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.

Tri-ko. Inc. (NPI 1871648105)

Field	Value
Entity Type	Organization
Organization	Tri-ko. Inc.
Address	301 First Street
City	Osawatomie
State	KS
ZIP	66064
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 25, 2007

Payer Source	Total Paid
Medicaid	$37.9M
Medicare	$0

Key Findings

This provider records no Medicare billing on file (Total Medicare revenue: none) and is effectively a Medicaid-only operation with Total Medicaid revenue: $37.9M. The absence of Medicare activity means analyses of TRI-KO. INC. should focus on Medicaid program performance, waiver services, and state-level competitive dynamics rather than any Medicare mix or cross-subsidization effects.

Revenue for TRI-KO. INC. is highly concentrated: the precomputed top three Medicaid codes (T2016, T2021, T1017) account for 99.9% of its Medicaid revenue. Those three codes together produce the vast majority of the $37.9M Medicaid lifetime revenue, indicating a narrow service mix centered on a few waiver-related service lines rather than a broad array of Medicaid billing codes.

The provider taxonomy (Developmentally Disabled Services Day Training Agency) combined with the top codes signals an operational focus on habilitation and waiver services: T2016 (Habilitation, residential, waiver; per diem), T2021 (Day habilitation, waiver; per 15 minutes) and T1017 (Targeted case management, each 15 minutes). This mix suggests TRI-KO. INC. operates residential habilitation and day habilitation programs supported by targeted case management for waiver enrollees.

Claim- and payment-level metrics reinforce the service profile: T2016 shows 5.5K claims with $4509 avg paid/claim and $24.7M revenue; T2021 shows 6.5K claims with $1790 avg paid/claim and $11.6M revenue; T1017 shows 8.9K claims with $170 avg paid/claim and $1.5M revenue. The high avg paid/claim for T2016 aligns with per-diem residential billing, while the per-15-minute structure of T2021 and T1017 is reflected in higher claim counts and lower per-claim payments.

State competitive standing on the primary codes is generally modest: T2016 ranks #60 of 121 providers in-state (51th percentile; typical, unremarkable volume for this code), T2021 ranks #61 of 130 providers in-state (53th percentile; typical, unremarkable volume for this code), and T1017 ranks #85 of 218 providers in-state (61th percentile; typical, unremarkable volume for this code). These ranks place TRI-KO. INC. near the middle of the provider distribution for its largest revenue drivers, indicating it is neither a statewide dominant player nor an outlier on those core services.

One statistical exception is S5190 (Wellness assessment, performed by non-physician): 1.2K claims, $43 avg paid/claim, $53.2K revenue (0.1% of total) where TRI-KO. INC. ranks #5 of 52 providers in-state (92th percentile; notably above typical state volume for this code). Although S5190 contributes minimally to dollars, TRI-KO. INC. performs this assessment at a materially higher frequency than most peers, which could reflect programmatic emphasis on non-physician wellness screening within its population.

The provider has an established footprint: NPI enumerated (registered) 2007-01-25 (~19 years ago), indicating long-tenured participation in state waiver networks and a sustained Medicaid revenue stream. This tenure supports the interpretation that its current service mix and billing patterns are the result of an established operating model rather than a recent shift.

From a payer perspective, the combination of Medicaid-only exposure and very high revenue concentration in three waiver-related codes presents both contracting clarity and operational sensitivity: payers negotiating rates or managing utilization for waiver residential and day habilitation services will directly affect the bulk of TRI-KO. INC.'s revenue, while the provider’s modest statewide ranks on primary codes suggest limited market power in those negotiations.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	5,480	$4,510	$24.7M
T2021	Day habilitation, waiver; per 15 minutes	6,500	$1,790	$11.6M
T1017	Targeted case management, each 15 minutes	8,870	$170	$1.5M
S5190	Wellness assessment, performed by non-physician	1,240	$40	$53.2K

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

Tri-ko. Inc. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	60	120	5,080	$400	$13.8M
T2021	Day habilitation, waiver; per 15 minutes	61	130	5,710	$380	$6.2M
T1017	Targeted case management, each 15 minutes	85	220	5,390	$40	$599.4K
S5190	Wellness assessment, performed by non-physician	5	50	120	$40	$14.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Miami County Medical Center Inc.	KS	Rural Health Clinic/Center	$0	$2.4M
Cpf Senior Living - Osawatomiellc	KS	Assisted Living Facility	$0	$1.7M
Callie Callahan	KS	Adult Health Nurse Practitioner	$108.5K	$0
Cierra Dillard	KS	Family Nurse Practitioner	$96.2K	$0
Andy Eugene	KS	Psychiatry Physician	$53.3K	$0

Tri-ko. Inc. — Billing Profile & Reimbursement Data

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Tri-ko. 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