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    OpenPayerNPI Medicare & MedicaidCommunity Connections, Inc.
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    Community Connections, Inc. — Billing Profile & Reimbursement Data

    NPI 1548314370 · Ketchikan, AK · Developmentally Disabled Services Day Training Agency

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    Community Connections, Inc. is a developmentally disabled services day training agency provider located in Ketchikan, Alaska. 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
    OrganizationCommunity Connections, Inc.
    Address721 Stedman St
    CityKetchikan
    StateAK
    ZIP99901
    TaxonomyDevelopmentally Disabled Services Day Training Agency
    NPI EnumeratedJanuary 22, 2007

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

    Payer SourceTotal Paid
    Medicaid$19M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer: COMMUNITY CONNECTIONS, INC. reports no Medicare billing on file and $19M in lifetime Medicaid revenue, indicating its entire billed Medicare/Medicaid footprint is Medicaid‑centric rather than dual‑payer. Analysts should treat Medicaid as the material payment stream when modeling this entity's revenue exposure and network participation.

    Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes account for 98.6% of this provider's total Medicaid revenue. In particular, T2017 ($12.5M, 66.1% of Medicaid revenue) and T2021 ($5.6M, 29.4%) together dominate the revenue mix, leaving only a small residual coming from other codes.

    The code mix and descriptions point to a core business built around habilitation services for individuals with developmental disabilities: T2017 (Habilitation, residential, waiver; 15 minutes) and T2021 (Day habilitation, waiver; per 15 minutes) together suggest the provider operates both residential habilitation and day habilitation/day training programs rather than acute medical or Medicare‑oriented services. Average paid amounts ($293 avg paid/claim for T2017 and $141 avg paid/claim for T2021) are consistent with time‑based habilitation reimbursement models.

    Competitive standing for the leading services is modest but not dominant in‑state: T2017 ranks #8 of 34 providers (79th percentile) and T2021 ranks #10 of 61 providers (85th percentile), each labeled as "typical, unremarkable volume for this code." These ranks imply the provider is a solid participant in Alaska’s habilitation market but is not a statewide market leader for these services.

    Lower‑share codes show constrained participation in adjacent service lines: S5150 (Unskilled respite care) generated $582.8K (3.1% of Medicaid revenue) and ranks #30 of 37 (19th percentile, typical), while T2019 (Habilitation, supported employment) contributed $264.9K (1.4%) and ranks #10 of 12 (18th percentile, typical). These placements indicate limited scale in respite and supported employment relative to other in‑state providers.

    The provider’s long tenure — NPI enumerated 2007-01-22 (~19 years ago) — signals an established operating history in Alaska’s developmental disability services network. That longevity, combined with the concentrated revenue base, suggests operational stability within a narrow service footprint but potential vulnerability to shifts in Medicaid waiver policy or reimbursement for the dominant codes.

    Because two time‑based habilitation codes (T2017 and T2021) drive the majority of revenue, any payer rule changes, audit focus, or reimbursement adjustments targeting waiver habilitation services could materially affect this provider; the concentration of $12.5M and $5.6M in those two codes underscores that sensitivity. Analysts should prioritize monitoring policy changes and utilization trends for T2017 and T2021 when assessing financial or network risk.

    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
    T2017Habilitation, residential, waiver; 15 minutes42,800$290$12.5M
    T2021Day habilitation, waiver; per 15 minutes39,540$140$5.6M
    S5150Unskilled respite care, not hospice; per 15 minutes6,860$90$582.8K
    T2019Habilitation, supported employment, waiver; per 15 minutes1,170$230$264.9K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Alaska median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2017Habilitation, residential, waiver; 15 minutes83017,510$250$6.5M
    T2021Day habilitation, waiver; per 15 minutes106011,640$150$3.5M
    T2019Habilitation, supported employment, waiver; per 15 minutes101012,150$170$2.9M
    S5150Unskilled respite care, not hospice; per 15 minutes304016,160$80$2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    PeacehealthAKCritical Access Hospital$0$34.3M
    Resilient Youth & Community (ryc)AKMental Health Clinic/Center (Including Community Mental Health Center)$0$25M
    Community Connections, Inc.AKCommunity/Behavioral Health Agency$0$16.8M
    Ketchikan Indian CorporationAKPrimary Care Clinic/Center$0$15.3M
    Community Connections, Inc.AKCommunity/Behavioral Health Agency$0$11.8M
    Division Of Alaskan Pioneer HomesAKAssisted Living Facility$0$6.5M
    Akeela IncAKCommunity/Behavioral Health Agency$0$5.5M
    PeacehealthAKDiagnostic Radiology Physician$0$2.9M
    Nes Washington, Inc.AKEmergency Medicine Physician$0$2.1M
    Linsenmayer Dentistry, LLCAKPediatric Dentistry$0$2M

    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. Alaska Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alaska Distribution
    Community Connections, Inc. — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska