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 1427124494)

Field	Value
Entity Type	Organization
Organization	State Of Missouri
Address	1503 S Grant Ave
City	Marshall
State	MO
ZIP	65340
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	November 28, 2006

Payer Source	Total Paid
Medicaid	$133.3M
Medicare	$0

Key Findings

STATE OF MISSOURI shows no Medicare billing on file and $133.3M in lifetime Medicaid revenue, indicating an effectively single-payer footprint concentrated in Medicaid rather than a mixed Medicare/Medicaid operation. The provider’s taxonomy as a Developmentally Disabled Services Day Training Agency aligns with this payer mix and the Medicaid-dominant revenue profile.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 99.7% of this provider's total Medicaid revenue, with T2016 alone representing $131.1M (98.3% of Medicaid revenue). This means the business’s financial performance is overwhelmingly driven by a single per-diem habilitation waiver service.

The code mix and volumes indicate the core operation is residential habilitation under waiver programs: T2016 (Habilitation, residential, waiver; per diem) accounts for 308.4K claims, $425 avg paid/claim, and $131.1M revenue, consistent with an organization providing long-term per-diem residential supports. Secondary service lines appear to be logistics and nursing wraparound care—T2001 (Non-emergency transportation; patient attendant/escort) and T1002 (Rn services, up to 15 minutes) show measurable but far smaller activity contrasting with the dominant T2016 revenue stream.

Competitive standing in-state is strong on the flagship service: for T2016 the provider ranks #4 of 193 in-state (98th percentile; notably above typical state volume), marking it as a major statewide player for residential habilitation under waiver programs. That rank indicates substantial market share for that code relative to peers and suggests regional influence in waiver-based residential services.

T2001 and T1002 show meaningful presence in their respective service niches but contribute only a small share of revenue: T2001 has 7.6K claims, $148 avg paid/claim, $1.1M revenue and ranks #7 of 150 in-state (96th percentile; notably above typical state volume), while T1002 has 18.2K claims, $39 avg paid/claim, $711.5K revenue and ranks #5 of 195 in-state (98th percentile; typical, unremarkable volume for this code). These rankings indicate the provider is a recognized participant for transportation and nursing services even though those lines are not primary revenue drivers.

Several ancillary codes point to limited activity in allied services: T1003 (Lpn/lvn services, up to 15 minutes) shows 22.2K claims, $12 avg paid/claim, $266.1K revenue and ranks #2 of 16 in-state (93th percentile; typical, unremarkable volume), while supported employment codes like H2023 and T2019 record only modest claims and revenue. These smaller lines may support the core residential habilitation offering but do not materially shift the revenue profile.

Operationally, the provider’s long tenure—NPI enumerated 2006-11-28 (~20 years ago)—combined with the concentrated T2016 footprint suggests institutional experience administering waiver-based residential habilitation. That longevity supports operational continuity for the dominant service but also implies exposure: any significant policy, rate, or utilization change affecting T2016 could disproportionately affect overall revenue given the concentration in that single code.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	308,400	$430	$131.1M
T2001	Non-emergency transportation; patient attendant/escort	7,630	$150	$1.1M
T1002	Rn services, up to 15 minutes	18,240	$40	$711.5K
T1003	Lpn/lvn services, up to 15 minutes	22,170	$10	$266.1K
H2023	Supported employment, per 15 minutes	780	$90	$67.6K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	260	$110	$29.3K
T2019	Habilitation, supported employment, waiver; per 15 minutes	70	$50	$3.6K

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 — 3 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	4	190	38,330	$450	$27M
H2023	Supported employment, per 15 minutes	30	30	3,120	$180	$1.4M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	85	120	730	$60	$585.2K
T2001	Non-emergency transportation; patient attendant/escort	7	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	5	200	1,720	$50	$194.4K
T1003	Lpn/lvn services, up to 15 minutes	2	20	3,880	$20	$171.7K
T2019	Habilitation, supported employment, waiver; per 15 minutes	13	10	440	$60	$46K

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
Common Good-natural Living	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$32.1M
John Fitzgibbon Memorial Hospital Inc.	MO	General Acute Care Hospital	$0	$4.7M
Saline County Ambulance District No 3	MO	Ambulance	$279.9K	$1.2M
Jamie Ulbrich	MO	Family Medicine Physician	$114.1K	$6.2K
Jack Uhrig	MO	Internal Medicine Physician	$91.1K	$0
Timothy Ryan	MO	Internal Medicine Physician	$80.3K	$0
Wal-mart Stores East LP	MO	Community/Retail Pharmacy	$49.5K	$0
Red Cross Pharmacy, LLC	MO	Long Term Care Pharmacy	$29K	$270
Daniel Fahnestock	MO	Chiropractor	$16.4K	$0
Justin Cortez	MO	Family Nurse Practitioner	$8.4K	$2.5K

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