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    OpenPayerNPI Medicare & MedicaidQuinton Residential Living
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    Quinton Residential Living — Billing Profile & Reimbursement Data

    NPI 1720142953 · Indianapolis, IN · Developmentally Disabled Services Day Training Agency

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    Quinton Residential Living is a developmentally disabled services day training agency provider located in Indianapolis, Indiana. This profile covers 0 Medicare and 7 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
    OrganizationQuinton Residential Living
    Address2511 E 46th St
    CityIndianapolis
    StateIN
    ZIP46205
    TaxonomyDevelopmentally Disabled Services Day Training Agency
    NPI EnumeratedDecember 21, 2006

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

    Payer SourceTotal Paid
    Medicaid$39.9M
    Medicare$0

    Key Findings

    This provider is effectively single-payer in scope: total Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $39.9M, indicating the organization’s entire documented public revenue base is Medicaid-driven. The NPI was enumerated on 2006-12-21 (~20 years ago), signaling an established presence in the market rather than a recent entrant.

    Revenue is highly concentrated in a small set of waiver per-diem services: the precomputed top 3 Medicaid codes by revenue account for 92.5% of the provider’s Medicaid revenue, with T2016 alone representing $31.3M (78.5% of Medicaid revenue). This concentration means the provider’s financial profile is dominated by a single service line rather than a broad mix of smaller revenue streams.

    The code mix and descriptions identify the operation as a residential and day habilitation-focused Developmentally Disabled Services Day Training Agency: the top codes are T2016 (Habilitation, residential, waiver; per diem), T2020 (Day habilitation, waiver; per diem), and T2033 (Residential care, nos, waiver; per diem). Together these per-diem waiver codes imply the organization primarily operates residential habilitation beds and day habilitation programs rather than short outpatient visits or traditional medical specialties.

    Payment and utilization characteristics show large per-diem values on the dominant services: T2016 has 5.6K claims with a $5606 avg paid/claim, while T2033 has 2K claims with a $1047 avg paid/claim and S5151 (respite) shows $1150 avg paid/claim. By contrast, time-based behavioral health H0004 pays $495 avg paid/claim, highlighting that the organization’s revenue mix is driven by room-and-board style per-diem payments rather than high-volume low-unit services.

    In-state competitive standing is modest to typical for its main codes. For the dominant T2016 the provider ranks #27 of 65 providers in-state (59th percentile; typical, unremarkable volume for this code), T2020 ranks #33 of 61 (47th percentile; typical, unremarkable volume for this code), and T2033 ranks #18 of 52 (67th percentile; typical, unremarkable volume for this code), indicating it is not a statewide market leader but has a meaningful presence in residential care niche segments.

    Smaller supporting services supplement the core habilitation revenue: S5151 (Unskilled respite care) generated $1.3M (1.4K claims, $1150 avg paid/claim) and H0004 (behavioral health counseling, per 15 minutes) contributed $994.5K (2K claims, $495 avg paid/claim). Additional ancillary lines include non-emergency transportation T2002 ($542.7K, 3.1K claims, $177 avg paid/claim) and case management T2022 ($128.8K, 1.2K claims, $107 avg paid/claim), which together account for relatively modest shares but reflect a full-service waiver provider footprint.

    The extreme reliance on T2016 (78.5% of Medicaid revenue) implies operational sensitivity to changes in residential habilitation capacity or waiver reimbursement policy; any change to authorization, occupancy, or per-diem rates for T2016 would disproportionately affect the provider’s overall Medicaid revenue. Because the top three codes collectively account for 92.5% of Medicaid revenue, business continuity and growth appear tightly coupled to state waiver program stability for these per-diem services.

    Claim volumes on the leading codes show sustained activity rather than one-off spikes: 5.6K claims for T2016 and 4.2K claims for T2020 indicate recurring utilization of residential and day habilitation services. Coupled with a ~20-year enumeration date (2006-12-21), this pattern suggests an established operational scale focused on long-term habilitation and residential care rather than episodic or emergent care delivery.

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem5,580$5,610$31.3M
    T2020Day habilitation, waiver; per diem4,210$810$3.4M
    T2033Residential care, not otherwise specified (nos), waiver; per diem2,050$1,050$2.1M
    S5151Unskilled respite care, not hospice; per diem1,170$1,150$1.3M
    H0004Behavioral health counseling and therapy, per 15 minutes2,010$500$994.5K
    T2002Non-emergency transportation; per diem3,070$180$542.7K
    T2022Case management, per month1,200$110$128.8K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Indiana median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem27703,190$630$14.7M
    T2033Residential care, not otherwise specified (nos), waiver; per diem18501,090$180$2.3M
    H0004Behavioral health counseling and therapy, per 15 minutes45703,960$130$1.9M
    T2020Day habilitation, waiver; per diem33605,550$110$1.4M
    S5151Unskilled respite care, not hospice; per diem1940970$220$1.3M
    T2022Case management, per month40100710$180$1.1M
    T2002Non-emergency transportation; per diem25702,190$50$319.8K

    Nearby Providers

    Other providers in the same ZIP code as Quinton Residential Living, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Indianapolis Treatment Center, LLCINMethadone Clinic$386.2K$41.4M
    Meridian Health Services Corp.INFederally Qualified Health Center (FQHC)$0$8.5M
    Raphael Health Center, IncINFederally Qualified Health Center (FQHC)$0$6.2M
    A Passionate Helping Hand Home Health Care, LLCINHome Health Agency$0$4.2M
    Anointed Touch Home Health Care LLCINHome Health Agency$0$4M
    Meridian Health Services CorpINFederally Qualified Health Center (FQHC)$0$4M
    Zachary EppertINNurse Practitioner$93.6K$0
    Stephanie DexterINClinical Social Worker$60.6K$0
    Nicole O'rourkeINFamily Nurse Practitioner$41.8K$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. Indiana Providers
    4 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Quinton Residential Living — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana