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 Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana 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. Indiana (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.

Indiana Mentor (NPI 1407980170)

Field	Value
Entity Type	Organization
Organization	Indiana Mentor
Address	9000 Keystone Xing Ste 200
City	Indianapolis
State	IN
ZIP	46240
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	March 15, 2007

Payer Source	Total Paid
Medicaid	$62.5M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $62.5M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operation in the available claims data. Analysts should treat Medicaid as the material payer for evaluating scale and risk exposure.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 93.7% of the provider’s total Medicaid revenue, with T2016 alone representing $53M or 84.7% of Medicaid receipts. This concentration indicates the business is overwhelmingly driven by a single service line rather than a broad mix of billing codes.

The code mix identifies INDIANA MENTOR as primarily a residential habilitation operator: the top revenue driver is T2016 (Habilitation, residential, waiver; per diem) with 226.4K claims and $234 avg paid/claim, and the next-highest codes are T2020 (Day habilitation, waiver; per diem) and T2033 (Residential care, nos, waiver; per diem). Together these per-diem habilitation and residential codes point to an operating model centered on long-term residential and day habilitation programs rather than episodic medical services.

Competitively, the provider is a major statewide player for core residential habilitation services: T2016 ranks #2 of 65 providers in-state (98th percentile) and T2033 ranks #4 of 52 (94th percentile), indicating it bills substantially more for these codes than most peers. By contrast, its activity in outpatient behavioral counseling (H0004) is modest relative to peers (rank #44 of 72, 39th percentile), showing greater dominance in residential habilitation than in counseling services.

There are notable statistical outliers in the provider’s mix. T2002 (Non-emergency transportation; per diem) is an extreme outlier, ranking #1 of 65 providers in-state (100th percentile) with 130K claims and $8 avg paid/claim generating $1M in revenue, suggesting unusually high transportation utilization that supports the residential population. Separately, T2016’s position as "notably above typical state volume" underscores that the provider’s residential habilitation footprint is materially larger than most in-state peers.

Ancillary services contribute smaller shares of revenue and signal complementary offerings: S5151 (Unskilled respite care) produced $1.2M (1.8% of Medicaid revenue) and H0004 (Behavioral health counseling) produced $1.1M (1.8% of Medicaid revenue), while T2022 (Case management) contributed $640.2K (1.0% of Medicaid revenue). These lines appear to play a support role to the core residential/day habilitation business rather than serving as primary revenue drivers.

High claim volumes on per-diem codes reflect an operational model built around frequent daily billing events: T2016 has 226.4K claims and T2002 has 130K claims, both indicating sustained, repeatable per-diem encounters consistent with long-stay residential or day-program populations. The combination of large claim counts and per-diem pricing should be a focus for utilization and contract-review workstreams.

The provider has been enumerated since 2007-03-15 (~19 years ago), indicating long tenure in the Medicaid market. That longevity, combined with concentrated revenue in core residential habilitation codes, suggests established operational capacity and payer relationships within Indiana’s waiver and residential service system.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	226,370	$230	$53M
T2020	Day habilitation, waiver; per diem	24,670	$130	$3.2M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	16,500	$150	$2.4M
S5151	Unskilled respite care, not hospice; per diem	4,760	$240	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	2,040	$550	$1.1M
T2002	Non-emergency transportation; per diem	130,030	$10	$1M
T2022	Case management, per month	7,190	$90	$640.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Indiana Distribution

Indiana Mentor — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	2	70	3,190	$630	$14.7M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	4	50	1,090	$180	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	44	70	3,960	$130	$1.9M
T2020	Day habilitation, waiver; per diem	8	60	5,550	$110	$1.4M
S5151	Unskilled respite care, not hospice; per diem	5	40	970	$220	$1.3M
T2022	Case management, per month	14	100	710	$180	$1.1M
T2002	Non-emergency transportation; per diem	1	70	2,190	$50	$319.8K

Nearby Providers

Other providers in the same ZIP code as Indiana Mentor, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stepping Stones Behavioral Solutions LLC	IN	Behavior Analyst	$0	$46.5M
Nora Urgent Care LLC	IN	Urgent Care Clinic/Center	$0	$11.4M
Home Care Network, Inc.	IN	Home Health Agency	$0	$6.8M
Rhm Services, LLC	IN	In Home Supportive Care Agency	$0	$5.3M
Applaud Autism Services In LLC	IN	Behavior Analyst	$0	$4M
Proactive Clinical Partners	IN	Gerontology Nurse Practitioner	$0	$3.2M
M.s.d. Of Washington Township	IN	Local Education Agency (LEA)	$0	$2.8M
Blue Aba Indiana LLC	IN	Community/Behavioral Health Agency	$0	$2.6M
Neurotech, LLC	IN	Physiological Laboratory	$105.8K	$1.5M
Ibrar Paracha	IN	Hospitalist Physician	$305K	$0

Indiana Mentor — Billing Profile & Reimbursement Data

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Indiana Mentor — 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