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.

Alternative Community Training, Inc. (NPI 1437204492)

Field	Value
Entity Type	Organization
Organization	Alternative Community Training, Inc.
Address	2200 Burlington St
City	Columbia
State	MO
ZIP	65202
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicaid	$71.5M
Medicare	$0

Key Findings

ALTERNATIVE COMMUNITY TRAINING, INC. is effectively a single‑payer Medicaid provider: it reports no Medicare billing on file and $71.5M in lifetime Medicaid revenue, indicating operational dependence on Medicaid programs rather than Medicare revenue streams. The provider’s NPI was enumerated on 2007-01-23 (~19 years ago), signaling long tenure in the market and established participation in state waiver services.

Revenue is highly concentrated in a very narrow set of Medicaid service lines: the precomputed top three codes account for 97.3% of this provider’s total Medicaid revenue, led by T2016 and T2021 which together drive the lion’s share of receipts. This concentration suggests the organization’s business model is specialized around a small number of high-volume waiver services rather than a broad portfolio of Medicaid billing lines.

T2016 (habilitative residential, waiver; per diem) is the single largest revenue driver at $50M (69.8% of Medicaid revenue) with 126.8K claims and a $394 avg paid/claim. The provider ranks #21 of 193 in-state for T2016 (90th percentile; typical, unremarkable volume for this code), which indicates large absolute revenue from residential habilitation while still being one of many significant providers in that segment.

T2021 (day habilitation, waiver; per 15 minutes) is the second major revenue source at $18.6M (26.1% of Medicaid revenue) with 113.6K claims and a $164 avg paid/claim. The provider ranks #9 of 167 in-state for T2021 (95th percentile; notably above typical state volume for this code), identifying it as a comparatively strong state-level player in day habilitation services.

Non‑emergency transportation and attendant services appear as meaningful ancillary lines: T2001 (patient attendant/escort) generated $1M (1.5% of Medicaid revenue) across 3.4K claims and A0120 (mini‑bus/other transport) contributed $855.6K (1.2% of Medicaid revenue) with 2.8K claims. These transport codes rank within typical in-state volumes (T2001: #25 of 150, 84th percentile; A0120: #12 of 120, 91th percentile), suggesting the provider supports substantial participant mobility and access operations alongside habilitation programs.

Smaller service lines such as A0110 (bus transport), T1002 (RN services), and H2023 (supported employment) represent modest revenue increments ($386.4K, $322.4K, and $292.3K respectively), each individually under 1% of total Medicaid revenue. Their presence indicates the organization bills for a mix of transportation, clinical nursing visits, and employment supports but that these do not materially diversify the provider’s revenue base away from residential and day habilitation.

Competitive standing is mixed by code: for day habilitation (T2021) the provider is a notable, above‑typical participant in-state (95th percentile, #9 of 167), while for residential habilitation (T2016) it occupies a high but more typical placement among many providers (90th percentile, #21 of 193). This pattern implies the provider is a leading regional operator for day habilitation services while being one of several large-scale residential habilitation providers in Missouri.

Given the combination of long tenure (NPI enumerated 2007-01-23 (~19 years ago)), extreme revenue concentration (top three codes = 97.3% of Medicaid revenue), and the high absolute dollar volumes in T2016 and T2021, analysts should treat this entity as a specialized Medicaid waiver operator focused on residential and day habilitation services with transportation and limited clinical/support services as secondary offerings. Monitoring utilization or policy changes affecting T2016/T2021 reimbursement would be material to this provider’s financial profile.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	126,790	$390	$50M
T2021	Day habilitation, waiver; per 15 minutes	113,640	$160	$18.6M
T2001	Non-emergency transportation; patient attendant/escort	3,440	$300	$1M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	2,790	$310	$855.6K
A0110	Non-emergency transportation and bus, intra or inter state carrier	15,450	$30	$386.4K
T1002	Rn services, up to 15 minutes	8,270	$40	$322.4K
H2023	Supported employment, per 15 minutes	5,970	$50	$292.3K
S5150	Unskilled respite care, not hospice; per 15 minutes	110	$230	$24.5K
T2002	Non-emergency transportation; per diem	370	$40	$15.9K
H2025	Ongoing support to maintain employment, per 15 minutes	90	$90	$7.8K

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

Alternative Community Training, Inc. — 1 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	21	190	38,330	$450	$27M
T2021	Day habilitation, waiver; per 15 minutes	9	170	18,890	$180	$5.4M
H2023	Supported employment, per 15 minutes	11	30	3,120	$180	$1.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	203	220	3,750	$60	$1.3M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	12	120	730	$60	$585.2K
A0110	Non-emergency transportation and bus, intra or inter state carrier	15	80	4,520	$10	$331.1K
T2002	Non-emergency transportation; per diem	19	20	4,290	$50	$310.8K
T2001	Non-emergency transportation; patient attendant/escort	25	150	1,300	$150	$296.4K
H2025	Ongoing support to maintain employment, per 15 minutes	14	10	510	$120	$235.7K
T1002	Rn services, up to 15 minutes	21	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as Alternative Community Training, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sisters Supportive Living, Inc.	MO	Developmentally Disabled Services Day Training Agency	$0	$45.4M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$27.5M
Clint Kellogg	MO	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Wayne Davis	MO	Ophthalmology Physician	$2.4M	$0
Jerry Blair	MO	Ophthalmology Physician	$1M	$0
Drd Management, Inc	MO	Substance Use Disorder Rehabilitation Clinic/Center	$45.1K	$6.5K
Thomas Andrews	MO	Geriatric Medicine (Family Medicine) Physician	$31.2K	$0

Alternative Community Training, Inc. — Billing Profile & Reimbursement Data

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Alternative Community Training, 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