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.

Medicalodges, Inc. (NPI 1770668394)

Field	Value
Entity Type	Organization
Organization	Medicalodges, Inc.
Address	2614 N Joplin St
City	Pittsburg
State	KS
ZIP	66762
Taxonomy	Home Health Agency
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicaid	$34.8M
Medicare	$0

Key Findings

MEDICALODGES, INC. has no Medicare billing on file and reports $34.8M in lifetime Medicaid revenue, making it effectively a single-payer Medicaid-focused operation rather than a mixed Medicare/Medicaid provider. This concentration means the provider’s financial profile and growth prospects are driven almost entirely by Medicaid program rules and waiver funding rather than Medicare reimbursement dynamics.

Taxonomy and top codes indicate a service mix concentrated on habilitation and case management within a Home Health Agency model: the presence of T2016 (Habilitation, residential, waiver; per diem) and T2021 (Day habilitation, waiver; per 15 minutes) suggests the organization operates residential waiver programs plus day habilitation services, while T1017 (Targeted case management, each 15 minutes) shows an ancillary role in care coordination and case management.

Revenue concentration is extreme among Medicaid services: the top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue. In particular, T2016 accounts for $23.6M (67.7% of Medicaid revenue), T2021 accounts for $10.4M (29.9%), and T1017 accounts for $805.7K (2.3%), indicating the business is heavily dependent on a small set of waiver habilitation reimbursements.

Competitive standing on these codes is modest and broadly typical within the state. T2016 ranks #57 of 121 providers (53th percentile; typical, unremarkable volume for this code), T2021 ranks #65 of 130 providers (50th percentile; typical, unremarkable volume for this code), and T1017 ranks #95 of 218 providers (57th percentile; typical, unremarkable volume for this code), all of which suggest MEDICALODGES is a routine, not dominant, in-state participant for its core services.

Claims and payment intensity further clarify service mix: T2016 shows 6.6K claims with an average paid/claim of $3551, consistent with residential per-diem habilitation billing; T2021 shows 5.7K claims with an average paid/claim of $1823, consistent with substantial per-claim value for day habilitation; and T1017 shows 6.8K claims with an average paid/claim of $118, reflecting lower per-unit reimbursement typical of time-based targeted case management.

Because Medicare activity is absent and Medicaid comprises the full recorded revenue base ($34.8M), the provider’s revenue and operational risk are concentrated in state Medicaid waiver policies, rate-setting, and referral networks. Any material changes to Medicaid waiver eligibility, reimbursement rates, or provider enrollment rules in Kansas would disproportionately affect this provider relative to peers with more diversified payer mixes.

MEDICALODGES, INC. has an NPI enumeration date of 2006-10-25 (~20 years ago), indicating a long-standing presence in the local market; this tenure supports the interpretation of established local operations and sustained participation in state waiver programs rather than a recent market entrant dependent on short-term contract variability.

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 Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	6,650	$3,550	$23.6M
T2021	Day habilitation, waiver; per 15 minutes	5,730	$1,820	$10.4M
T1017	Targeted case management, each 15 minutes	6,830	$120	$805.7K

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

Medicalodges, Inc. — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	57	120	5,080	$400	$13.8M
T2021	Day habilitation, waiver; per 15 minutes	65	130	5,710	$380	$6.2M
T1017	Targeted case management, each 15 minutes	95	220	5,390	$40	$599.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Medicalodges, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medicalodges, Inc.	KS	Home Health Agency	$0	$15M
Medicalodges, Inc.	KS	Home Health Agency	$0	$3.6M
Medicalodges, Inc.	KS	Home Health Agency	$0	$3.5M
Medicalodges, Inc.	KS	Assisted Living Facility	$0	$3.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center Of Southeast Kansas Inc	KS	Federally Qualified Health Center (FQHC)	$0	$34.5M
Mosaic	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$26.6M
Haven Supports, LLC	KS	Point of Service	$0	$17.1M
County Of Crawford	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.5M
Care-4-u, Inc.	KS	Home Health Agency	$0	$5.1M
Accent Dental LLC	KS	Dentist	$0	$5M
Crawford County Mental Health Center	KS	Community/Behavioral Health Agency	$0	$4.7M
Ascension Via Christi Hospital Pittsburg, Inc.	KS	General Acute Care Hospital	$0	$3.5M
County Of Crawford	KS	Community/Behavioral Health Agency	$0	$2.6M
Lightning Creek Investment Group, Inc	KS	Assisted Living Facility	$0	$2.4M

Medicalodges, Inc. — Billing Profile & Reimbursement Data

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Medicalodges, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References