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 Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri 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. Missouri (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.

Woodhaven (NPI 1629292644)

Field	Value
Entity Type	Organization
Organization	Woodhaven
Address	1405 Hathman Pl
City	Columbia
State	MO
ZIP	65201
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	April 12, 2007

Payer Source	Total Paid
Medicaid	$88.3M
Medicare	$0

Key Findings

WOODHAVEN has no Medicare billing on file and reports total Medicaid revenue of $88.3M; in the available claims data it is effectively a single-payer (Medicaid) provider, with Medicaid making up its entire documented fee-for-service footprint. This concentration in one public payer should frame any analysis of market exposure and reimbursement risk.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, and T2016 alone represents $87.9M (99.6% of the provider's Medicaid receipts). That near-exclusive reliance on a single per-diem habilitation code highlights material revenue dependence on waiver-funded residential services.

The code mix aligns with the listed taxonomy (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility): heavy billing for T2016 (Habilitation, residential, waiver; per diem) indicates the operation is primarily a residential habilitation provider paid via waiver per-diem arrangements rather than episodic clinical procedures. This suggests the organizational model centers on long-stay or recurring residential supports.

On competitive standing for its core service, WOODHAVEN ranks #7 of 193 providers in-state for T2016 (97th percentile) and is described as notably above typical state volume for this code, signaling it is a major regional provider of residential habilitation within Missouri. That high percentile position for the flagship code indicates a strong market presence in waiver-funded residential services.

Secondary codes indicate modest ancillary services: A0120 (Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems) brings in $211.1K and ranks #53 of 120 (55th percentile), while T2001 (Non-emergency transportation; patient attendant/escort) brings in $164.6K and ranks #97 of 150 (36th percentile). Both are labeled as typical, unremarkable volume for their codes and appear to be operational support functions rather than primary revenue drivers.

Clinical nursing billed as T1002 (Rn services, up to 15 minutes) is minimal at $17K (0.0% of Medicaid revenue) and ranks #150 of 195 in-state (23th percentile); this suggests nursing visits are an ancillary, low-revenue component of the provider's service mix rather than a core billable line. The low percentile reinforces that clinical nursing is not a material revenue source.

The provider's NPI was enumerated on 2007-04-12 (~19 years ago), indicating long-tenured participation in Medicaid. Combined with the $88.3M Medicaid footprint and extreme revenue concentration in T2016, this profile is consistent with an established waiver-based residential habilitation operator whose financial health is closely tied to state waiver reimbursement policies and volumes.

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 Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	224,150	$390	$87.9M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	780	$270	$211.1K
T2001	Non-emergency transportation; patient attendant/escort	590	$280	$164.6K
T1002	Rn services, up to 15 minutes	470	$40	$17K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Woodhaven — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	7	190	38,330	$450	$27M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	53	120	730	$60	$585.2K
T2001	Non-emergency transportation; patient attendant/escort	97	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	150	200	1,720	$50	$194.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Palmer's Home Care, LLC	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$82.3M
Oats, Inc.	MO	Non-emergency Medical Transport (VAN)	$0	$23.4M
Independent Living Center Of Mid-missouri Inc.	MO	Specialist	$0	$14.2M
Ch Allied Services, Inc.	MO	General Acute Care Hospital	$0	$8.6M
Central Missouri Area Agency On Aging	MO	Voluntary or Charitable Agency	$0	$8.4M
Life Christain Outreach	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.1M
Surgical Center At Columbia Orthopaedic Group LLC	MO	Ambulatory Surgical Clinic/Center	$6.2M	$0
Mid-missouri Supported Living	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$5.3M
Woodhaven Learning Center	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.1M
Central Missouri Subcontracting Enterprises	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5M

Woodhaven — Billing Profile & Reimbursement Data

Sign up for Woodhaven — Billing Profile & Reimbursement Data policy alerts

Woodhaven — Billing Profile & Reimbursement Data

Sign up for Woodhaven — 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