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

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

Kent-sussex Industries (NPI 1972933885)

Field	Value
Entity Type	Organization
Organization	Kent-sussex Industries
Address	301 N Rehoboth Blvd
City	Milford
State	DE
ZIP	19963
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	November 14, 2013

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Key Findings

KENT-SUSSEX INDUSTRIES shows $11.7M in lifetime Medicaid revenue and has no Medicare billing on file; this makes it effectively a Medicaid-only provider in the available dataset and signals its operations are concentrated in waiver-funded developmental disability services rather than Medicare-billable medical care. The absence of Medicare revenue should be treated as a structural feature of the business model rather than a gap in the Medicaid reporting.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 99.2% of this provider's total Medicaid revenue. Those three codes are T2020 (39.0% of Medicaid revenue), T2014 (35.6% of Medicaid revenue), and T2002 (24.7% of Medicaid revenue), indicating almost all Medicaid receipts come from a small set of waiver per-diem services.

The code mix (T2020 – Day habilitation, waiver; T2014 – Habilitation, prevocational, waiver; T2002 – Non-emergency transportation) is consistent with a Developmentally Disabled Services Day Training Agency: large per-diem habilitation volumes and substantial transportation services support a model focused on day habilitation and prevocational programming. Claim volumes are large: 45.1K claims for T2020 at $101 avg paid/claim ($4.6M revenue), 55.4K claims for T2014 at $75 avg paid/claim ($4.2M revenue), and 48K claims for T2002 at $60 avg paid/claim ($2.9M revenue), which together imply high daily service throughput and integrated transport capacity.

KENT-SUSSEX is a statewide outlier on transportation: T2002 ranks #1 of 13 providers in-state and is flagged as an "extreme outlier, far above typical state volume for this code," indicating the organization is the dominant in-state provider for non-emergency transportation within this service category. That dominance suggests transportation is a key operational capability and a material revenue driver relative to peers.

By contrast, its habilitation services are mid-ranking within the state: T2020 ranks #4 of 11 (70th percentile) and T2014 ranks #2 of 4 (67th percentile), both labeled as "typical, unremarkable volume for this code." These rankings indicate that while habilitation and prevocational services generate the largest shares of revenue, the provider is not substantially above peers on those specific per-diem habilitation lines.

A small additional transport code, T2004 (13.3K claims, $7 avg paid/claim, $92.9K revenue, 0.8% of Medicaid revenue), ranks #3 of 7 in-state and is also characterized as typical. Its tiny revenue share underscores that the provider's Medicaid business is dominated by the three primary waiver/per-diem codes, and that other billing lines play only a marginal role.

The payer mix concentration creates operational and financial dependence on Medicaid waiver funding and per-diem reimbursement; with $11.7M coming entirely from Medicaid and no Medicare receipts on file, revenue exposure is tied closely to state waiver policies, rate-setting, and transportation utilization patterns. Analysts should view changes in waiver rules or transportation reimbursement as having outsized impact on this provider's financials relative to more diversified peers.

KENT-SUSSEX has an NPI enumeration date of 2013-11-14 (~13 years ago), indicating a stable, established presence in the market. Combined with the high absolute claim counts across its top codes, this tenure and sustained volume point to an operational scale capable of serving a sizable caseload of individuals receiving day habilitation, prevocational supports, and non-emergency transport.

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
T2020	Day habilitation, waiver; per diem	45,080	$100	$4.6M
T2014	Habilitation, prevocational, waiver; per diem	55,350	$80	$4.2M
T2002	Non-emergency transportation; per diem	47,970	$60	$2.9M
T2004	Non-emergency transport; commercial carrier, multi-pass	13,270	$10	$92.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Kent-sussex Industries — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2020	Day habilitation, waiver; per diem	4	10	19,250	$120	$6.3M
T2014	Habilitation, prevocational, waiver; per diem	2	10	46,520	$70	$3.4M
T2002	Non-emergency transportation; per diem	1	10	5,750	$50	$448.8K
T2004	Non-emergency transport; commercial carrier, multi-pass	3	10	11,330	$10	$187.5K

Nearby Providers

Other providers in the same ZIP code as Kent-sussex Industries, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayhealth Medical Center, Inc.	DE	General Acute Care Hospital	$0	$39.5M
Banyan Delaware LLC	DE	Substance Abuse Rehabilitation Facility	$0	$30.9M
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$28.5M
Epic Health Services (de), LLC	DE	Home Health Agency	$0	$19.3M
Delaware Pediatric Dentistry	DE	Pediatric Dentistry	$0	$18.1M
Nurses 'n Kids Of Milford, Inc.	DE	Medically Fragile Infants and Children Day Care	$0	$9.5M
Prn Staffers Inc	DE	Home Health Agency	$0	$7.6M
People's Place Ii, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.9M
Bayhealth Medical Center, Inc.	DE	Clinic/Center	$0	$3.7M
La Red Health Center, Inc.	DE	Federally Qualified Health Center (FQHC)	$0	$2.7M

Kent-sussex Industries — Billing Profile & Reimbursement Data

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Kent-sussex Industries — 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