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    OpenPayerNPI Medicare & MedicaidStarkey, Inc.
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    Starkey, Inc. — Billing Profile & Reimbursement Data

    NPI 1699843383 · Wichita, KS · Developmentally Disabled Services Day Training Agency

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    Starkey, Inc. is a developmentally disabled services day training agency provider located in Wichita, Kansas. 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
    OrganizationStarkey, Inc.
    Address4500 W Maple St
    CityWichita
    StateKS
    ZIP67209
    TaxonomyDevelopmentally Disabled Services Day Training Agency
    NPI EnumeratedDecember 1, 2006

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

    Payer SourceTotal Paid
    Medicaid$118.6M
    Medicare$0

    Key Findings

    STARKEY, INC. is effectively a single-payer Medicaid provider: it reports $118.6M in lifetime Medicaid revenue and has no Medicare billing on file, indicating operations and reimbursement exposure are concentrated entirely within Medicaid programs. The organization’s NPI was enumerated on 2006-12-01 (~20 years ago), showing long tenure in the market which may support established contracts and referral relationships within state waiver systems.

    Revenue is highly concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, signaling heavy dependence on a narrow set of habilitation and assessment services for nearly all reported Medicaid receipts. This degree of concentration raises business sensitivity to policy or reimbursement changes that affect those specific codes.

    T2016 drives the majority of reported revenue and defines the provider’s service footprint: T2016 (Habilitation, residential, waiver; per diem) accounts for $84.7M revenue and 71.4% of this provider's total Medicaid revenue, with 600.7K claims and an average paid per claim of $141. The provider ranks #1 of 121 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), indicating STARKEY is the dominant residential habilitation per-diem provider in Kansas by reported volume and revenue.

    T2021 is the other material revenue source and reflects a significant day habilitation operation: T2021 (Day habilitation, waiver; per 15 minutes) produced $33.9M revenue and represents 28.5% of this provider's total Medicaid revenue across 40.9K claims at $828 avg paid/claim. The provider ranks #10 of 130 in-state (93th percentile; typical, unremarkable volume for this code), suggesting a strong but not singular market position in day habilitation services compared with peers.

    S5190 is a minor revenue stream but shows above-typical participation in non-physician wellness assessments: S5190 (Wellness assessment, performed by non-physician) accounts for $49.2K revenue (0.0% of this provider's total Medicaid revenue) from 1.2K claims at $42 avg paid/claim, and the provider ranks #7 of 52 in-state (88th percentile; notably above typical state volume for this code). While immaterial to overall revenue, this code indicates the provider also bills preventive or screening-related services within its beneficiary population.

    The mix of codes indicates distinct unitization and operational models within STARKEY’s business: T2016 is a high-volume, per-diem residential habilitation service while T2021 is billed in time increments (per 15 minutes) and carries a much higher avg paid/claim ($828 vs $141 for T2016). This suggests parallel investments in residential capacity and day-program staffing/structure, with different margin and utilization dynamics for each service line.

    From a competitive-stance perspective, STARKEY is a dominant statewide player for residential habilitation via T2016 (rank #1 and labeled an extreme outlier) and a significant, above-average participant in day habilitation (T2021 rank #10, 93th percentile). The provider’s statewide prominence is highly concentrated in these waiver habilitation services, making its market position strong in specific Medicaid waiver segments but narrowly focused overall.

    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 diem600,690$140$84.7M
    T2021Day habilitation, waiver; per 15 minutes40,890$830$33.9M
    S5190Wellness assessment, performed by non-physician1,170$40$49.2K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kansas median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem11205,080$400$13.8M
    T2021Day habilitation, waiver; per 15 minutes101305,710$380$6.2M
    S5190Wellness assessment, performed by non-physician750120$40$14.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Starkey IncKSCase Management Agency$0$3M
    Home Technology SolutionsKSDurable Medical Equipment & Medical Supplies$0$1.6M
    Hylo Urgent Care Clinics, P.A.KSUrgent Care Clinic/Center$0$1.5M
    Agape Services, LLCKSIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$1.4M
    Med-trans CorporationKSAir Ambulance$664.3K$125.4K
    Med-trans CorporationKSAir Ambulance$766.6K$0
    Melissa KeuslerKSOptometrist$43.4K$55.8K
    Sean-carlo ProlagoKSPhysician Assistant$90.7K$0
    Senior Care Services IncKSLong Term Care Pharmacy$54.3K$7.9K
    William SimonKSFamily Medicine Physician$58.5K$0

    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. Kansas Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    Starkey, Inc. — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas