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.

State Of Missouri (NPI 1124187760)

Field	Value
Entity Type	Organization
Organization	State Of Missouri
Address	821 E Admiral Blvd
City	Kansas City
State	MO
ZIP	64106
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	December 8, 2006

Payer Source	Total Paid
Medicaid	$105.9M
Medicare	$0

Key Findings

STATE OF MISSOURI (Developmentally Disabled Services Day Training Agency) has no Medicare billing on file and is effectively a single-payer Medicaid provider, reporting total Medicaid revenue of $105.9M. The absence of Medicare activity means its entire documented billing footprint and reimbursement risk are concentrated in Medicaid programs and associated waiver rules.

Revenue is extremely concentrated in a single Medicaid service line: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T1019 alone producing $105.5M (99.7% of the provider's Medicaid revenue). This concentration indicates the organization’s financial performance hinges overwhelmingly on one code and corresponding service model.

The code mix and dominant use of T1019 (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) indicate operations focused on high-volume personal care and day-support services for individuals with developmental disabilities rather than acute or episodic medical care. Supporting services appear minimal: T1016 (case management) and T2029 (specialized medical equipment, waiver) together represent only a sliver of revenue, implying the provider’s core competency is hands-on care delivery rather than ancillary medical equipment or extensive care management.

Operational scale is reflected by volume metrics for T1019: 599.7K claims with an average paid per claim of $176, producing $105.5M in revenue. That claim count for a per-15-minute service suggests a very high throughput of short-interval services and implies substantial ongoing workforce scheduling and capacity management to deliver sustained personal care at scale.

Competitive standing in-state for the dominant code is strong: T1019 ranks #26 of 1332 providers in Missouri (98th percentile; notably above typical state volume for this code), which positions the provider as a major statewide participant for personal care under Medicaid. By contrast, its positions on other billed codes are modest or negligible, so its market strength is narrowly focused on that single service.

Ancillary codes are present but immaterial to overall revenue. T1016 (Case management) shows 1.3K claims, $216 avg paid/claim, and $279.1K revenue (0.3% of total) and ranks #8 of 13 providers in-state (42th percentile; typical, unremarkable volume for this code); T2029 reports 110 claims, $294 avg paid/claim, and $32.3K revenue (0.0% of total) and ranks #33 of 41 (20th percentile; typical, unremarkable volume for this code). These figures indicate limited engagement in case management and equipment billing relative to the provider's dominant personal-care activity.

G9007 (Coordinated care fee, scheduled team conference) appears in the billing mix but is negligible in scale: 45 claims, $129 avg paid/claim, $5.8K revenue (0.0% of total) and ranks #2 of 2 providers in-state (0th percentile; typical, unremarkable volume for this code). Its presence reflects occasional multidisciplinary coordination payments but does not materially affect revenue or market position.

The provider’s NPI was enumerated on 2006-12-08 (~20 years ago), indicating a long-tenured presence in the state Medicaid market. Combined with the extreme reliance on Medicaid and on T1019 in particular, the organization appears established operationally but also exposed to payer-rate, waiver-design, or service-definition changes that would disproportionately affect its financials due to the narrow payer and code concentration.

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
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…	599,690	$180	$105.5M
T1016	Case management, each 15 minutes	1,290	$220	$279.1K
T2029	Specialized medical equipment, not otherwise specified, waiver	110	$290	$32.3K
G9007	Coordinated care fee, scheduled team conference	50	$130	$5.8K

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

State Of Missouri — 1 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
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…	26	1,330	6,550	$80	$4.6M
T2029	Specialized medical equipment, not otherwise specified, waiver	33	40	1,720	$200	$1.4M
T1016	Case management, each 15 minutes	8	10	1,710	$110	$304.2K
G9007	Coordinated care fee, scheduled team conference	2	10	190	$100	$19.5K

Nearby Providers

Other providers in the same ZIP code as State Of Missouri, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Freedom Care Mo LLC	MO	In Home Supportive Care Agency	$0	$72.4M
State Of Missouri	MO	Case Management Agency	$0	$14.6M
Compassion Home Care, LLC	MO	In Home Supportive Care Agency	$0	$4.6M
Golden Hearts Care LLC	MO	Adult Day Care Clinic/Center	$0	$4.3M
Hayley Coen	MO	Family Nurse Practitioner	$123.2K	$0

State Of Missouri — Billing Profile & Reimbursement Data

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State Of Missouri — 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