Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJasper County Sheltered Facilities Assoc
    Ask Trek AI about this page

    Jasper County Sheltered Facilities Assoc — Billing Profile & Reimbursement Data

    NPI 1306960075 · Joplin, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

    Customize your policy alerts

    Sign up for Jasper County Sheltered Facilities Assoc — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Jasper County Sheltered Facilities Assoc is a intellectual and/or developmental disabilities community based residential treatment facility provider located in Joplin, Missouri. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationJasper County Sheltered Facilities Assoc
    Address2312 Annie Baxter Ave
    CityJoplin
    StateMO
    ZIP64804
    TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
    NPI EnumeratedMarch 19, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$62.1M
    Medicare$0

    Key Findings

    This provider is effectively a single-payer operation: there is no Medicare billing on file while Total Medicaid revenue is $62.1M, indicating Medicaid is the exclusive revenue source recorded for this entity. Analysts should treat Medicaid policy and waiver payment changes as the primary financial drivers for this organization.

    Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and that total is entirely represented by T2016 (T2016 – Habilitation, residential, waiver; per diem) which is listed with $62.1M revenue. This concentration means a single service type dominates the revenue base.

    The Medicaid activity is dominated by T2016 with 116.1K claims and an average paid amount of $535 avg paid/claim, matching the $62.1M in revenue noted above. Those figures point to a high-volume, per-diem billing model rather than episodic or procedure-based care.

    Code-level and taxonomy alignment indicate the provider operates as a community-based residential habilitation service for individuals with intellectual and/or developmental disabilities: the listed taxonomy is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility and T2016’s description is habilitation, residential, waiver per diem. Together these data elements support classifying the business as residential, waiver-funded IDD habilitation services.

    On in-state competitive standing, the provider ranks #23 of 193 for T2016 (89th percentile) but the supplied label describes this volume as "typical, unremarkable volume for this code." This suggests the provider is one of the larger contributors in Missouri for this per-diem residential habilitation service without being a statewide market leader.

    Operational scale and utilization pattern are substantial: 116.1K claims for a single per-diem code implies sustained, day-to-day residential placements rather than short-term stays, and the $535 avg paid/claim indicates the per-diem reimbursement level to expect when benchmarking rates. These metrics are useful for comparing utilization intensity and average unit rates against other waiver-based residential providers.

    Given the provider’s NPI enumeration date of 2007-03-19 (~19 years ago), this is a long-tenured program in its community. Longevity combined with concentrated Medicaid revenue suggests stability in its core service line but also concentration risk tied to Medicaid waiver funding and per-diem rate changes, which should be considered in contracting and program monitoring analyses.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem116,090$540$62.1M

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Missouri median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem2319038,330$450$27M

    Nearby Providers

    Other providers in the same ZIP code as Jasper County Sheltered Facilities Assoc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ozark CenterMOCommunity/Behavioral Health Agency$0$165.3M
    Mercy Hospital JoplinMOGeneral Acute Care Hospital$0$46.7M
    The Arc Of The OzarksMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$44.5M
    Freeman-oak Hill Health SystemMOGeneral Acute Care Hospital$0$33.2M
    The Independent Living Center, Inc.MOAttendant Care Provider$0$24.7M
    Jasper County Sheltered Facilities BoardMOCase Management Agency$0$21.3M
    Mercy Clinic Joplin LLCMOFamily Medicine Physician$0$20.4M
    Freeman-oak Hill Health SystemMOMulti-Specialty Clinic/Center$0$14.7M
    Jasper County Sheltered Facilities AssocMODevelopmentally Disabled Services Day Training Agency$0$13.2M
    The Independent Living Center, Inc.MOPersonal Care Attendant$0$12.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Missouri Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Jasper County Sheltered Facilities Assoc — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri