Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Southeast Kansas Independent Living Resource Center INC

Case Manager/Care Coordinator·Parsons, KS·NPI: 1275683260SharePrint Report

Red Flags Explained

Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

Consistent Billing

Consistent Billing means this provider's monthly billing amounts show almost no natural variation. Real medical practices tend to have some fluctuation in monthly billing, so unnaturally steady billing can indicate automated or fabricated claims.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Risk Assessment

Bills $565.39 per claim for T2021 (Day habilitation, waiver; per 15 min) — 3.8× the national median of $150.51.

Bills $1,459.30 per claim for T2016 (Habilitation, residential, waiver; per diem) — 4.4× the national median of $331.94.

Bills $168.29 per claim for S5135 (Companion care, adult, per diem) — 3.2× the national median of $52.25.

This is a statistical summary, not an accusation. See our methodology.

Compared to Case Manager/Care Coordinator Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $133.1M is at the 75th percentile among 16 Case Manager/Care Coordinator providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$133.1M

$133,138,287

Total Claims

1.5M

Beneficiaries

143K

10.8 claims/patient

Avg Cost/Claim

$86

#858 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Southeast Kansas Independent Living Resource Center INC is a Case Manager/Care Coordinator provider based in Parsons, KS. From the 2018–2024 period, this provider received $133.1M in Medicaid payments across 1.5M claims.

Why This Matters

This provider received $133.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,642 Medicaid beneficiaries for a full year at average per-enrollee costs.

8% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$19.3M
+2%
2019
$19.6M
-1%
2020
$19.5M
-3%
2021
$18.9M
-3%
2022
$18.4M
+7%
2023
$19.8M
-10%
2024
$17.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 61% of total spending.

S5125Normal range

Attendant care services, per 15 min

$81.5M

1.0M claims · 61.2%

Your Cost: $80.25/claim|Median: $82.34
1.0× median
T2025Normal range

Waiver services, NOS; per 15 min

$25.3M

286K claims · 19.0%

Your Cost: $88.23/claim|Median: $124.39
0.7× median
T1019Normal range

Personal care services, per 15 min

$15.7M

168K claims · 11.8%

Your Cost: $93.23/claim|Median: $82.47
1.1× median
T2040Normal range

Financial management, self-directed; per month

$8.4M

65K claims · 6.3%

Your Cost: $130.09/claim|Median: $108.97
1.2× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$1.2M

2K claims · 0.9%

Your Cost: $565.39/claim|Median: $150.51
3.8× median
T2016Top 25%

Habilitation, residential, waiver; per diem

$886K

607 claims · 0.7%

Your Cost: $1,459.30/claim|Median: $331.94
4.4× median
S5135Top 25%

Companion care, adult, per diem

$145K

861 claims · 0.1%

Your Cost: $168.29/claim|Median: $52.25
3.2× median
T1017Normal range

Targeted case management, per 15 min

$7K

162 claims · 0.0%

Your Cost: $41.55/claim|Median: $69.56
0.6× median
A0425Top 25%

Ground mileage, per statute mile

$4K

69 claims · 0.0%

Your Cost: $64.93/claim|Median: $23.36
2.8× median
T2003Normal range

Non-emergency transport; encounter/trip

$3K

164 claims · 0.0%

Your Cost: $16.60/claim|Median: $21.70
0.8× median
T1016Normal range

Case management, each 15 min

$583

45 claims · 0.0%

Your Cost: $12.96/claim|Median: $49.62
0.3× median