Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRes-care Kansas, Inc.
    Ask Trek AI about this page

    Res-care Kansas, Inc. — Billing Profile & Reimbursement Data

    NPI 1295947208 · Newton, KS · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

    Customize your policy alerts

    Sign up for Res-care Kansas, Inc. — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Res-care Kansas, Inc. is a intellectual and/or developmental disabilities community based residential treatment facility provider located in Newton, 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationRes-care Kansas, Inc.
    Address700 E 14th St
    CityNewton
    StateKS
    ZIP67114
    TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
    NPI EnumeratedMay 3, 2007

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

    Payer SourceTotal Paid
    Medicaid$30.1M
    Medicare$0

    Key Findings

    This entity is effectively a single‑payer Medicaid provider: there is no Medicare billing on file and all reported program revenue is Medicaid-based, with total Medicaid revenue of $30.1M. The NPI was enumerated on 2007-05-03 (about ~19 years ago), indicating an established presence in its market.

    The billing mix and the provider taxonomy (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) align: the largest revenue source is T2016 (Habilitation, residential, waiver; per diem) and the second is T2021 (Day habilitation, waiver; per 15 minutes), which together indicate the organization primarily operates residential habilitation and day habilitation services for individuals with intellectual/developmental disabilities. This code profile suggests ongoing residential placements plus accompanying day programs are the core service lines.

    Revenue is highly concentrated: the top three Medicaid codes account for 100.0% of this provider's total Medicaid revenue. Specifically, T2016 accounts for $20.7M (68.7%), T2021 accounts for $8.7M (29.0%), and T1017 accounts for $698.3K (2.3%) of Medicaid revenue, indicating dependence on a narrow set of habilitation-related service lines.

    T2016 is the dominant single code by dollars ($20.7M, 68.7% of Medicaid revenue) and ranks #27 of 121 providers in-state (78th percentile). State data characterize this as a typical, unremarkable volume for the code, so the provider is a solid but not dominant statewide player in residential habilitation.

    T2021 provides nearly one-third of Medicaid revenue ($8.7M, 29.0%) and ranks #18 of 130 in-state (87th percentile). Although its percentile is higher than T2016, state data still label the volume for this code as typical and unremarkable, indicating a relatively strong but not exceptional position in day habilitation services.

    T1017 (Targeted case management, each 15 minutes) contributes a small share ($698.3K, 2.3%) and ranks #90 of 218 in-state (59th percentile), described as typical and unremarkable; this suggests case management is a minor ancillary revenue stream rather than a core service. By contrast, S5190 activity is negligible (15 claims, $555, reported as 0.0% of Medicaid revenue) and ranks #44 of 52 (12th percentile), indicating almost no meaningful revenue or scale for wellness-assessment billing.

    Operationally, the provider’s heavy reliance on per‑diem residential habilitation and unit‑based day habilitation payments implies that changes in Medicaid rates, waiver program rules, or utilization (residential census and day program attendance) would materially affect revenue. The narrow code mix concentrates payer exposure to habilitation waivers, so payers and analysts should treat the provider as a specialized residential/day habilitation operator with limited diversification across Medicaid service categories.

    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 diem35,420$580$20.7M
    T2021Day habilitation, waiver; per 15 minutes27,830$310$8.7M
    T1017Targeted case management, each 15 minutes7,850$90$698.3K
    S5190Wellness assessment, performed by non-physician20$40$560

    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 diem271205,080$400$13.8M
    T2021Day habilitation, waiver; per 15 minutes181305,710$380$6.2M
    T1017Targeted case management, each 15 minutes902205,390$40$599.4K
    S5190Wellness assessment, performed by non-physician4450120$40$14.4K

    Nearby Providers

    Other providers in the same ZIP code as Res-care Kansas, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prairie View IncKSCommunity/Behavioral Health Agency$0$16.1M
    The Mirror, Inc.KSSubstance Abuse Rehabilitation Facility$0$10.7M
    Prairie View, Inc.KSPsychiatry Physician$0$10.6M
    Heart Land Supports, LLCKSDevelopmentally Disabled Services Day Training Agency$0$10M
    Health Ministries Clinic, Inc.KSFederally Qualified Health Center (FQHC)$0$9.1M
    Prairie View, Inc.KSPsychiatric Residential Treatment Facility$0$4M
    Dr. Rj Tippin Dds PAKSGeneral Practice Dentistry$0$2.9M
    Cottonwood Pediatrics, PAKSPediatrics Physician$0$2.8M
    Health Ministries Clinic, IncKSFederally Qualified Health Center (FQHC)$0$1.6M
    Prairie View, Inc.KSPsychiatric Hospital$0$1.5M

    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
    Res-care Kansas, Inc. — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas