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.

Paradigm Services Inc (NPI 1699105023)

Field	Value
Entity Type	Organization
Organization	Paradigm Services Inc
Address	344 N Wabash Ave
City	Wichita
State	KS
ZIP	67214
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	November 21, 2013

Payer Source	Total Paid
Medicaid	$42.4M
Medicare	$0

Key Findings

PARADIGM SERVICES INC has no Medicare billing on file and operates effectively as a single-payer Medicaid provider, with total Medicaid revenue of $42.4M reported; the absence of Medicare activity means analyses and risk assessments should focus on Medicaid program exposure and policy changes. The provider's NPI was enumerated on 2013-11-21 (~13 years ago), indicating a stable presence in the market over the past decade.

Revenue for this provider is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of its Medicaid revenue, with two codes alone listed as the primary drivers. That concentration means operational or reimbursement changes affecting those specific habilitation codes could materially impact the provider's financials.

The two listed Medicaid codes identify the provider's service mix as facility-based residential and non-residential habilitation for individuals with intellectual and developmental disabilities. T2016 (Habilitation, residential, waiver; per diem) and T2021 (Day habilitation, waiver; per 15 minutes) together indicate a business model built around both residential per-diem services and day habilitation programs rather than acute medical or Medicare-oriented care.

T2016 accounts for $30.1M in revenue (70.9% of this provider's total Medicaid revenue) from 37.8K claims at $797 avg paid/claim; it ranks #26 of 121 providers in-state (79th percentile; typical, unremarkable volume for this code). This position suggests PARADIGM is a meaningful but not dominant residential habilitation provider in Kansas—above median in scale but not among the very largest statewide operators for this code.

T2021 contributes $12.3M (29.1% of this provider's total Medicaid revenue) from 38.8K claims at $318 avg paid/claim and ranks #13 of 130 providers in-state (91th percentile; typical, unremarkable volume for this code). The higher percentile rank for T2021 indicates a relatively stronger competitive position in day habilitation compared with its standing in residential per-diem services, despite the descriptor indicating typical volume.

Although T2016 and T2021 have similar claim volumes (37.8K vs. 38.8K claims), the average paid per claim differs materially ($797 vs. $318), which explains why T2016 drives roughly 70.9% of Medicaid revenue while T2021 accounts for 29.1%. Analysts should note this unit-payment dynamic when modeling margins, capacity utilization, or sensitivity to rate changes for per-diem versus per-15-minute reimbursement structures.

Given the provider's tenure (enumerated 2013-11-21 (~13 years ago)) and its concentrated reliance on two habilitation codes that together make up 100.0% of Medicaid revenue, payers and provider-network analysts should prioritize monitoring of waiver program policy, state rate adjustments for T2016 and T2021, and capacity shifts among in-state peers that could affect referrals and utilization patterns.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	37,770	$800	$30.1M
T2021	Day habilitation, waiver; per 15 minutes	38,790	$320	$12.3M

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

Paradigm Services Inc — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	26	120	5,080	$400	$13.8M
T2021	Day habilitation, waiver; per 15 minutes	13	130	5,710	$380	$6.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Craig Resources LLC	KS	Home Health Agency	$0	$97.3M
Wesley Medical Center LLC	KS	General Acute Care Hospital	$0	$30.2M
Gracemed Health Clinic Inc	KS	Federally Qualified Health Center (FQHC)	$0	$18.3M
Healthcore Clinic Inc	KS	Federally Qualified Health Center (FQHC)	$0	$15.3M
Diversified Family Services LLC	KS	Home Health Agency	$0	$13.9M
Alpha Service	KS	Developmentally Disabled Services Day Training Agency	$0	$12.1M
Carepoint Emergency Medicine Kansas LLC	KS	Emergency Medicine Physician	$0	$11.8M
Hunter Health Clinic Inc	KS	Federally Qualified Health Center (FQHC)	$0	$10.4M
Ascension Via Christi Hospitals Wichita Inc.	KS	General Acute Care Hospital	$0	$8.9M
Bassam Mattar	KS	Hematology & Oncology Physician	$7.2M	$0

Paradigm Services Inc — Billing Profile & Reimbursement Data

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Paradigm Services 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