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 1447886288)

Field	Value
Entity Type	Organization
Organization	State Of Missouri
Address	1706 E Elm St
City	Jefferson City
State	MO
ZIP	65101
Taxonomy	Rehabilitation Psychologist
NPI Enumerated	March 12, 2020

Payer Source	Total Paid
Medicaid	$493.6M
Medicare	$0

Key Findings

STATE OF MISSOURI in JEFFERSON CITY has effectively no Medicare activity on file and is functionally a single-payer Medicaid provider for the dataset shown, reporting Total Medicaid revenue of $493.6M and no Medicare revenue; this makes Medicaid the sole documented public payer driving the entity’s billed services during the reporting period.

Revenue concentration is extremely focused: the precomputed top three Medicaid codes (H0036, H0037, H2017) account for 89.0% of the provider’s total Medicaid revenue, indicating the organization’s operations are dominated by a narrow set of community and rehabilitation-oriented service lines.

The code mix (H0036 – community psychiatric supportive treatment per 15 minutes; H0037 – community psychiatric supportive treatment program per diem; H2017 – psychosocial rehabilitation services per 15 minutes) points to a large-scale community behavioral health and psychosocial rehabilitation operation, emphasizing ongoing face-to-face supportive treatment and per-diem program services rather than episodic medical or specialty psychotherapy visits.

STATE OF MISSOURI is a statewide dominant supplier for several high-volume behavioral health codes: it ranks #1 in-state for H0037, H2017, H2010, H0031 and several others, with the report labeling those positions as "100th percentile" or "extreme outlier." These ranks indicate the provider operates at volumes far above typical state peers for core rehabilitation and programmatic community treatment services.

H0037 alone generated $187.8M (38.1% of total Medicaid revenue) and is described as an "extreme outlier, far above typical state volume," signaling that per-diem program delivery is a strategic and revenue-driving service for this entity. Similarly, H0036 produced $206.6M (41.9% of total Medicaid revenue) and is a major revenue driver, but its in-state rank (#3 of 23; 91th percentile) is characterized as typical-to-high volume rather than an extreme outlier, suggesting strong but not unique dominance in that unit-based supportive treatment code.

Several additional codes show concentrated specialty activity: H2017 contributed $45M (9.1% of total Medicaid revenue) and is ranked #1 in-state as an "extreme outlier," reinforcing that psychosocial rehabilitation is a key, high-volume service line. H0031 ($26M, 5.3% of Medicaid revenue) and H2010 ($7.2M, 1.5% of Medicaid revenue) also rank #1 in-state and are described as notably or extremely above typical state volume, indicating the provider’s footprint includes assessment, medication services, and programmatic rehabilitation at scale.

While the top three codes dominate revenue, the provider also bills a wide set of ancillary behavioral health codes (for example H0004, H0038, H0002, H0025 and routine E/M codes like 99214 and 99213) that together represent the remaining ~11% of Medicaid revenue; many of these are at typical or moderately high percentiles in-state, suggesting the organization delivers a range of standard behavioral health supports beyond its large programmatic services.

The NPI was enumerated on 2020-03-12 (~6 years ago), indicating relatively recent formal enrollment compared with long-established systems; despite that tenure the provider achieved very large Medicaid volumes, which is consistent with an organizational role that quickly scaled programmatic community behavioral health services across the state.

Competitively, this entity should be viewed as a major statewide operator in community psychiatric supportive treatment and psychosocial rehabilitation: multiple codes show #1 statewide ranks and "extreme outlier" status, and the two largest single-code revenues (H0036 and H0037) together make up the majority of the $493.6M Medicaid book, underscoring its dominant market position for per-diem program and face-to-face supportive treatment services in Missouri.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1,425,130	$150	$206.6M
H0037	Community psychiatric supportive treatment program, per diem	685,510	$270	$187.8M
H2017	Psychosocial rehabilitation services, per 15 minutes	714,310	$60	$45M
H0031	Mental health assessment, by non-physician	42,190	$620	$26M
H2010	Comprehensive medication services, per 15 minutes	167,160	$40	$7.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	56,490	$90	$5M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	58,130	$80	$4.4M
H0040	Assertive community treatment program, per diem	18,870	$160	$3M
H0038	Self‑help/peer services, per 15 minutes	26,680	$110	$2.9M
H0002	Behavioral health screening to determine eligibility for admission to treatment program	19,000	$60	$1.1M

Showing 1–10 of 20

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 — 8 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0037	Community psychiatric supportive treatment program, per diem	1	20	56,420	$120	$11.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	3	20	214,040	$20	$10.8M
H0031	Mental health assessment, by non-physician	1	10	130	$620	$4.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	1	20	40,460	$20	$2M
H0004	Behavioral health counseling and therapy, per 15 minutes	7	40	3,680	$30	$978K
H0005	Alcohol and/or drug services; group counseling by a clinician	7	20	16,420	$20	$858.5K
H0040	Assertive community treatment program, per diem	6	10	20,740	$10	$572.6K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	7	30	6,100	$10	$339.7K
H2010	Comprehensive medication services, per 15 minutes	1	20	8,760	$10	$336.6K
H0038	Self‑help/peer services, per 15 minutes	6	40	2,510	$10	$272.7K

Showing 1–10 of 20

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
State Of Missouri	MO	Addiction (Substance Use Disorder) Counselor	$0	$271.2M
State Of Missouri	MO	Rehabilitation Psychologist	$0	$91.5M
State Of Missouri	MO	Local Education Agency (LEA)	$0	$39M
Cole County Residential Services, Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.2M
Curators Of The University Of Missouri	MO	General Acute Care Hospital	$0	$12.1M
Central Connections, Inc	MO	Case Management Agency	$0	$8.6M
State Of Missouri	MO	Clinical Medical Laboratory	$0	$7.8M
Capital Region Medical Center	MO	Family Medicine Physician	$0	$4.4M
Community Health Ctr Of Central Missouri	MO	Federally Qualified Health Center (FQHC)	$0	$4.4M
Paige Hedgpath Od,pc	MO	Optometrist	$0	$3.6M

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