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

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

Rock House Support Services, Inc. (NPI 1770675605)

Field	Value
Entity Type	Organization
Organization	Rock House Support Services, Inc.
Address	2252 Lingleville Rd.
City	Stephenville
State	TX
ZIP	76401
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	September 28, 2006

Payer Source	Total Paid
Medicaid	$76.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and total Medicaid revenue is $76.9M, so Medicaid represents the full recorded commercial scale of operations for ROCK HOUSE SUPPORT SERVICES, INC. The top three Medicaid codes together account for 74.5% of that Medicaid revenue, indicating heavy concentration in a narrow set of service lines.

H2016 is the dominant revenue driver: H2016 (Comprehensive community support services, per diem) generated $45.7M and represents 59.4% of the provider's Medicaid revenue. That concentration shows the organization operates primarily as a comprehensive community support provider consistent with its Intellectual/Developmental Disabilities residential treatment taxonomy.

The secondary revenue drivers reinforce a skills‑and‑training focus: H2014 (Skills training and development, per 15 minutes) produced $5.9M (7.7%) and M0150 produced $5.7M (7.4%), and those three codes together form the precomputed 74.5% of Medicaid revenue. H2014 is an extreme outlier in state volume (ranks #8 of 560, 99th percentile), which signals an unusually high intensity of billed skills‑training services relative to in‑state peers.

Competitive standing is mixed across codes: although H2016 accounts for the largest share of revenue, it ranks #47 of 430 providers (89th percentile; typical, unremarkable volume), indicating many peers also bill this service. By contrast, the provider is statewide‑dominant or highly concentrated on several other codes: M0150 ranks #3 of 79 (97th percentile; notably above typical), and H2014 ranks #8 of 560 (99th percentile; extreme outlier), demonstrating strong competitive positioning in specific service lines.

Beyond the top three, several additional codes show concentrated or outlier volumes that broaden the provider's service mix. Notable examples include T1002 (Rn services, up to 15 minutes) with $826.1K (1.1%) and ranked #4 of 433 (99th percentile; extreme outlier), T2020 (Day habilitation, waiver; per diem) with $2.1M (2.7%) at rank #24 of 365 (94th percentile; typical, unremarkable), and H2019 (Therapeutic behavioral services, per 15 minutes) with $1.1M (1.4%) at rank #5 of 156 (97th percentile; typical, unremarkable). These line items show the provider bills a broad set of clinical and habilitation supports in addition to per‑diem community services.

A cluster of M01xx and related codes show consistently high state percentiles, reinforcing an IDD‑focused operational footprint: examples include M0116 ($1.5M; 2.0%) at rank #4 of 240 (99th percentile; notably above typical), M0133 ($440.9K; 0.6%) at rank #3 of 131 (98th percentile; notably above typical), and M0299 ($260.4K; 0.3%) at rank #4 of 305 (99th percentile; extreme outlier). The distribution suggests reliance on a broad set of Medicaid‑payable services commonly used in community‑based intellectual/developmental disability care.

The NPI tenure suggests organizational stability: the NPI was enumerated on 2006‑09‑28 (~20 years ago), indicating the provider has been active in the state Medicaid ecosystem for roughly two decades. That long tenure, combined with concentrated billing patterns, makes the provider an established, specialized participant within its service niche.

From a payer/benchmarking perspective, the combination of extreme‑outlier ranks for several codes (H2014, T1002, M0299) plus the 74.5% revenue concentration in three codes means this provider will stand out in utilization comparisons and should be treated as a specialized provider when setting rate benchmarks or conducting utilization reviews. The pattern is consistent with a focused IDD residential and community‑support operator rather than a generalist behavioral‑health or medical provider.

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	53,090	$860	$45.7M
H2014	Skills training and development, per 15 minutes	118,030	$50	$5.9M
M0150	N/A	35,190	$160	$5.7M
M0152	N/A	18,690	$180	$3.3M
M0167	N/A	19,940	$160	$3.2M
T2020	Day habilitation, waiver; per diem	13,430	$160	$2.1M
M0116	N/A	45,460	$30	$1.5M
M0123	N/A	16,740	$80	$1.3M
H2019	Therapeutic behavioral services, per 15 minutes	12,020	$90	$1.1M
M0151	N/A	4,710	$200	$938.1K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Rock House Support Services, Inc. — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	47	430	5,020	$270	$5.6M
M0150	N/A	3	80	6,450	$160	$1.4M
H2014	Skills training and development, per 15 minutes	8	560	9,630	$80	$1.4M
M0151	N/A	6	10	6,170	$200	$1.4M
M0152	N/A	3	40	5,390	$170	$1.3M
M0149	N/A	5	10	5,440	$150	$1M
M0167	N/A	3	40	5,570	$150	$1M
M0123	N/A	30	190	7,520	$80	$861.3K
M0125	N/A	29	70	6,600	$90	$810.4K
M0122	N/A	79	120	6,320	$70	$648K

Showing 1–10 of 27

Nearby Providers

Other providers in the same ZIP code as Rock House Support Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kevin Vanden Berge	TX	Orthopaedic Surgery Physician	$408.2K	$0
Matthew Maruska	TX	Sports Medicine (Family Medicine) Physician	$304.3K	$0
William Evans	TX	Orthopaedic Surgery Physician	$237.9K	$0
Cross Timbers Imaging	TX	Radiology Clinic/Center	$185.9K	$0
Tanglewood Pharmacy Inc	TX	Community/Retail Pharmacy	$56.5K	$0
Kari Horton	TX	Occupational Therapist	$10.6K	$0

Rock House Support Services, Inc. — Billing Profile & Reimbursement Data

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Rock House Support Services, 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

Nearby Providers

Frequently Asked Questions

References