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.

Putnam County Comprehensive Service (NPI 1619053626)

Field	Value
Entity Type	Organization
Organization	Putnam County Comprehensive Service
Address	630 Tennessee St
City	Greencastle
State	IN
ZIP	46135
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicaid	$38.3M
Medicare	$0

Key Findings

PUTNAM COUNTY COMPREHENSIVE SERVICE reports no Medicare billing on file and $38.3M in lifetime Medicaid revenue, making its public payer footprint effectively single-payer Medicaid and concentrating all observed claims and payments within waiver and state Medicaid programs. This profile should be treated as Medicaid-centric when benchmarking payer exposure or forecasting revenue sensitivity.

The provider’s NPI was enumerated on 2006-10-31 (~20 years ago), indicating long tenure in the market and an established presence in local developmental disability service delivery over multiple policy cycles. That longevity supports experience with state waiver billing and program administration.

Revenue is highly concentrated in a small set of waiver codes: the top three Medicaid codes (T2016, T2033, T2020) together account for 91.7% of total Medicaid revenue, with T2016 alone generating $30M (78.3% of Medicaid revenue). Such concentration means most of the provider’s Medicaid income is tied to a single per-diem residential habilitation line.

The code mix — T2016 (Habilitation, residential, waiver; per diem), T2033 (Residential care, nos, waiver; per diem), and T2020 (Day habilitation, waiver; per diem) — indicates operations centered on residential and day habilitation services funded through waiver programs and per-diem reimbursement models. T2016’s $5046 avg paid/claim signals a high-dollar residential per-diem component, while T2020’s 9.1K claims point to substantial day-program encounter volume.

On statewide competitive standing the provider is a modest to mid-tier participant rather than a statewide dominant player for its top lines: T2016 ranks #25 of 65 providers in-state (63th percentile; typical, unremarkable volume for this code), T2033 ranks #14 of 52 (75th percentile; typical, unremarkable volume), and T2020 ranks #19 of 61 (70th percentile; typical, unremarkable volume). These percentiles place the provider around or slightly above median for several waiver services but not among the largest statewide operators.

Secondary Medicaid lines provide additional but limited diversification: S5151 accounts for $1.5M (4.0%), T2002 for $595.2K (1.6%), and T2015 for $555.2K (1.5%), reflecting offered services such as unskilled respite, non-emergency transportation, and prevocational habilitation under waiver programs. Each of these lines is relatively small compared with the dominant residential per-diem revenue.

Operationally, the combination of a high avg paid/claim on T2016 ($5046 avg paid/claim) and the fact that T2016 produces $30M (78.3% of Medicaid revenue) creates sensitivity to changes in residential per-diem rates, waiver eligibility, or utilization; shifts in state waiver policy or reimbursement could materially affect overall revenue. This concentration implies financial and operational risk tied to a single service model.

Claims-level activity shows a mix of high-volume day services and fewer higher-dollar residential encounters: T2020 has 9.1K claims while T2016 has 5.9K claims and T2033 has 3.1K claims, which together reflect both scale in day habilitation participation and revenue intensity driven by residential per-diem billing. That pattern suggests capacity and staffing focus across both day and residential habilitation settings.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	5,940	$5,050	$30M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	3,090	$900	$2.8M
T2020	Day habilitation, waiver; per diem	9,120	$260	$2.4M
S5151	Unskilled respite care, not hospice; per diem	1,920	$800	$1.5M
T2002	Non-emergency transportation; per diem	5,270	$110	$595.2K
T2015	Habilitation, prevocational, waiver; per hour	3,430	$160	$555.2K
T2022	Case management, per month	2,700	$100	$280.7K
T2025	Waiver services; not otherwise specified (nos)	580	$340	$198K
0012A	N/A	40	$40	$1.4K
0011A	N/A	40	$20	$600

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

Putnam County Comprehensive Service — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	25	70	3,190	$630	$14.7M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	14	50	1,090	$180	$2.3M
T2020	Day habilitation, waiver; per diem	19	60	5,550	$110	$1.4M
S5151	Unskilled respite care, not hospice; per diem	14	40	970	$220	$1.3M
T2022	Case management, per month	22	100	710	$180	$1.1M
T2015	Habilitation, prevocational, waiver; per hour	16	20	5,180	$80	$733.4K
T2002	Non-emergency transportation; per diem	17	70	2,190	$50	$319.8K
T2025	Waiver services; not otherwise specified (nos)	15	20	850	$140	$173.4K
0012A	N/A	76	180	30	$10	$5.6K
0011A	N/A	90	190	40	$1	$5.2K

Nearby Providers

Other providers in the same ZIP code as Putnam County Comprehensive Service, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tiffco Care2 LLC Dba Visiting Angels Home Healthcare	IN	Home Health Agency	$0	$8.4M
Putnam County Hospital	IN	Critical Access Hospital	$0	$5.7M
Tiffco Care LLC	IN	Home Health Agency	$0	$2.6M
Putnam County Ems	IN	Land Ambulance	$275.1K	$1.1M
Troy Quiz	IN	Family Medicine Physician	$82K	$0
Brian Downen	IN	Family Medicine Physician	$33.7K	$0

Putnam County Comprehensive Service — Billing Profile & Reimbursement Data

Sign up for Putnam County Comprehensive Service — Billing Profile & Reimbursement Data policy alerts

Putnam County Comprehensive Service — Billing Profile & Reimbursement Data

Sign up for Putnam County Comprehensive Service — 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