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.

Samuel And Jill Hieronymus (NPI 1497982417)

Field	Value
Entity Type	Organization
Organization	Samuel And Jill Hieronymus
Address	1001 N Miller St
City	Sweet Springs
State	MO
ZIP	65351
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	June 17, 2009

Payer Source	Total Paid
Medicaid	$46.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	83,730	$470	$39.2M
T2021	Day habilitation, waiver; per 15 minutes	36,020	$210	$7.5M
T1002	Rn services, up to 15 minutes	2,630	$70	$173.6K
T2001	Non-emergency transportation; patient attendant/escort	60	$60	$3.3K
T2029	Specialized medical equipment, not otherwise specified, waiver	40	$70	$2.7K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	10	$140	$1.7K

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

Samuel And Jill Hieronymus — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	40	190	38,330	$450	$27M
T2021	Day habilitation, waiver; per 15 minutes	49	170	18,890	$180	$5.4M
T2029	Specialized medical equipment, not otherwise specified, waiver	40	40	1,720	$200	$1.4M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	117	120	730	$60	$585.2K
T2001	Non-emergency transportation; patient attendant/escort	138	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	68	200	1,720	$50	$194.4K

Samuel And Jill Hieronymus — Billing Profile & Reimbursement Data

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Samuel And Jill Hieronymus — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References