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.

Twin Rivers Developmental Supports Inc (NPI 1679697445)

Field	Value
Entity Type	Organization
Organization	Twin Rivers Developmental Supports Inc
Address	22179 D Street
City	Arkansas City
State	KS
ZIP	67005
Taxonomy	Case Management Agency
NPI Enumerated	March 19, 2007

Payer Source	Total Paid
Medicaid	$24.6M
Medicare	$0

Key Findings

TWIN RIVERS DEVELOPMENTAL SUPPORTS INC is effectively a single-payer Medicaid provider: it reports no Medicare revenue on file and $24.6M in lifetime Medicaid revenue, indicating its operations and revenue base are concentrated entirely in Medicaid-funded long-term supports and services. This payer mix suggests the organization’s programs and billing workflows are oriented toward state Medicaid waivers and related non-medical habilitation services rather than traditional Medicare-covered clinical care.

Revenue concentration is highly focused in two service codes: T2016 and T2021 together account for 98.1% of the provider’s Medicaid revenue (66.5% and 31.6%, respectively). The precomputed top-three share of 100.0% reinforces that virtually all Medicaid dollars reported by this entity flow through a very narrow set of habilitation and day habilitation services, with only a small residual from targeted case management (T1017).

The code mix (T2016 – residential habilitation per diem and T2021 – day habilitation per 15 minutes) indicates the provider’s core business is delivering residential and day habilitation services for individuals with developmental disabilities or similar needs. High volumes on per-diem residential habilitation and frequent day habilitation units imply an operational model with both residential placements and structured daytime programming as primary service lines.

On competitive standing within the state, TWIN RIVERS reports typical, unremarkable volume for its two largest codes: for T2016 it ranks #32 of 121 providers (74th percentile) and for T2021 it ranks #26 of 130 providers (81th percentile). Those percentiles suggest the organization is a solid mid-tier participant in Kansas for these waiver habilitation services — neither a statewide outlier nor one of the largest providers, but maintaining meaningful share among peers.

Targeted case management (T1017) and wellness assessment (S5190) are marginal revenue contributors: T1017 accounts for 2.0% of Medicaid revenue and ranks #122 of 218 providers (44th percentile), and S5190 contributes essentially 0.0% of revenue with 120 claims. These figures indicate case management and wellness assessment are secondary to the provider’s habilitation offerings and likely represent ancillary or supportive functions rather than primary revenue drivers.

The provider has an established presence, with NPI enumeration dated 2007-03-19 (~19 years ago). That tenure is consistent with an organization that has maintained steady participation in state waiver networks and developed the residential/day habilitation capacity reflected in the billing mix.

Because the top three Medicaid codes account for 100.0% of lifetime Medicaid revenue, any operational or policy changes affecting waiver habilitation reimbursement or utilization would likely have an outsized impact on this provider’s financials. The narrow service portfolio exposes the organization to concentration risk tied to those specific program codes and their reimbursement rates.

Although this profile shows concentrated Medicaid activity, the absence of Medicare billing means analysts should not expect cross-coverage of Medicare-managed populations or revenue diversification via Medicare programs. Strategic or competitive assessments should therefore focus on Medicaid waiver program participation, state-level reimbursement trends, and peer dynamics among residential and day habilitation providers in Kansas.

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	20,910	$780	$16.4M
T2021	Day habilitation, waiver; per 15 minutes	22,200	$350	$7.8M
T1017	Targeted case management, each 15 minutes	4,400	$110	$484.2K
S5190	Wellness assessment, performed by non-physician	120	$40	$4.4K

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

Twin Rivers Developmental Supports Inc — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	32	120	5,080	$400	$13.8M
T2021	Day habilitation, waiver; per 15 minutes	26	130	5,710	$380	$6.2M
T1017	Targeted case management, each 15 minutes	122	220	5,390	$40	$599.4K
S5190	Wellness assessment, performed by non-physician	26	50	120	$40	$14.4K

Nearby Providers

Other providers in the same ZIP code as Twin Rivers Developmental Supports Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medicalodges, Inc.	KS	Home Health Agency	$0	$3.6M
South Central Kansas Regional Medical Center	KS	Rural Health Clinic/Center	$0	$1.9M
South Central Kansas Clinic LLC	KS	Rural Health Clinic/Center	$0	$1.2M
Rogers Family Dentistry PA	KS	General Practice Dentistry	$0	$1.2M
Hcp1oc Alderbrook, LLC	KS	Assisted Living Facility	$0	$1.1M
South Central Kansas Regional Medical Center	KS	Rural Health Clinic/Center	$0	$1M
Tran Majher And Shaw O.d. P.A.	KS	Optometrist	$0	$965.4K
South Central Kansas Regional Medical Center	KS	Rural Acute Care Hospital	$0	$564.5K
City Of Arkansas City	KS	Land Ambulance	$183K	$211K
Lucinda Minkler	KS	Physical Therapist	$106.1K	$0

Twin Rivers Developmental Supports Inc — Billing Profile & Reimbursement Data

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Twin Rivers Developmental Supports Inc — 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