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.

The Arc Of The Ozarks (NPI 1043420656)

Field	Value
Entity Type	Organization
Organization	The Arc Of The Ozarks
Address	1501 E Pythian St
City	Springfield
State	MO
ZIP	65802
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	May 23, 2007

Payer Source	Total Paid
Medicaid	$95.9M
Medicare	$0

Key Findings

THE ARC OF THE OZARKS is effectively a single-payer provider: it has no Medicare billing on file and reports $95.9M in lifetime Medicaid revenue, indicating that Medicaid is the primary and near-exclusive revenue source for this entity. The absence of Medicare activity suggests analysts should treat Medicaid policy and waiver changes as the primary financial levers for this provider's performance.

Revenue is extremely concentrated in a single service line: the top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, with T2016 alone representing $94.5M revenue (98.6% of this provider's total Medicaid revenue). This concentration implies that fluctuations in utilization, reimbursement, or eligibility for T2016 would have outsized effects on overall revenue.

The code mix and volumes indicate the organization operates primarily as a residential habilitation provider for individuals with intellectual/developmental disabilities: T2016 (T2016 – Habilitation, residential, waiver; per diem) shows 194.1K claims, $487 avg paid/claim, $94.5M revenue, which aligns with per-diem residential waiver services as the core business. Supporting activities billed — notably T2001 and T1002 — are consistent with non-emergency transportation and routine nursing services that usually accompany residential care settings.

Competitive standing within Missouri is strong for its core service: for T2016 the provider ranks #9 of 193 in-state (96th percentile), which the data labels as notably above typical state volume for this code and positions the organization as a major statewide provider of residential habilitation. T2001 also ranks highly (#8 of 150, 95th percentile), reinforcing its role as a prominent provider of attendant/escort transport services; by contrast T1002 ranks #27 of 195 (87th percentile), a more typical statewide volume for nursing services.

The provider reports substantial operational throughput in ancillary services that support residential care: T2001 shows 6.7K claims with $138 avg paid/claim and $923.1K revenue, while T1002 shows 7.1K claims with $56 avg paid/claim and $398.6K revenue. These claim counts suggest routine use of attendant/escort transport and short-interval RN services across the census, consistent with a staffed residential program.

There is a measurable but immaterial contribution from some transportation modalities: A0120 records 110 claims, $237 avg paid/claim, $26.1K revenue (0.0% of the provider's total Medicaid revenue) and ranks at the 17th percentile in-state, indicating these specific transport services are used infrequently and are not a meaningful revenue driver. Analysts evaluating service mix should treat A0120 as negligible relative to core habilitation per-diem revenue.

Given the NPI enumeration date of 2007-05-23 (~19 years ago), THE ARC OF THE OZARKS has an established operational history in the market. That tenure, combined with its high ranks on core codes, suggests a stable presence in Missouri's residential waiver ecosystem rather than a recent entrant.

From a risk and business-planning perspective, the provider's near-total dependence on T2016 (98.6% of Medicaid revenue) creates concentration risk: policy changes to waiver rules, occupancy declines, or shifts in per-diem reimbursement for residential habilitation could materially affect financial stability. Conversely, the strong in-state ranking for T2016 and the sizeable claim volume provide scale advantages for operational management of residential services and contracting leverage with state programs.

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	194,100	$490	$94.5M
T2001	Non-emergency transportation; patient attendant/escort	6,690	$140	$923.1K
T1002	Rn services, up to 15 minutes	7,120	$60	$398.6K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	110	$240	$26.1K

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

The Arc Of The Ozarks — 2 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	9	190	38,330	$450	$27M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	99	120	730	$60	$585.2K
T2001	Non-emergency transportation; patient attendant/escort	8	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	27	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as The Arc Of The Ozarks, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of The Ozarks	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$98M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$72.6M
The Arc Of The Ozarks	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$64.6M
Nova Center Of The Ozarks Inc.	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$50.5M
Mercy Hospital Springfield	MO	Land Ambulance	$0	$46.7M
The Arc Of The Ozarks	MO	Community/Behavioral Health Agency	$0	$20.1M
Developmental Center Of The Ozarks	MO	Developmentally Disabled Services Day Training Agency	$0	$14.5M
Forensic Testing Services, LLC	MO	Durable Medical Equipment & Medical Supplies	$0	$13.4M
Holloman Care Cds LLC	MO	Home Health Agency	$0	$11.3M
Advocates For A Healthy Community, Inc.	MO	Federally Qualified Health Center (FQHC)	$0	$3.8M

The Arc Of The Ozarks — Billing Profile & Reimbursement Data

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The Arc Of The Ozarks — 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