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.

Pike County Agency For Developmental Disabilities (NPI 1427578434)

Field	Value
Entity Type	Organization
Organization	Pike County Agency For Developmental Disabilities
Address	900 Independence Dr
City	Bowling Green
State	MO
ZIP	63334
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	June 21, 2017

Payer Source	Total Paid
Medicaid	$5.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	31,370	$160	$5M
H2023	Supported employment, per 15 minutes	8,540	$90	$768.7K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	610	$90	$55.1K

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

Pike County Agency For Developmental Disabilities — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	55	170	18,890	$180	$5.4M
H2023	Supported employment, per 15 minutes	7	30	3,120	$180	$1.4M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	68	120	730	$60	$585.2K

Nearby Providers

Other providers in the same ZIP code as Pike County Agency For Developmental Disabilities, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ruth Jensen Village Residential Services, Inc. Isl Ii	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$23.6M
North East Commuinty Action Corp	MO	Adult Companion	$0	$4.9M
Champ Clark Service Coordination	MO	Case Management Agency	$0	$4.4M
Denise Harvey	MO	Optometrist	$116.8K	$3.9K

Pike County Agency For Developmental Disabilities — Billing Profile & Reimbursement Data

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Pike County Agency For Developmental Disabilities — Billing Profile & Reimbursement Data

Sign up for Pike County Agency For Developmental Disabilities — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References