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.

Rescare Kansas, Inc. (NPI 1376623025)

Field	Value
Entity Type	Organization
Organization	Rescare Kansas, Inc.
Address	108 Aspen St
City	Goodland
State	KS
ZIP	67735
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$22.5M
Medicare	$0

Key Findings

RESCARE KANSAS, INC. is effectively a single-payer provider in the available data: it has no Medicare billing on file and $22.5M in lifetime Medicaid revenue, indicating its operations and reimbursement flows are concentrated entirely in the Medicaid program. This payer concentration suggests business and compliance focus will be on Medicaid program rules, rates, and service authorizations rather than Medicare policies.

The provider’s revenue is highly concentrated in three Medicaid codes: T2016 accounts for 69.8% of Medicaid revenue, T2021 for 27.7%, and T1017 for 2.5%, with those top three codes together representing 100.0% of the reported Medicaid revenue. This concentration implies the organization’s business model centers on residential habilitation and day habilitation services with a smaller targeted case management component.

T2016 (Habilitation, residential, waiver; per diem) is by far the dominant service line, generating $15.7M and 18.1K claims; the per-diem residential habilitation focus indicates the provider operates group residential or supported-living programs where daily habilitation is the primary billable service. Operational priorities for the organization are likely staffing and 24/7 service delivery resources required for sustained residential habilitation.

T2021 (Day habilitation, waiver; per 15 minutes) is the second-largest revenue source at $6.2M from 14.7K claims, reinforcing a service mix that combines residential supports with structured day programs or therapeutic habilitation activities. The presence of both T2016 and T2021 at large volumes suggests coordination between in-residence supports and daytime habilitation programming is a core element of their care model.

In-state competitive standing for the top two codes is unremarkable: the provider ranks #38 of 121 for T2016 (69th percentile) and #38 of 130 for T2021 (71th percentile), positions characterized as typical volume for these codes. These percentiles indicate RESCARE KANSAS is a modest but established participant in Kansas for residential and day habilitation services rather than a statewide leader or outlier.

T1017 (Targeted case management, each 15 minutes) contributes $560.1K and 9K claims, making up 2.5% of Medicaid revenue and ranking #82 of 218 providers in-state (63th percentile). This mid-range ranking and small revenue share suggest case management is a supporting service rather than a core revenue driver, likely used to coordinate the larger residential and day habilitation services.

Administrative tenure is long: the provider’s NPI was enumerated around 2006-10-17 (~20 years ago), indicating two decades of enrollment which supports institutional experience and likely established payer relationships within the state Medicaid system. This longevity aligns with the stable, concentrated Medicaid service mix observed in the billing data.

Low-volume ancillary codes such as S5190 (Wellness assessment, performed by non-physician) appear only in small amounts (218 claims, $5K), reinforcing that the organization’s billing footprint is dominated by habilitation services rather than a broad array of ancillary procedures. Such narrow code breadth simplifies revenue monitoring but increases exposure to policy or rate changes affecting the main habilitation codes.

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 Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	18,080	$870	$15.7M
T2021	Day habilitation, waiver; per 15 minutes	14,740	$420	$6.2M
T1017	Targeted case management, each 15 minutes	9,030	$60	$560.1K
S5190	Wellness assessment, performed by non-physician	220	$20	$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

Rescare Kansas, Inc. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	38	120	5,080	$400	$13.8M
T2021	Day habilitation, waiver; per 15 minutes	38	130	5,710	$380	$6.2M
T1017	Targeted case management, each 15 minutes	82	220	5,390	$40	$599.4K
S5190	Wellness assessment, performed by non-physician	21	50	120	$40	$14.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Goodland Regional Medical Center	KS	Rural Health Clinic/Center	$0	$2.4M
Med-trans Corporation	KS	Air Ambulance	$1.1M	$0
Sherman County	KS	Land Ambulance	$277.4K	$51.5K
Kali Rubenthaler-brunkhardt	KS	Family Medicine Physician	$190.5K	$0
Mark Wahlmeier	KS	Optometrist	$75.8K	$0
Ryan Newman	KS	Optometrist	$50.1K	$320

Rescare Kansas, Inc. — Billing Profile & Reimbursement Data

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Rescare Kansas, 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