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 Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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.

Kentuckinana Regional Planning And Development Agency (NPI 1740495548)

Field	Value
Entity Type	Organization
Organization	Kentuckinana Regional Planning And Development Agency
Address	11520 Commonwealth Dr
City	Louisville
State	KY
ZIP	40299
Taxonomy	Supports Brokerage Agency
NPI Enumerated	May 14, 2007

Payer Source	Total Paid
Medicaid	$47.2M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and total Medicaid revenue is $47.2M, indicating that all reported federal fee-for-service activity is concentrated in state Medicaid programs. The absence of Medicare activity means analyses of payer mix should treat this entity as Medicaid-centric rather than balanced across Medicare and Medicaid.

Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicaid codes account for 97.7% of this provider's total Medicaid revenue, with S5108 alone representing $38.6M (81.7% of Medicaid revenue). This concentration means a few service lines drive the vast majority of reported receipts.

The top codes describe a business focused on in-home support and waiver-related administration: S5108 (Home care training to home care client, per 15 minutes) and T2040 (Financial management, self-directed, waiver; per 15 minutes) together imply a mix of direct caregiver training and administrative/self-directed waiver supports, while T1999 (miscellaneous therapeutic items and supplies) and T1005 (respite care services) reflect ancillary retail supplies and short-term respite services. This mix is consistent with the provider taxonomy of Supports Brokerage Agency and suggests operations centered on home- and waiver-based service coordination rather than clinic-based clinical care.

S5108 is a dominant in-state revenue driver: the provider billed 367.1K claims for S5108 at an average paid of $105 per claim producing $38.6M and ranks #8 of 101 providers in-state (93th percentile; notably above typical state volume). That ranking and the large claim volume indicate the organization is a major state-level participant for this specific home-care training code.

T1999 and T2040 show different competitive positions: T1999 generated $956.7K from 6.5K claims ($147 avg paid/claim) and ranks #2 of 36 providers in-state (97th percentile; notably above typical state volume), signaling above-typical supply or retail purchasing activity for miscellaneous therapeutic items. By contrast T2040 produced $6.6M from 20.3K claims ($325 avg paid/claim) and ranks #17 of 43 providers in-state (62th percentile; typical, unremarkable volume), which indicates reasonable participation in financial-management waiver services but not top-tier dominance for that code.

Unit-level and volume characteristics differ markedly across the top codes: S5108 is high-volume with lower average paid per claim ($105) while T2040 has far fewer claims but a much higher average paid per claim ($325), and T1999 sits between with moderate claims and $147 average paid. These differing unit economics imply that changes in either per-claim rates or claim volumes for any of these codes could materially shift overall revenue despite the small number of codes responsible for most receipts.

The provider has a long-tenured enrollment profile, with its NPI enumerated 2007-05-14 (~19 years ago), which supports interpreting its activity as established rather than newly emergent in the state Medicaid market. That tenure, combined with concentrated code-based volume, suggests institutional experience in the waiver/home-care arena but also a strategic dependence on a narrow set of billable services.

Because the top 3 codes account for 97.7% of Medicaid revenue and S5108 alone accounts for 81.7%, the organization is exposed to reimbursement or policy changes affecting a very small set of services. Payers and network managers should monitor rate-setting and service-coverage updates for S5108 and related waiver-management codes, as shifts there could have outsized impacts on this provider's revenue and on access patterns for the populations served.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5108	Home care training to home care client, per 15 minutes	367,150	$110	$38.6M
T2040	Financial management, self-directed, waiver; per 15 minutes	20,250	$330	$6.6M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	6,510	$150	$956.7K
T1005	Respite care services, up to 15 minutes	14,900	$50	$804.4K
T1016	Case management, each 15 minutes	2,720	$110	$291.1K
888888	N/A	50	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Kentuckinana Regional Planning And Development Agency — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5108	Home care training to home care client, per 15 minutes	8	100	43,820	$140	$16.6M
T2040	Financial management, self-directed, waiver; per 15 minutes	17	40	14,910	$160	$3.5M
T1016	Case management, each 15 minutes	37	60	3,410	$120	$970.5K
T1005	Respite care services, up to 15 minutes	19	80	2,880	$70	$799.2K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	2	40	1,370	$160	$315.4K
888888	N/A	71	120	70	$0	$0

Nearby Providers

Other providers in the same ZIP code as Kentuckinana Regional Planning And Development Agency, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Option Care Enterprises Inc	KY	Pharmacy	$0	$39.1M
Baptist Health Medical Group Inc	KY	Internal Medicine Physician	$0	$27.9M
Baptist Health Medical Group Inc	KY	Urgent Care Clinic/Center	$0	$26.7M
Kentuckiana Regional Planning And Development Agency	KY	Supports Brokerage Agency	$0	$24.3M
Kaleidoscope Inc	KY	Adult Day Care Clinic/Center	$0	$19.9M
Crossroads Treatment Center Of Louisville, Psc	KY	Methadone Clinic	$82.3K	$13.7M
Rehab Medical Of Louisville LLC	KY	Customized Equipment (DME)	$0	$11M
Zoom Group	KY	Developmentally Disabled Services Day Training Agency	$0	$8.2M
Silver Angels Of Tennessee - Greene, LLC	KY	In Home Supportive Care Agency	$0	$6.5M
Community And Family Empowerment	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.4M

Kentuckinana Regional Planning And Development Agency — Billing Profile & Reimbursement Data

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Kentuckinana Regional Planning And Development Agency — Billing Profile & Reimbursement Data

Sign up for Kentuckinana Regional Planning And Development Agency — 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