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.

Complete Health Care Solutions, Inc (NPI 1134271885)

Field	Value
Entity Type	Organization
Organization	Complete Health Care Solutions, Inc
Address	303 S Main St
City	Fayette
State	MO
ZIP	65248
Taxonomy	Assisted Living Facility (Behavioral Disturbances)
NPI Enumerated	January 16, 2007

Payer Source	Total Paid
Medicaid	$66.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation with no Medicare billing on file (listed as "none") and $66.9M in lifetime Medicaid revenue, indicating near-exclusive dependence on Medicaid payer streams rather than a mixed Medicare/Medicaid business model. That concentration creates a profile where Medicaid policy, waiver rates, and state-level contracting will be the primary determinants of revenue and utilization trends for this entity.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes account for 99.4% of this provider's total Medicaid revenue, signaling that a very small set of services drives almost all reported income. The dominant share is T2016 (Habilitation, residential, waiver) at $62.7M, 175.8K claims and $357 avg paid/claim, which alone represents 93.8% of the provider's Medicaid revenue, underlining a single-service dependency risk and operational focus.

Service-line implications from the top codes point to a residential habilitation and day-program model: T2016 (residential habilitation/waiver) is the primary revenue engine and T2021 (Day habilitation, waiver; per 15 minutes) contributes a smaller but meaningful programmatic complement ($3.3M revenue, 16.8K claims, $196 avg paid/claim). This mix aligns with the listed taxonomy (Assisted Living Facility, Behavioral Disturbances) and suggests the provider operates primarily as a residential habilitation facility with associated day habilitation services rather than as an acute medical or Medicare-oriented practice.

Operational support services are present but marginal to revenue: T2001 (Non-emergency transportation; patient attendant/escort) yields $433.6K and 4.9K claims (0.6% of Medicaid revenue), and T1002 (RN services, up to 15 minutes) yields $419.6K and 20K claims (0.6%). These volumes indicate routine ancillary services (transport and nursing visits) are used to support the habilitation programs but do not materially diversify the provider's revenue base.

Competitive standing by state benchmarks is mixed: for the top revenue driver T2016 the provider ranks #11 of 193 in-state (95th percentile), which places it among the leading providers for residential habilitation services statewide even though the underlying label supplied with the data describes this as "typical, unremarkable volume for this code." For T2001 the provider ranks #13 of 150 (92th percentile) and for T1002 it ranks #3 of 195 (99th percentile), showing above-average utilization for certain ancillary codes despite limited revenue share.

Statistical characterization should be read with nuance: although multiple codes show high percentile ranks (e.g., T2016 at the 95th percentile and T1002 at the 99th percentile), the dataset itself tags these as "typical, unremarkable volume" for those codes, indicating that relative statewide concentration does not necessarily imply atypical practice patterns beyond an expected range for this service type. Analysts should therefore interpret high rank-percentiles in the context of code-specific norms and the provider's programmatic focus on waiver habilitation.

Tenure and stability: the provider's NPI was enumerated 2007-01-16 (~19 years ago), indicating long-standing operation in the market. That longevity, combined with a concentrated Medicaid revenue base heavily weighted toward T2016, suggests established operations in residential habilitation but also exposure to changes in Medicaid waiver policies or reimbursement for that single dominant service code.

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
T2016	Habilitation, residential, waiver; per diem	175,750	$360	$62.7M
T2021	Day habilitation, waiver; per 15 minutes	16,850	$200	$3.3M
T2001	Non-emergency transportation; patient attendant/escort	4,930	$90	$433.6K
T1002	Rn services, up to 15 minutes	19,980	$20	$419.6K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	110	$50	$5.1K

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

Complete Health Care Solutions, Inc — 1 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	11	190	38,330	$450	$27M
T2021	Day habilitation, waiver; per 15 minutes	88	170	18,890	$180	$5.4M
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	13	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	3	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as Complete Health Care Solutions, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Endless Options, Inc.	MO	Developmentally Disabled Services Day Training Agency	$0	$5.7M
Howard County Sheltered Services Board	MO	Case Management Agency	$0	$4.1M
Rachel Hanson	MO	Physical Therapist	$59.1K	$0

Complete Health Care Solutions, Inc — Billing Profile & Reimbursement Data

Sign up for Complete Health Care Solutions, Inc — Billing Profile & Reimbursement Data policy alerts

Complete Health Care Solutions, Inc — Billing Profile & Reimbursement Data

Sign up for Complete Health Care Solutions, Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References