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.

Supported Living And Employment Services, Inc. (NPI 1386022101)

Field	Value
Entity Type	Organization
Organization	Supported Living And Employment Services, Inc.
Address	2885 W Battlefield St
City	Springfield
State	MO
ZIP	65807
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	May 13, 2015

Payer Source	Total Paid
Medicaid	$276.6M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $276.6M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) operation at scale. Analysts should treat Medicaid policy, waiver rules, and state-level contracting as the primary drivers of revenue and risk for this entity rather than Medicare dynamics.

Revenue is highly concentrated: the top three Medicaid codes account for 93.9% of the provider’s Medicaid revenue, with T2016 alone representing $235.7M (85.2% of Medicaid revenue). That level of concentration around a single per-diem habilitation code indicates the business model is anchored to residential habilitation payments.

The reported code mix (T2016, T1019, T2021, H2023, H2025) aligns with the provider’s taxonomy as an Intellectual and/or Developmental Disabilities community-based residential treatment facility. High-volume T2016 (per diem habilitation/residential waiver) together with frequent per-15-minute codes for personal care, day habilitation, supported employment and ongoing employment supports suggests operations centered on residential habilitation plus bundled day and employment services for individuals with IDD.

T2016 billing positions the provider as a statewide leader for residential habilitation: it ranks #2 of 193 providers in-state (99th percentile) and is flagged an extreme outlier far above typical state volume for this code. That ranking signals market dominance for waiver residential per-diem services in Missouri and makes this provider a direct comparator for payers benchmarking high-volume residential habilitation sites.

The provider also shows concentrated leadership in employment and transportation supports: H2025 (ongoing support to maintain employment) ranks #1 of 14 providers in-state (100th percentile; extreme outlier) and T2001 (non-emergency transportation; patient attendant/escort) ranks #1 of 150 providers in-state (100th percentile; extreme outlier). H2023 (supported employment) ranks #2 of 34 (97th percentile; notably above typical state volume), indicating a strategic strength in employment-related services and client transport that complements its residential offerings.

Several other frequently billed codes display more typical in-state participation: T1019 (personal care services) generates $15.9M and ranks #150 of 1332 providers in-state (89th percentile), while T2021 (day habilitation) generates $8M and ranks #34 of 167 (80th percentile). These placements suggest the provider participates at scale in routine community supports, but these services are secondary to the dominant residential per-diem revenue stream.

The organization’s NPI was enumerated on 2015-05-13 (~11 years ago), indicating roughly a decade of billing history. That tenure combined with very large Medicaid volumes suggests established operational capacity in waiver administration and service delivery rather than a nascent entrant.

From a payer and competitive standpoint, the provider’s dependence on a few waiver-linked codes creates concentrated exposure: shifts in T2016 reimbursement, eligibility criteria, or waiver rules would materially affect its revenue profile. For payers evaluating network strategy or rate setting, the provider should be treated as a major, specialized Medicaid partner for residential habilitation and employment/transportation supports rather than a diversified multi-payer outpatient provider.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	474,200	$500	$235.7M
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…	96,030	$170	$15.9M
T2021	Day habilitation, waiver; per 15 minutes	46,770	$170	$8M
H2023	Supported employment, per 15 minutes	30,070	$200	$5.9M
S5108	Home care training to home care client, per 15 minutes	40,900	$80	$3.1M
H2025	Ongoing support to maintain employment, per 15 minutes	18,470	$140	$2.5M
T2001	Non-emergency transportation; patient attendant/escort	19,120	$130	$2.4M
T1002	Rn services, up to 15 minutes	19,820	$60	$1.2M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	7,450	$100	$774.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	3,380	$100	$337.6K

Showing 1–10 of 22

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

Supported Living And Employment Services, Inc. — 6 of 22 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	2	190	38,330	$450	$27M
T2021	Day habilitation, waiver; per 15 minutes	34	170	18,890	$180	$5.4M
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…	150	1,330	6,550	$80	$4.6M
H2023	Supported employment, per 15 minutes	2	30	3,120	$180	$1.4M
T2003	Non-emergency transportation; encounter/trip	18	20	2,300	$20	$1.3M
S5108	Home care training to home care client, per 15 minutes	3	40	6,430	$70	$794.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	8	120	730	$60	$585.2K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	9	70	2,030	$140	$460.6K
A0110	Non-emergency transportation and bus, intra or inter state carrier	42	80	4,520	$10	$331.1K
T1016	Case management, each 15 minutes	4	10	1,710	$110	$304.2K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Supported Living And Employment Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easy Living Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$183.2M
Lester E Cox Medical Centers	MO	General Acute Care Hospital	$0	$112.3M
Healthcare Services Of The Ozarks, Inc	MO	Home Health Agency	$0	$60.3M
Mercy Clinic Springfield Communities	MO	Family Medicine Physician	$0	$51.5M
Abilities First	MO	Case Management Agency	$0	$45.8M
Southwest Center For Independent Living	MO	In Home Supportive Care Agency	$0	$45.3M
Lester E Cox Medical Centers	MO	Land Ambulance	$0	$25.8M
Seniorage Area Agency On Aging	MO	Case Management Agency	$0	$19.2M
Maxim Healthcare Services, Inc.	MO	Home Health Agency	$0	$17.7M
Lester E Cox Medical Centers	MO	Family Medicine Physician	$0	$17M

Supported Living And Employment Services, Inc. — Billing Profile & Reimbursement Data

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Supported Living And Employment Services, 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