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

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

Wabash Center, Inc. (NPI 1811074966)

Field	Value
Entity Type	Organization
Organization	Wabash Center, Inc.
Address	2000 Greenbush St
City	Lafayette
State	IN
ZIP	47904
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$34.2M
Medicare	$0

Key Findings

WABASH CENTER, INC. reports $34.2M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid-focused) operation in the available claims data. This concentration on Medicaid billing means analyses of its financial health and market behavior should be driven by state waiver and Medicaid program changes rather than Medicare trends.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 90.0% of the provider's Medicaid revenue, driven primarily by T2016 (63.3%, $21.7M), T2033 (18.3%, $6.3M), and T2020 (8.4%, $2.9M). Those three codes together dominate the revenue profile, with the remainder of codes making up only a small fraction of total Medicaid receipts.

The code mix and code descriptions indicate the provider operates primarily as a residential and habilitation services organization: T2016 (Habilitation, residential, waiver; per diem) and T2033 (Residential care, nos, waiver; per diem) are the largest revenue drivers, while T2020 (Day habilitation, waiver; per diem), T2015 (habilitation, prevocational; per hour), and S5151 (unskilled respite) reflect complementary day services and support offerings. The average paid amounts — $2975 avg paid/claim for T2016, $910 for T2033, and $200 for T2020 — further signal that per-diem residential placements drive the highest-dollar billing events.

Competitive standing by code is mixed but generally within a typical statewide range: T2016 ranks #21 of 65 providers in-state (69th percentile) and is described as a typical, unremarkable volume for that code, while T2033 ranks higher at #9 of 52 (84th percentile) indicating a stronger presence in residential care. T2020 sits at #14 of 61 (78th percentile) and is also marked typical, so the provider appears to be a notable but not dominant in-state participant for its core residential and day habilitation services.

Because Medicare activity is absent, the payer mix is effectively 100% Medicaid in the available data, which concentrates reimbursement exposure to state Medicaid policies and waiver-rate settings. Analysts should treat any Medicaid rate or waiver policy changes as having a disproportionate impact on this provider compared with mixed-payer peers.

The provider has a long tenure in the NPI registry, enumerated on 2006-11-01 (~20 years ago), suggesting established operations and likely long-standing relationships with state waiver programs and local referral sources. That longevity supports operational stability but does not by itself indicate market dominance.

Across the secondary codes reported, statistically none are flagged as extreme outliers; most top codes are described as typical, unremarkable volume for the code despite some being in higher percentiles (for example, T2033 at the 84th percentile). This pattern suggests the provider’s activity levels are within expected state variation for developmental-disability waiver providers rather than representing anomalous billing behavior.

Operationally, the combination of high claim counts (7.3K claims for T2016, 6.9K for T2033, and 14.5K for T2020) and the large per-claim dollar for T2016 ($2975) means cashflow and revenue are driven by recurring per-diem placements and daily habilitation services. That profile makes the provider sensitive to per-diem payment rate changes, enrollment shifts in waiver programs, and utilization trends in residential versus day habilitation settings.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	7,280	$2,980	$21.7M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	6,880	$910	$6.3M
T2020	Day habilitation, waiver; per diem	14,450	$200	$2.9M
T2015	Habilitation, prevocational, waiver; per hour	2,710	$450	$1.2M
S5151	Unskilled respite care, not hospice; per diem	1,940	$540	$1M
T2002	Non-emergency transportation; per diem	4,770	$130	$634.8K
T2022	Case management, per month	2,960	$100	$298.6K
T2025	Waiver services; not otherwise specified (nos)	1,300	$150	$199.9K
0012A	N/A	100	$40	$3.8K
0011A	N/A	110	$20	$2.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Wabash Center, Inc. — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	21	70	3,190	$630	$14.7M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	9	50	1,090	$180	$2.3M
T2020	Day habilitation, waiver; per diem	14	60	5,550	$110	$1.4M
S5151	Unskilled respite care, not hospice; per diem	13	40	970	$220	$1.3M
T2022	Case management, per month	21	100	710	$180	$1.1M
T2015	Habilitation, prevocational, waiver; per hour	17	20	5,180	$80	$733.4K
T2002	Non-emergency transportation; per diem	20	70	2,190	$50	$319.8K
T2025	Waiver services; not otherwise specified (nos)	8	20	850	$140	$173.4K
0012A	N/A	49	180	30	$10	$5.6K
0011A	N/A	53	190	40	$1	$5.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Oaks Health Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$135.3M
Community Ventures In Living, Ltd.	IN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$34M
Riggs Community Health Center Inc	IN	Federally Qualified Health Center (FQHC)	$0	$22.2M
Franciscan Health Lafayette	IN	Land Ambulance	$1.4M	$8.8M
Help At Home, LLC	IN	Nursing Care Agency	$0	$8.3M
Lafayette School Corporation	IN	Local Education Agency (LEA)	$0	$5.3M
Lafayette Pediatric Dentistry & Orthodontics	IN	Dentist	$0	$4.1M
Rodney Kusumi	IN	Ophthalmology Physician	$2M	$0
Arnett Clinic, LLC	IN	Clinical Medical Laboratory	$330.3K	$1.1M
Matthew Orton	IN	Radiation Oncology Physician	$782.4K	$0

Wabash Center, Inc. — Billing Profile & Reimbursement Data

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Wabash Center, 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