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

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

K And C Stepping Stones, LLC (NPI 1770776106)

Field	Value
Entity Type	Organization
Organization	K And C Stepping Stones, LLC
Address	309 N Jefferson Ave
City	Springfield
State	MO
ZIP	65806
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	August 20, 2007

Payer Source	Total Paid
Medicaid	$54M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and the provider reports $54M in total Medicaid revenue, indicating Medicaid is the sole recorded federal payer driving scale for this entity. The absence of Medicare billing suggests the organization’s commercial and regulatory exposure is concentrated in Medicaid program rules and rates rather than dual-eligible or Medicare-specific dynamics.

Revenue is extremely concentrated in a small set of Medicaid codes: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, and a single code, T2016, represents 99.7% of the provider’s Medicaid receipts. That concentration implies the provider’s financial performance is highly sensitive to payment or policy changes affecting T2016.

The operational profile aligns with a residential habilitation model: T2016 (Habilitation, residential, waiver; per diem) accounts for 103.1K claims at a $522 avg paid/claim and $53.8M revenue, signaling per-diem, bed-based residential habilitation services consistent with the provider’s Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility taxonomy. The heavy reliance on a per-diem habilitation code points to census management, staffing for continuous care, and facilities/bed-capacity as core operational drivers.

Nursing services play a minor, ancillary role in the billings mix: T1002 (Rn services, up to 15 minutes) shows 2.2K claims at an $82 avg paid/claim and $176.6K revenue, comprising 0.3% of total Medicaid revenue. This suggests limited incremental billable skilled-nursing interactions relative to the dominant residential habilitation activity rather than a clinical-service-driven revenue base.

Competitive standing in-state for the dominant code is solid but not market-leading: T2016 ranks #29 of 193 providers in-state (85th percentile) and is labeled as "typical, unremarkable volume for this code," indicating the provider sits in the upper quartile of in-state volume for residential habilitation but is not an outlier or a dominant statewide leader. The provider’s position suggests it is a meaningful regional participant in Medicaid residential habilitation markets without being among the very largest.

The small share and ranking for T1002 (#85 of 195, 57th percentile) further underline a service mix focused on habilitation rather than episodic nursing revenue; this code’s description and percentile labeling as "typical, unremarkable volume for this code" confirm that nursing visits are a routine but secondary component of care delivery. Analysts should view nursing revenues as ancillary to the core per-diem model rather than as a growth driver.

Longstanding NPI tenure supports an established presence: the NPI was enumerated 2007-08-20 (~19 years ago), indicating the provider has an extended operating history in the Missouri Medicaid market. That tenure, combined with large cumulative T2016 volume (103.1K claims), points to sustained residential capacity rather than a new or transient market entrant.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	103,090	$520	$53.8M
T1002	Rn services, up to 15 minutes	2,150	$80	$176.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

K And C Stepping Stones, LLC — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	29	190	38,330	$450	$27M
T1002	Rn services, up to 15 minutes	85	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as K And C Stepping Stones, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advocates For A Healthy Community Inc	MO	Federally Qualified Health Center (FQHC)	$0	$23.2M
K And C Stepping Stones, LLC	MO	Personal Care Attendant	$0	$6.9M
Ashley Popejoy	MO	Pediatric Dentistry	$0	$5.3M
Advocates For A Healthy Community, Inc.	MO	Federally Qualified Health Center (FQHC)	$0	$4.9M
Great Circle	MO	Psychiatric Residential Treatment Facility	$0	$3.8M
Advocates For A Healthy Community, Inc.	MO	Federally Qualified Health Center (FQHC)	$0	$3.6M
Sarah Young	MO	Medical Physician Assistant	$101.6K	$0
Kia Washington	MO	Women's Health Nurse Practitioner	$130	$42.9K

K And C Stepping Stones, LLC — Billing Profile & Reimbursement Data

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K And C Stepping Stones, LLC — 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