reimbursement policies could materially affect the provider’s top-line given that the top three codes together represent 100.0% of Medicaid revenue. Analysts should interpret financial sensitivity and contractual leverage through the lens of waiver-program stability rather than Medicare diversification.

    The provider has an extended tenure in the registry, which supports institutional experience in its service niche: NPI enumerated on 2007-01-22 (~19 years ago). This longevity, combined with a focused Medicaid waiver portfolio, suggests established operational processes for residential habilitation and continuity in serving waiver populations rather than a newly entered or transient operation.

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem44,430$790$35.3M
    T2021Day habilitation, waiver; per 15 minutes4,930$1,320$6.5M
    T1017Targeted case management, each 15 minutes5,130$160$825.9K

    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

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem221205,080$400$13.8M
    T2021Day habilitation, waiver; per 15 minutes711305,710$380$6.2M
    T1017Targeted case management, each 15 minutes1142205,390$40$599.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tarc, Inc.KSDevelopmentally Disabled Services Day Training Agency$0$40.5M
    Country Club Dental PAKSGeneral Practice Dentistry$0$11.6M
    Topeka Public Schools Usd 501KSStudent Health Clinic/Center$0$5.2M
    Adventure Vision Of Topeka LLCKSOptometrist$0$4.5M
    Tarc, Inc.KSEarly Intervention Provider Agency$0$2.3M
    Tarc, Inc.KSCase Management Agency$0$2M
    Larry C. Hargreaves, DdsKSDental Clinic/Center$0$1.1M
    Life Bridge, LLCKSHome Health Agency$0$708.1K
    Topeka Treatment Center, LLCKSMethadone Clinic$0$651K
    Teresa FrancisKSSocial Worker$0$595.3K

    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
    Sheltered Living Inc. — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas