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.

Lakemary Center, Inc. (NPI 1457326092)

Field	Value
Entity Type	Organization
Organization	Lakemary Center, Inc.
Address	100 Lakemary Dr
City	Paola
State	KS
ZIP	66071
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	February 17, 2006

Payer Source	Total Paid
Medicaid	$64.1M
Medicare	$0

Key Findings

LAKEMARY CENTER, INC. reports no Medicare billing on file and $64.1M in lifetime Medicaid revenue, making it effectively a Medicaid-focused provider; its NPI was enumerated on 2006-02-17 (~20 years ago), indicating an established presence in the state Medicaid market.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, signaling dependence on a narrow set of reimbursed service lines rather than a diversified code mix.

The top revenue drivers are T2016 and T2021, which align with its taxonomy as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility; T2016 (residential habilitation, waiver; per diem) generated 19K claims at $2201 avg paid/claim for $41.9M revenue (65.4% of Medicaid revenue), while T2021 (day habilitation, waiver; per 15 minutes) generated 26.8K claims at $823 avg paid/claim for $22.1M revenue (34.5% of Medicaid revenue), reflecting a combined operational model centered on long-stay residential per-diem services plus high-volume unitized day habilitation.

State-level competitive standing for the two largest codes is modest: T2016 ranks #36 of 121 providers (71th percentile; typical, unremarkable volume for this code) and T2021 ranks #23 of 130 providers (83th percentile; typical, unremarkable volume for this code), which suggests the provider is a solid, routine participant in these lines but not a statewide dominant actor.

S5190 (wellness assessment, performed by non-physician) is a statistical outlier in relative terms despite its small absolute dollar contribution: 1.8K claims at $43 avg paid/claim produced $76.2K (0.1% of Medicaid revenue) and the provider ranks #2 of 52 in-state (98th percentile; notably above typical state volume for this code), indicating an unusually strong footprint in non-physician wellness assessment activity relative to peers.

The split between per-diem (T2016) and per-15-minute (T2021) payment models means revenue drivers have different utilization and reimbursement sensitivities: per-diem revenue ($41.9M) may provide steadier cash flow while the unitized day habilitation ($22.1M) ties revenue closely to billed service minutes and utilization management.

Given the concentration on two primary habilitation codes (T2016 at 65.4% and T2021 at 34.5%), the provider faces concentrated policy and payment risk if waiver rules, per-diem rates, or day habilitation authorizations change; its long tenure (NPI 2006-02-17, ~20 years ago) suggests institutional stability, but analysts should monitor state Medicaid policy, utilization trends, and the provider's high relative activity in S5190 for implications to future revenue and care delivery mix.

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 Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	19,040	$2,200	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	26,830	$820	$22.1M
S5190	Wellness assessment, performed by non-physician	1,770	$40	$76.2K

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

Lakemary Center, Inc. — 1 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	36	120	5,080	$400	$13.8M
T2021	Day habilitation, waiver; per 15 minutes	23	130	5,710	$380	$6.2M
S5190	Wellness assessment, performed by non-physician	2	50	120	$40	$14.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakemary Center Inc	KS	Psychiatric Residential Treatment Facility	$0	$15.4M
Lakemary Center, Inc.	KS	Case Management Agency	$0	$3.9M
Miami County Medical Center Inc.	KS	Rural Health Clinic/Center	$0	$2.3M
County Of Miami	KS	Paramedic	$421.5K	$452.6K
Cpf Senior Living - Paola LLC	KS	Assisted Living Facility	$0	$815.9K
Paola Usd 368 East Central Kansas Special Education Cooperative	KS	Local Education Agency (LEA)	$0	$540.8K
Christopher Lewis	KS	Surgery Physician	$90.8K	$0
Walmart Inc.	KS	Community/Retail Pharmacy	$88.6K	$0
Julia Bradbury	KS	Adult Health Nurse Practitioner	$87K	$0
Christopher Bagby	KS	Orthopaedic Surgery Physician	$59.5K	$0

Lakemary Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Lakemary Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Lakemary Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Lakemary Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References