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.

Emmaus Homes Inc. (NPI 1376662536)

Field	Value
Entity Type	Organization
Organization	Emmaus Homes Inc.
Address	2200 W Randolph St
City	Saint Charles
State	MO
ZIP	63301
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	March 28, 2007

Payer Source	Total Paid
Medicaid	$164.1M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports total Medicaid revenue of $164.1M, making Medicaid effectively its primary (and near-exclusive) payer source. The absence of Medicare activity combined with the large Medicaid total indicates the organization operates almost entirely within state Medicaid programs rather than the Medicare fee-for-service market.

Revenue is highly concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes account for 99.8% of this provider's total Medicaid revenue. That concentration signals the business is structured around a narrow set of service lines rather than a broad mix of billable procedures.

T2016 drives the enterprise: with 425.6K claims, a $379 avg paid/claim and $161.3M in revenue, T2016 (Habilitation, residential, waiver; per diem) represents 98.3% of the provider’s Medicaid revenue. This code mix and per-diem billing pattern are consistent with a residential/intellectual and developmental disabilities (IDD) habilitation operator that bills daily residential habilitation services at scale.

T2016’s statewide positioning underscores the scale: the provider ranks #3 of 193 in-state for T2016 (99th percentile) and is described as an extreme outlier, indicating it delivers far more residential habilitation volume than typical peers. That market standing suggests the organization is a dominant regional operator for residential habilitation within Missouri.

Smaller but notable ancillary service lines support the residential model: T2001 (Non-emergency transportation; patient attendant/escort) shows 9.3K claims, $160 avg paid/claim and $1.5M in revenue (0.9% of Medicaid revenue), and ranks #4 of 150 (98th percentile; notably above typical). This pattern is consistent with frequent client transports or attendant escort services associated with a residential population.

Clinical support is present but not a primary revenue driver: T1002 (Rn services, up to 15 minutes) records 12.7K claims, a $75 avg paid/claim and $950.5K revenue (0.6% of Medicaid revenue), ranking #13 of 195 (94th percentile; typical, unremarkable volume). These nursing service claims appear to be ancillary to the core residential habilitation operations rather than a separate service line.

Additional transportation coding such as A0120 (mini-bus/mountain-area transports) accounts for 1.1K claims, a $309 avg paid/claim and $342.4K revenue (0.2% of Medicaid revenue), ranking #40 of 120 (67th percentile; typical, unremarkable volume). Together with T2001, these transportation codes reinforce a service model that includes organized group or facility-level transport rather than episodic outpatient travel.

The provider’s NPI was enumerated on 2007-03-28 (~19 years ago), indicating an established operational history. Given the extremely high concentration in T2016 (98.3% of Medicaid revenue) and the very large claim count for that code (425.6K claims), any changes in Medicaid residential habilitation policy, rates, or authorization practices could materially affect this organization’s revenue profile.

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	425,560	$380	$161.3M
T2001	Non-emergency transportation; patient attendant/escort	9,330	$160	$1.5M
T1002	Rn services, up to 15 minutes	12,670	$80	$950.5K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	1,110	$310	$342.4K

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

Emmaus Homes Inc. — 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	3	190	38,330	$450	$27M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	40	120	730	$60	$585.2K
T2001	Non-emergency transportation; patient attendant/escort	4	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	13	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as Emmaus Homes Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emmaus Homes Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.9M
Ssm Health Care St. Louis	MO	General Acute Care Hospital	$0	$12.4M
Best Strategies Healthcare LLC	MO	Home Health Agency	$0	$7.1M
Emmaus Homes Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.8M
Awesome Angels LLC	MO	In Home Supportive Care Agency	$0	$4.7M
Aiding In Home,llc	MO	Home Health Agency	$0	$3.9M
Bradley Selected Healthcare LLC	MO	In Home Supportive Care Agency	$0	$3.5M
Awesome Care LLC	MO	In Home Supportive Care Agency	$0	$3.5M
City Of St Charles	MO	Land Ambulance	$319.7K	$1.3M
St. Charles Surgery Center	MO	Ambulatory Surgical Clinic/Center	$1.3M	$60.8K

Emmaus Homes Inc. — Billing Profile & Reimbursement Data

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Emmaus Homes Inc. — 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