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.

Independence Inc. Pass Program (NPI 1679787352)

Field	Value
Entity Type	Organization
Organization	Independence Inc. Pass Program
Address	2001 Haskell Ave
City	Lawrence
State	KS
ZIP	66046
Taxonomy	Home Health Agency
NPI Enumerated	May 10, 2007

Payer Source	Total Paid
Medicaid	$23M
Medicare	$0

Key Findings

INDEPENDENCE INC. PASS PROGRAM is effectively a Medicaid-focused operator: it has no Medicare billing on file and reports $23M in total Medicaid revenue, making Medicaid the sole visible payer driving its billed volume and financial scale. This positions the entity as essentially single-payer in the available claims data.

Revenue is highly concentrated in a small set of waivered personal-care codes: the precomputed top three Medicaid codes (S5125, T1019, T2025) account for 88.4% of the provider's total Medicaid revenue. In dollar terms those three are S5125 $12.7M (55.0%), T1019 $5.8M (25.3%), and T2025 $1.9M (8.1%), so program-level performance depends heavily on continued reimbursement for these specific services.

The code mix signals a labor-intensive, home- and community-based services operation: dominant codes are S5125 (attendant care services; per 15 minutes) and T1019 (personal care services, per 15 minutes), with additional revenue from waiver administration and self-directed supports (T2025, T2040) and case management (T1016). This combination indicates the provider primarily delivers hands-on personal/attendant care and supports self-directed waiver participants rather than skilled home health or acute services.

Claim counts and per-claim economics reinforce the low-dollar, high-volume nature of the business: S5125 shows 132K claims with an $96 avg paid/claim and T1019 shows 66.2K claims with an $88 avg paid/claim, demonstrating many small, time-based billing units rather than large episodic payments. Those high claim volumes are consistent with per-15-minute billing models and imply operational focus on scheduling, workforce capacity, and unit-level productivity.

State-level competitive standing for the largest code is above average but not an extreme outlier: S5125 ranks #20 of 197 providers in-state (90th percentile) yet is characterized in the dataset as "typical, unremarkable volume for this code," suggesting the provider is a relatively large participant for attendant care within Kansas but not uniquely dominant. That rank indicates scale among many peers rather than monopolistic share.

Other codes show mixed competitive signals: T1019 ranks #10 of 55 providers in-state (83th percentile) and is likewise labeled "typical, unremarkable volume," indicating solid but not exceptional in-state positioning for personal care; by contrast T1016 (case management) ranks #2 of 11 providers in-state (90th percentile) despite contributing only $884.6K (3.8%) of Medicaid revenue, which suggests leadership in a smaller niche service line. Lower percentiles for T2025 (26th) and T2040 (28th) reflect modest presence in some waiver-administration subsegments.

The provider has long-standing enrollment in the NPI registry (enumerated: 2007-05-10 (~19 years ago)), indicating an established operating history in the market that may support steady payer relationships and operational experience with Medicaid waiver programs. This tenure aligns with its concentration in long-running home- and community-based service codes.

The heavy reliance on a few Medicaid time-based personal-care codes creates operational and policy sensitivity: because the top three codes account for 88.4% of Medicaid revenue, changes in state Medicaid policy, rate-setting for attendant/personal care, or shifts in waiver rules could materially affect revenue. Analysts should view the provider as exposed to Medicaid program shifts rather than diversified across payers or service types.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	132,020	$100	$12.7M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	66,250	$90	$5.8M
T2025	Waiver services; not otherwise specified (nos)	20,930	$90	$1.9M
T2040	Financial management, self-directed, waiver; per 15 minutes	13,080	$140	$1.8M
T1016	Case management, each 15 minutes	5,170	$170	$884.6K

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

Independence Inc. Pass Program — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	10	60	21,510	$90	$8.5M
T2025	Waiver services; not otherwise specified (nos)	21	30	44,470	$90	$7.2M
S5125	Attendant care services; per 15 minutes	20	200	1,110	$110	$5.9M
T2040	Financial management, self-directed, waiver; per 15 minutes	14	20	25,600	$130	$5.2M
T1016	Case management, each 15 minutes	2	10	320	$80	$137.5K

Nearby Providers

Other providers in the same ZIP code as Independence Inc. Pass Program, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Haskell Indian Health Center	KS	Federal Public Health Clinic/Center	$0	$2.7M
City Of Lawrence	KS	Land Ambulance	$941.4K	$1.5M
Rosewood Support Services, Inc	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$2.3M
The Arc Of Douglas County	KS	Case Management Agency	$0	$1.3M
Bhg Lxxv, LLC	KS	Substance Use Disorder Rehabilitation Clinic/Center	$99.4K	$155.9K
Andrew Slikker	KS	Family Medicine Physician	$18.6K	$0
April Sprague	KS	Family Nurse Practitioner	$14.7K	$0

Independence Inc. Pass Program — Billing Profile & Reimbursement Data

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Independence Inc. Pass Program — Billing Profile & Reimbursement Data

Sign up for Independence Inc. Pass Program — 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