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.

Semo Alliance For Disability Independence (NPI 1033511761)

Field	Value
Entity Type	Organization
Organization	Semo Alliance For Disability Independence
Address	1913 Rusmar St
City	Cape Girardeau
State	MO
ZIP	63703
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	September 25, 2014

Payer Source	Total Paid
Medicaid	$9.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 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…	34,550	$160	$5.6M
T2021	Day habilitation, waiver; per 15 minutes	14,950	$230	$3.4M
A0110	Non-emergency transportation and bus, intra or inter state carrier	8,480	$20	$186.5K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	450	$180	$82.6K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	630	$80	$51.3K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	300	$170	$50.9K

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

Semo Alliance For Disability Independence — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	98	170	18,890	$180	$5.4M
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…	323	1,330	6,550	$80	$4.6M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	40	60	1,810	$160	$587.2K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	67	120	730	$60	$585.2K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	54	70	2,030	$140	$460.6K
A0110	Non-emergency transportation and bus, intra or inter state carrier	25	80	4,520	$10	$331.1K

Nearby Providers

Other providers in the same ZIP code as Semo Alliance For Disability Independence, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Counseling Center	MO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$91.4M
Saint Francis Medical Center	MO	General Acute Care Hospital	$0	$56.4M
Semo Alliance For Disability Independence, Inc.	MO	Attendant Care Provider	$0	$27.3M
Regency Management, Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$18M
Blue Sky Cimmunity Services	MO	Developmentally Disabled Services Day Training Agency	$0	$14M
Saint Francis Medical Center	MO	Internal Medicine Physician	$0	$11.7M
Crown Hospice Inc	MO	Community Based Hospice Care Agency	$0	$8.3M
Cape Radiology Group, P.C.	MO	Diagnostic Radiology Physician	$0	$5.5M
David Westrich	MO	Retina Specialist (Ophthalmology) Physician	$3.3M	$0
Doctors Park Surgery Inc	MO	Ambulatory Surgical Clinic/Center	$1.2M	$0

Semo Alliance For Disability Independence — Billing Profile & Reimbursement Data

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Semo Alliance For Disability Independence — 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