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.

Southeast Mo Area Agency On Aging (NPI 1528679867)

Field	Value
Entity Type	Organization
Organization	Southeast Mo Area Agency On Aging
Address	1078 Wolverine Ln Ste J
City	Cape Girardeau
State	MO
ZIP	63701
Taxonomy	Case Management Agency
NPI Enumerated	August 11, 2020

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	46,380	$120	$5.4M

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

Southeast Mo Area Agency On Aging — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	1	90	150	$90	$164.6K

Nearby Providers

Other providers in the same ZIP code as Southeast Mo Area Agency On Aging, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeast Hospital	MO	General Acute Care Hospital	$0	$34.7M
Southeast Missouri Area Agency On Aging, Inc.	MO	Home Delivered Meals	$0	$25.8M
Catholic Charities Of Southern Missouri For Cape County	MO	Case Management Agency	$0	$9.2M
Aspirations For Independent Living LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.4M
At Home Help, LLC Dba Comfort Keepers	MO	Home Health Agency	$0	$7.8M
Cape County Private Ambulance Service, Inc.	MO	Ambulance	$1.3M	$5.5M
Southeast Missouri Hospital Physicians, LLC	MO	Family Medicine Physician	$0	$6.6M
Extra Hands Incorporated	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$5.4M
Southeast Missouri State University	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.2M
All Love & Care Home Health	MO	Home Health Agency	$0	$3.8M

Southeast Mo Area Agency On Aging — Billing Profile & Reimbursement Data

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Southeast Mo Area Agency On Aging — Billing Profile & Reimbursement Data

Sign up for Southeast Mo Area Agency On Aging — 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