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

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

Community Alternatives Missouri, Inc. (NPI 1033273362)

Field	Value
Entity Type	Organization
Organization	Community Alternatives Missouri, Inc.
Address	12825 Flushing Meadows Dr Ste 200
City	Saint Louis
State	MO
ZIP	63131
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	December 21, 2006

Payer Source	Total Paid
Medicaid	$48.8M
Medicare	$0

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	91,120	$490	$44.2M
S5136	Companion care, adult (e.g., iadl/adl); per diem	14,910	$270	$4M
T2001	Non-emergency transportation; patient attendant/escort	2,190	$160	$344.5K
T1002	Rn services, up to 15 minutes	3,430	$60	$219.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Community Alternatives Missouri, Inc. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	37	190	38,330	$450	$27M
S5136	Companion care, adult (e.g., iadl/adl); per diem	11	10	18,080	$240	$15.9M
T2001	Non-emergency transportation; patient attendant/escort	44	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	59	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as Community Alternatives Missouri, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nextra Health, Inc.	MO	Durable Medical Equipment & Medical Supplies	$0	$25.4M
Support Innovations Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.8M
Special School District Of St. Louis County	MO	Local Education Agency (LEA)	$0	$4.8M
Sona Kamat	MO	Rheumatology Physician	$4.1M	$0
Des Peres Eye Surgery Center, LLC	MO	Ambulatory Surgical Clinic/Center	$3.5M	$162.2K
Family Hire LLC	MO	In Home Supportive Care Agency	$0	$3.6M
Richard Divalerio	MO	Rheumatology Physician	$1.4M	$0
Ying Du	MO	Rheumatology Physician	$1.4M	$0
Lizette Alvarez	MO	Physical Medicine & Rehabilitation Physician	$1.3M	$0
Manchester Ambulatory Surgery Center LP	MO	Ambulatory Surgical Clinic/Center	$848.9K	$0

Community Alternatives Missouri, Inc. — Billing Profile & Reimbursement Data

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Community Alternatives Missouri, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References