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.

Madison County Council For Developmentally Disabled (NPI 1043344229)

Field	Value
Entity Type	Organization
Organization	Madison County Council For Developmentally Disabled
Address	610 S Chamber Dr
City	Fredericktown
State	MO
ZIP	63645
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 16, 2007

Payer Source	Total Paid
Medicaid	$14M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 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…	27,760	$340	$9.4M
T2016	Habilitation, residential, waiver; per diem	6,110	$400	$2.4M
T2021	Day habilitation, waiver; per 15 minutes	12,240	$180	$2.1M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	1,360	$50	$62.3K
T1002	Rn services, up to 15 minutes	530	$10	$5.3K

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

Madison County Council For Developmentally Disabled — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	163	190	38,330	$450	$27M
T2021	Day habilitation, waiver; per 15 minutes	105	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…	368	1,330	6,550	$80	$4.6M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	32	120	730	$60	$585.2K
T1002	Rn services, up to 15 minutes	146	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as Madison County Council For Developmentally Disabled, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Covenant Care Services, LLC	MO	Attendant Care Provider	$0	$103.7M
Faith Tabernacle World Outreach Inc	MO	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$12.8M
Safe Harbor Hospice, LLC	MO	Community Based Hospice Care Agency	$0	$5.1M
Covenant Care Services, LLC	MO	Licensed Practical Nurse	$0	$4.7M
Madison County Service Coordination Inc	MO	Case Management Agency	$0	$4.1M
Madison County Ambulance District	MO	Ambulance	$251K	$1.1M
Michael Robbins	MO	Family Medicine Physician	$86K	$25.3K
Nicole Sokolic	MO	Speech-Language Pathologist	$37.8K	$0
Kelsey Kinneman	MO	Family Nurse Practitioner	$27.5K	$710

Madison County Council For Developmentally Disabled — Billing Profile & Reimbursement Data

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Madison County Council For Developmentally Disabled — 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