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    OpenPayerNPI Medicare & MedicaidNeighborhood Network Inc.
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    Neighborhood Network Inc. — Billing Profile & Reimbursement Data

    NPI 1497217376 · Lenexa, KS · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

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    Neighborhood Network Inc. is a intellectual and/or developmental disabilities community based residential treatment facility provider located in Lenexa, 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNeighborhood Network Inc.
    Address11627 W 79th St
    CityLenexa
    StateKS
    ZIP66214
    TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
    NPI EnumeratedApril 1, 2019

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

    Payer SourceTotal Paid
    Medicaid$117M
    Medicare$0

    Key Findings

    NEIGHBORHOOD NETWORK INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $117M in total Medicaid revenue. The provider’s NPI was enumerated on 2019-04-01 (~7 years ago), indicating roughly seven years of recorded activity under this identifier.

    Revenue is highly concentrated in a very small set of service lines: the precomputed top 3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue. Specifically, T2016 generated $81.9M (70.0%), T2021 generated $35M (29.9%), and T1017 generated $65.1K (0.1%), demonstrating near-total dependence on these habilitation and case‑management codes.

    The code mix and descriptions indicate the organization primarily operates residential and day habilitation programs for intellectual and developmental disabilities: T2016 is billed as habilitation, residential, waiver (per diem) and T2021 is day habilitation, waiver (per 15 minutes). The dominance of a per-diem residential code (T2016) alongside a high-volume per-15-minute day habilitation code (T2021) suggests a business model centered on both residential placement and intensive daytime programming rather than episodic medical services.

    NEIGHBORHOOD NETWORK occupies a dominant statewide competitive position for its two highest-revenue codes: T2021 ranks #1 of 130 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and T2016 ranks #2 of 121 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). These rank positions and percentile labels indicate the provider is an outlier in Kansas for both day habilitation and residential habilitation volume.

    Operational scale is reflected in high claim volumes and consistent paid/claim levels for the top codes: T2016 shows 484.5K claims with an average paid/claim of $169, while T2021 shows 233.5K claims with an average paid/claim of $150. The combination of very large claim counts and mid‑hundreds dollar per‑claim payments underpins the $81.9M and $35M revenue contributions of those two codes, respectively.

    Targeted case management and wellness assessment lines are marginal relative to habilitation services: T1017 produced 1.5K claims, $43 avg paid/claim, and $65.1K revenue (0.1%), ranking #149 of 218 providers in-state (32th percentile; typical, unremarkable volume for this code). S5190 produced 802 claims, $44 avg paid/claim, and $35.3K revenue (0.0%), ranking #9 of 52 providers in-state (84th percentile), indicating these ancillary services exist but represent a negligible share of total Medicaid revenue.

    The extreme concentration in two habilitation codes (T2016 and T2021) — which together comprise 99.9% of the listed top-three share by dollar value — implies the provider’s financial profile and competitive footprint are tightly tied to residential and day habilitation reimbursement trends and utilization patterns in Kansas. Any material shifts in waiver payment policy, service authorization, or utilization for these codes would likely have outsized impact on overall revenue.

    Given its enumeration date (2019-04-01 (~7 years ago)) combined with outlier statewide rankings for T2016 and T2021, NEIGHBORHOOD NETWORK appears to have scaled rapidly within Kansas Medicaid habilitation services. The combination of high volumes (484.5K and 233.5K claims) and top-state rank positions suggests the provider is a major operational player in the state’s IDD residential and day habilitation market.

    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 diem484,550$170$81.9M
    T2021Day habilitation, waiver; per 15 minutes233,510$150$35M
    T1017Targeted case management, each 15 minutes1,510$40$65.1K
    S5190Wellness assessment, performed by non-physician800$40$35.3K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kansas median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem21205,080$400$13.8M
    T2021Day habilitation, waiver; per 15 minutes11305,710$380$6.2M
    T1017Targeted case management, each 15 minutes1492205,390$40$599.4K
    S5190Wellness assessment, performed by non-physician950120$40$14.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Helpers, LLCKSCommunity/Behavioral Health Agency$0$202.7M
    Community Living Opportunities, IncKSIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$27.6M
    Magic Kitchen, Inc.KSHome Delivered Meals$0$13.7M
    Vitas Healthcare Corporation MidwestKSCommunity Based Hospice Care Agency$0$5.6M
    Bethlehem GelawKSDiagnostic Radiology Physician$1.5M$1.3K
    Goodlife Innovations Inc.KSIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$1.3M
    Clinical Associates PAKSSpecialist$0$1.1M
    Arj Infusion Services, LLCKSHome Infusion Therapy Pharmacy$0$1M
    United Transportation L.L.CKSNon-emergency Medical Transport (VAN)$0$998.8K
    Another Day Homecare IncKSHome Health Agency$0$760.4K

    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
    6 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    Neighborhood Network Inc. — 2 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas