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.

The Capper Foundation Easter Seals (NPI 1629146329)

Field	Value
Entity Type	Organization
Organization	The Capper Foundation Easter Seals
Address	The Capper Foundation Easter Seals
City	Topeka
State	KS
ZIP	66604
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	December 1, 2006

Payer Source	Total Paid
Medicaid	$57.8M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare revenue on file while lifetime Medicaid revenue totals $57.8M, indicating Medicaid is the dominant and only recorded government payer in the dataset for this NPI. Analysts should treat Medicaid activity as the primary lens for evaluating scale and operations.

Revenue is highly concentrated in a very small set of service lines: the precomputed top 3 Medicaid codes account for 99.1% of the provider's total Medicaid revenue. In particular, T2016 represents $39.9M (69.1% of Medicaid revenue) and T2021 represents $16.8M (29.1%), together driving nearly all Medicaid receipts for this entity.

The code mix and descriptions indicate THE CAPPER FOUNDATION EASTER SEALS operates primarily as a developmental-disabilities habilitation provider with both residential and day habilitation services. Heavy utilization of T2016 (Habilitation, residential, waiver; per diem) and T2021 (Day habilitation, waiver; per 15 minutes) suggests the organization runs substantial waiver-funded residential programs and concurrent day habilitation operations rather than typical medical office or episodic therapy services.

Competitive standing for the largest revenue driver is strong within state markets: T2016 ($39.9M) ranks #6 of 121 providers in-state (96th percentile) and is described as notably above typical state volume for this code, signaling the provider is a major statewide player in residential habilitation. T2021 ($16.8M) also ranks highly at #9 of 130 providers in-state (94th percentile), though labeled as a typical/unremarkable volume for that code despite the high rank, so it should be interpreted as a substantial but not atypical day habilitation operator.

Therapy and ancillary service codes contribute only a small share of revenue: 92507 accounts for $491.7K (0.9% of Medicaid revenue) and ranks #33 of 288 providers in-state (89th percentile) and is described as typical/unremarkable; lower-volume codes such as T1017 ($290.7K), 97530 ($171.4K), and 97112 ($52.1K) collectively represent marginal portions of the Medicaid revenue base. These figures imply the organization’s financial model is driven by habilitation program per diems and unit-based day services rather than high volumes of individualized therapy billing.

From a risk and operational viewpoint, the provider’s dependence on two waiver-related codes (T2016 and T2021) for 98.2% of reported Medicaid revenue (69.1% and 29.1% respectively) creates concentration sensitivity to state waiver policy, per-diem rate changes, or eligibility shifts. Contracting teams and financial analysts should prioritize monitoring of waiver reimbursement trends and state program changes that would affect residential and day habilitation reimbursements.

The NPI history shows long tenure in the market: the provider’s NPI was enumerated on 2006-12-01 (~20 years ago), indicating established operations and sustained enrollment in Medicaid programs. That longevity, combined with high statewide ranks on waiver codes, supports an interpretation of a mature service provider with entrenched residential and day-program capacity.

Given the provider’s high-volume positioning on T2016 (notably above typical state volume) and T2021 (high rank but labeled typical), competitive analysis should treat THE CAPPER FOUNDATION EASTER SEALS as a major Medicaid habilitation provider in Kansas with limited diversification across other payer types or non-habilitation revenue streams. Payors and partners evaluating network adequacy or vendor concentration should account for its outsized exposure to waiver-funded residential and day habilitation services.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	190,110	$210	$39.9M
T2021	Day habilitation, waiver; per 15 minutes	43,480	$390	$16.8M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	10,690	$50	$491.7K
T1017	Targeted case management, each 15 minutes	2,880	$100	$290.7K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	3,900	$40	$171.4K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	1,240	$40	$52.1K

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

The Capper Foundation Easter Seals — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	6	120	5,080	$400	$13.8M
T2021	Day habilitation, waiver; per 15 minutes	9	130	5,710	$380	$6.2M
T1017	Targeted case management, each 15 minutes	132	220	5,390	$40	$599.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	33	290	1,600	$40	$214.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	72	310	770	$30	$77.7K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	30	110	330	$20	$18.8K

Nearby Providers

Other providers in the same ZIP code as The Capper Foundation Easter Seals, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Exploring Life Inc	KS	Developmentally Disabled Services Day Training Agency	$0	$5.5M
Stormont-vail Healthcare Inc	KS	General Acute Care Hospital	$0	$4.6M
Flint Hills Health Care Services, Inc.	KS	Community Based Hospice Care Agency	$0	$3.6M
Monaco & Associates Incorporated	KS	Case Management Agency	$0	$3.5M
Pediatric Care Irrv Trust	KS	Pediatrics Physician	$0	$2.5M
Gracemed Health Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$1.4M
Yellow Transportation LLC	KS	Non-emergency Medical Transport (VAN)	$0	$1.3M
Radiology And Nuclear Medicine LLC	KS	Diagnostic Radiology Physician	$0	$726.7K
Lincare Inc	KS	Durable Medical Equipment & Medical Supplies	$0	$688.1K
Molecular Lab Associates LLC	KS	Clinical Medical Laboratory	$259.9K	$69.5K

The Capper Foundation Easter Seals — Billing Profile & Reimbursement Data

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The Capper Foundation Easter Seals — 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