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.

National Mentor Services, LLC (NPI 1427246669)

Field	Value
Entity Type	Organization
Organization	National Mentor Services, LLC
Address	1923 Belt Way Dr
City	Saint Louis
State	MO
ZIP	63114
Taxonomy	Case Management Agency
NPI Enumerated	October 12, 2007

Payer Source	Total Paid
Medicaid	$134.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and the provider’s entire reported government business is Medicaid, totaling $134.9M in lifetime Medicaid revenue. The absence of Medicare activity indicates the organization’s services and contracting are concentrated in Medicaid waiver and state program networks rather than fee‑for‑service Medicare markets.

Revenue is highly concentrated in a narrow set of waiver and habilitation codes: the precomputed top 3 Medicaid codes account for 97.8% of the provider’s total Medicaid revenue. Specifically, T2016 represents $57.2M (42.4%), S5136 represents $55.7M (41.3%), and T2021 represents $19.1M (14.1%), meaning these three per‑diem and per‑15‑minute habilitation/companion services drive virtually all revenue.

The code mix and volumes indicate an operational focus on long‑term, community‑based supportive services: S5136 (Companion care, adult) has 271.8K claims, T2016 (Habilitation, residential, waiver; per diem) has 159.7K claims, and T2021 (Day habilitation, waiver; per 15 minutes) has 118.3K claims. Together, these high claim counts and per‑diem/interval billing patterns are consistent with a large deployed direct‑care workforce and ongoing daily service delivery rather than sporadic procedural care.

Competitive standing varies by service line within the state: the provider ranks #1 of 14 in‑state for S5136 (100th percentile; notably above typical state volume), ranks #8 of 167 for T2021 (96th percentile; notably above typical state volume), and ranks #15 of 193 for T2016 (93th percentile; typical, unremarkable volume). In plain terms, the organization is a dominant statewide provider of companion care services, a strong player in day habilitation, and a routine participant in residential habilitation.

Despite the concentration in three codes, the organization also bills a mix of ancillary waiver and support services in smaller amounts. Examples include T1016 (Case management) with 5.5K claims and $391.1K revenue, ranking #2 of 13 in‑state (92th percentile), and transportation codes such as A0120 ($655.8K revenue) and T2001 ($527.1K revenue), indicating they bundle or coordinate supportive logistics alongside primary habilitation services.

The provider has longstanding enrollment: NPI enumerated 2007-10-12 (~19 years ago), which suggests these billing patterns reflect an established operational footprint rather than a recent entrant. That tenure supports the interpretation that the current service mix and state rankings are the result of multi‑year program participation and contracting.

Because nearly all revenue derives from a small set of Medicaid waiver and habilitation codes, the provider’s financial performance is tightly coupled to Medicaid waiver policy, state reimbursement rates, and network placement for these specific codes. Any material change to reimbursement or eligibility for T2016, S5136, or T2021 would disproportionately affect overall revenue given these codes together account for 97.8% of Medicaid revenue.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	159,690	$360	$57.2M
S5136	Companion care, adult (e.g., iadl/adl); per diem	271,750	$210	$55.7M
T2021	Day habilitation, waiver; per 15 minutes	118,350	$160	$19.1M
T1002	Rn services, up to 15 minutes	14,590	$60	$875.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	2,430	$270	$655.8K
T2001	Non-emergency transportation; patient attendant/escort	3,710	$140	$527.1K
T1016	Case management, each 15 minutes	5,510	$70	$391.1K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	1,670	$130	$223.6K
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…	1,000	$140	$139.4K
A0110	Non-emergency transportation and bus, intra or inter state carrier	2,670	$20	$64K

Showing 1–10 of 12

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

National Mentor Services, LLC — 3 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	15	190	38,330	$450	$27M
S5136	Companion care, adult (e.g., iadl/adl); per diem	1	10	18,080	$240	$15.9M
T2021	Day habilitation, waiver; per 15 minutes	8	170	18,890	$180	$5.4M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	30	60	1,810	$160	$587.2K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	17	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…	43	70	2,030	$140	$460.6K
A0110	Non-emergency transportation and bus, intra or inter state carrier	49	80	4,520	$10	$331.1K
T2002	Non-emergency transportation; per diem	14	20	4,290	$50	$310.8K
T1016	Case management, each 15 minutes	2	10	1,710	$110	$304.2K
T2001	Non-emergency transportation; patient attendant/escort	21	150	1,300	$150	$296.4K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as National Mentor Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caring Heart Adult Services Center LLC	MO	Personal Care Attendant	$0	$10.7M
Rose Boothe	MO	Homemaker	$0	$6.3M
Home Away From Home Adult Day Program, LLC	MO	Adult Day Care Clinic/Center	$0	$6.2M
Simply Thick, LLC	MO	Durable Medical Equipment & Medical Supplies	$0	$6.1M
A Plus Cds LLC	MO	In Home Supportive Care Agency	$0	$6.1M
La Wings Home Health Care Ii Inc	MO	Home Health Agency	$0	$5.8M
Abundant Living Home Health Services LLC	MO	In Home Supportive Care Agency	$0	$5.2M
Advance Home Care Services, Inc.	MO	Home Health Agency	$0	$5.2M
Mycare Home Care, LLC	MO	In Home Supportive Care Agency	$0	$5.1M
Gowdy Enterprises, LLC	MO	Home Health Agency	$0	$4.3M

National Mentor Services, LLC — Billing Profile & Reimbursement Data

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National Mentor Services, LLC — 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