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.

Twin Valley Developmental Services,inc. (NPI 1356556799)

Field	Value
Entity Type	Organization
Organization	Twin Valley Developmental Services,inc.
Address	413 Commercial St.
City	Greenleaf
State	KS
ZIP	66943
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	May 11, 2007

Payer Source	Total Paid
Medicaid	$25.3M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while Medicaid accounts for $25.3M of lifetime revenue, indicating the organization’s operations and financial scale are driven almost entirely by Medicaid reimbursement. The absence of Medicare activity suggests competitive and operational focus is squarely on state developmental-disability programs rather than Medicare-covered services.

Revenue is extremely concentrated in a very small set of services: the top three Medicaid codes (T2016, T2021, A0100) together account for 99.3% of the provider’s Medicaid revenue. The largest single code is T2016 with $17.5M (69.3% of total Medicaid revenue), followed by T2021 with $7.4M (29.4%), and A0100 with $125.1K (0.5%), which together dominate the revenue mix.

The code mix signals core operations in habilitation services: T2016 (Habilitation, residential, waiver; per diem) and T2021 (Day habilitation, waiver; per 15 minutes) together represent nearly all revenue and indicate the provider operates both residential and day habilitation programs for individuals with developmental disabilities. The high avg paid/claim for T2016 ($3861 avg paid/claim) versus T2021 ($1514 avg paid/claim) is consistent with per‑diem residential care commanding substantially higher per‑claim payments than time‑based day habilitation.

Competitive standing on core habilitation codes is modest rather than dominant: T2016 ranks #65 of 121 in-state (47th percentile) and T2021 ranks #72 of 130 in-state (45th percentile), both described as having "typical, unremarkable volume for this code." Those rank/percentile positions place the provider near the middle of state peers for its primary services, suggesting regional presence without statewide leadership in utilization or revenue for these codes.

Transportation and ancillary services are present but immaterial to revenue: A0100 (Non-emergency transportation; taxi) and A0425 (Ground mileage) together account for under 1% of Medicaid revenue (A0100 $125.1K, 0.5%; A0425 $92.5K, 0.4%) but indicate the provider bills for client transport. Notably, A0100 ranks #8 of 29 in-state (75th percentile), so while transportation contributes little to total revenue it is a relatively larger share among the smaller set of providers that bill taxi transport.

Case management and other ancillary billing are marginal: T1017 (Targeted case management, each 15 minutes) generated $31.3K (0.1% of Medicaid revenue) with 783 claims and ranks #168 of 218 in-state, described as "typical, unremarkable volume for this code." This suggests the organization’s billing footprint for targeted case management is limited compared with many in-state peers.

Operational sensitivity is concentrated around changes to habilitation reimbursement and utilization: because T2016 and T2021 together represent 98.7% of Medicaid revenue by the provided shares (69.3% + 29.4%), any policy, rate, or utilization change affecting residential or day habilitation would have an outsized impact on the provider’s financials and service capacity. Diversification away from those two dominant codes is minimal based on the current code mix.

The provider has been established for a sustained period: the NPI was enumerated 2007-05-11 (~19 years ago), indicating long tenure in the market and an operating history long enough to have built steady relationships with state Medicaid programs and referral sources. That longevity, combined with the concentrated habilitation focus, suggests institutional specialization in developmental‑disability residential and day services rather than a broad multi‑payer clinical practice.

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	4,540	$3,860	$17.5M
T2021	Day habilitation, waiver; per 15 minutes	4,910	$1,510	$7.4M
A0100	Non-emergency transportation; taxi	3,050	$40	$125.1K
A0425	Ground mileage, per statute mile	2,150	$40	$92.5K
T2003	Non-emergency transportation; encounter/trip	1,570	$40	$64.2K
T1017	Targeted case management, each 15 minutes	780	$40	$31.3K

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

Twin Valley Developmental Services,inc. — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	65	120	5,080	$400	$13.8M
T2021	Day habilitation, waiver; per 15 minutes	72	130	5,710	$380	$6.2M
T1017	Targeted case management, each 15 minutes	168	220	5,390	$40	$599.4K
A0100	Non-emergency transportation; taxi	8	30	1,100	$40	$198.2K
T2003	Non-emergency transportation; encounter/trip	25	40	2,210	$30	$150.8K
A0425	Ground mileage, per statute mile	40	110	1,010	$30	$108.7K

Twin Valley Developmental Services,inc. — Billing Profile & Reimbursement Data

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Twin Valley Developmental Services,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

Frequently Asked Questions

References