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    OpenPayerNPI Medicare & MedicaidNadon Family Home
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    Nadon Family Home — Billing Profile & Reimbursement Data

    NPI 1699211201 · Anchorage, AK · Foster Care Agency

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    Nadon Family Home is a foster care agency provider located in Anchorage, Alaska. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNadon Family Home
    Address6955 Caravelle Dr
    CityAnchorage
    StateAK
    ZIP99502
    TaxonomyFoster Care Agency
    NPI EnumeratedJanuary 6, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$19.7M
    Medicare$0

    Key Findings

    NADON FAMILY HOME has no Medicare billing on file and $19.7M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) entity in the available claims data. For analysts, Medicaid reimbursement trends and waiver program policy changes will be the primary drivers of observed financial performance for this provider.

    Revenue is highly concentrated: the top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, with T2016 responsible for $12.5M (63.1%), T2019 for $4.5M (23.1%), and T2021 for $2.7M (13.8%). These three codes therefore fully explain the $19.7M Medicaid total on file.

    The code mix—dominated by T2016 (residential habilitation, per diem) alongside time-based habilitation services T2019 (supported employment, per 15 minutes) and T2021 (day habilitation, per 15 minutes)—indicates an operational focus on waiver-funded residential supports plus supported employment and day programs. This pattern aligns with the provider's Foster Care Agency taxonomy and suggests core operations revolve around residential habilitation and community habilitation services for individuals with developmental needs.

    T2016 is the single largest revenue driver with 35.7K claims, $349 avg paid/claim and $12.5M in revenue, accounting for 63.1% of Medicaid revenue. In-state ranking for T2016 is #10 of 31 (70th percentile) and is characterized in the data as a typical, unremarkable volume, implying the provider has a solid but not dominant position on this service within the state.

    T2019 (16.3K claims, $279 avg paid/claim, $4.5M or 23.1%) and T2021 (18.1K claims, $150 avg paid/claim, $2.7M or 13.8%) together represent the remaining revenue concentration and reflect routine engagement in supported employment and day habilitation. Their in-state ranks—T2019 at #6 of 12 (55th percentile) and T2021 at #23 of 61 (63th percentile)—are labeled typical, indicating ordinary participation levels rather than outlier activity.

    Competitive standing across these waiver services is modest: rankings and percentiles place NADON FAMILY HOME as an established, regular participant rather than a dominant statewide leader in habilitation and waiver services. For payers considering network sufficiency or rate negotiations, the provider represents a stable source of residential and day habilitation capacity but not a market-leading volume center.

    The NPI was enumerated on 2017-01-06 (~9 years ago), indicating several years of presence in the state Medicaid market and suggesting operational continuity. Given that 100.0% of Medicaid revenue is tied to a narrow set of waiver habilitation codes, any material changes to Medicaid waiver coverage or per-unit reimbursement for T2016, T2019, or T2021 could materially alter the provider's revenue profile.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem35,690$350$12.5M
    T2019Habilitation, supported employment, waiver; per 15 minutes16,300$280$4.5M
    T2021Day habilitation, waiver; per 15 minutes18,150$150$2.7M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Alaska median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem103022,540$360$13M
    T2021Day habilitation, waiver; per 15 minutes236011,640$150$3.5M
    T2019Habilitation, supported employment, waiver; per 15 minutes61012,150$170$2.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lifemed Alaska, LLCAKAmbulance$7.5M$78.5M
    Guardian Flight LLCAKAir Ambulance$1.9M$13.5M
    South Anchorage Dental CenterAKPreferred Provider Organization$0$2.3M
    Better Sight LLCAKOptometrist$0$1.2M
    Smart CareAKCase Management Agency$0$1.1M
    Pete B. Higgins Dds LLCAKDental Clinic/Center$0$993K
    Independent Care Coordination, LLCAKCase Management Agency$0$686.1K
    Guardian Flight LLCAKLand Ambulance$167.8K$421.7K
    Medevac Alaska LLCAKLand Ambulance$178.7K$381.3K
    National Seating & Mobility, Inc.AKDurable Medical Equipment & Medical Supplies$0$425.4K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Alaska Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alaska Distribution
    Nadon Family Home — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska