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.

Life Patterns (NPI 1831363324)

Field	Value
Entity Type	Organization
Organization	Life Patterns
Address	3625 Sw 29th St
City	Topeka
State	KS
ZIP	66614
Taxonomy	Child Intellectual and/or Developmental Disabilities Respite Care
NPI Enumerated	April 16, 2008

Payer Source	Total Paid
Medicaid	$144.4M
Medicare	$0

Key Findings

LIFE PATTERNS appears to be a community-based provider focused on time-based personal and attendant care and self-directed waiver support, as reflected by its top codes: T1019 (personal care services), S5125 (attendant care services), and T2040 (financial management, self-directed, waiver). The code mix—dominance of per-15-minute service codes plus a financial-management waiver code—is consistent with an operation that delivers high-volume in-home or community personal support and also supports self-directed waiver arrangements for beneficiaries with intellectual and developmental disabilities.

This provider’s Medicaid revenue is highly concentrated: Total Medicaid revenue is $144.4M and the precomputed top three codes (T1019, S5125, T2040) account for 95.6% of that total. In particular, T1019 alone represents $107.2M (74.2% of the provider’s Medicaid revenue), indicating that a single service line is the primary revenue driver.

LIFE PATTERNS has no Medicare billing on file, so its commercial/payer exposure is effectively single-payer Medicaid-driven at present (noted as “none (no Medicare billing on file)” and $144.4M Medicaid lifetime revenue). This makes the organization’s financial profile highly sensitive to Medicaid policy, rate, and program changes rather than Medicare trends.

On competitive standing for its largest code, T1019, LIFE PATTERNS ranks #2 of 55 providers in-state (98th percentile) and is described as an extreme outlier, far above typical state volume for this code. That ranking indicates the provider is a dominant state-level player for personal care services billed under T1019 and likely commands a disproportionately large share of time-based personal care volume in Kansas.

For its second- and third-largest codes, S5125 (attendant care) and T2040 (financial management, self-directed waiver), the provider reports $20.1M (13.9%) and $10.8M (7.5%) respectively. S5125 ranks #14 of 197 providers in-state (93th percentile; typical, unremarkable volume for this code) and T2040 ranks #4 of 19 providers in-state (83th percentile; typical, unremarkable volume for this code), suggesting solid but not exceptional competitive positions for attendant care and waiver financial-management services.

Smaller supporting lines include T2025 reported at $5.8M (4.0% of Medicaid revenue) and H0045 at $536.4K (0.4% of Medicaid revenue); T2025 ranks #9 of 28 providers (70th percentile; typical, unremarkable) while H0045 ranks #2 of 3 providers in-state (50th percentile; typical, unremarkable). These figures indicate some service-line breadth beyond the top three codes but that secondary lines are minor contributors to total Medicaid revenue.

The provider’s NPI was enumerated on 2008-04-16 (~18 years ago), indicating a long tenure in the market. Combined with the large, concentrated Medicaid footprint—especially the T1019 outlier position—this tenure suggests established operational capacity to deliver high-volume personal care services, but also a strategic vulnerability to any changes in Medicaid coverage or rates affecting time-based personal care codes.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	1,072,180	$100	$107.2M
S5125	Attendant care services; per 15 minutes	220,370	$90	$20.1M
T2040	Financial management, self-directed, waiver; per 15 minutes	77,340	$140	$10.8M
T2025	Waiver services; not otherwise specified (nos)	62,720	$90	$5.8M
H0045	Respite care services, not in the home, per diem	5,590	$100	$536.4K

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

Life Patterns — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	2	60	21,510	$90	$8.5M
T2025	Waiver services; not otherwise specified (nos)	9	30	44,470	$90	$7.2M
S5125	Attendant care services; per 15 minutes	14	200	1,110	$110	$5.9M
T2040	Financial management, self-directed, waiver; per 15 minutes	4	20	25,600	$130	$5.2M
H0045	Respite care services, not in the home, per diem	2	10	5,590	$100	$533.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Equi Venture Farms, LLC	KS	Developmentally Disabled Services Day Training Agency	$0	$64.2M
Loving Hearts Training Center	KS	Developmentally Disabled Services Day Training Agency	$0	$41.6M
Sunflower Supports Company	KS	Developmentally Disabled Services Day Training Agency	$0	$14.7M
Oak Creek Senior Living Inc	KS	Assisted Living Facility	$0	$5.7M
Ronald Bleidissel	KS	Case Manager/Care Coordinator	$0	$4.7M
Pearlie Mae's Compassion And Care	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.6M
Dream Catchers Cm	KS	Case Manager/Care Coordinator	$0	$3.8M
St Croix Hospice LLC	KS	Community Based Hospice Care Agency	$0	$3M
Vaughn Pediatric Dentistry LLC	KS	Pediatric Dentistry	$0	$2.1M
Heartland Hospice Services LLC	KS	Community Based Hospice Care Agency	$0	$1.7M

Life Patterns — Billing Profile & Reimbursement Data

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Life Patterns — 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