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.

Children's Therapy Center Of Pettis County, Inc (NPI 1578687307)

Field	Value
Entity Type	Organization
Organization	Children's Therapy Center Of Pettis County, Inc
Address	1500 Ewing Dr
City	Sedalia
State	MO
ZIP	65301
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 19, 2007

Payer Source	Total Paid
Medicaid	$51.3M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and $51.3M in lifetime Medicaid revenue, making it effectively a single‑payer Medicaid operator rather than a dual‑payer practice. The absence of Medicare activity means analyses of commercial/Medicare mix are not applicable and Medicaid program and waiver policy changes will disproportionately affect its top revenue streams.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 86.5% of this provider's total Medicaid revenue, driven by T2016 ($25.1M, 48.9% of Medicaid revenue), T2021 ($14.4M, 28.1%), and H2023 ($4.9M, 9.5%). This concentration indicates that a small set of habilitation and supported‑employment services generate the vast majority of cash flow.

The code mix — dominated by T2016 (Habilitation, residential, waiver; per diem), T2021 (Day habilitation, waiver; per 15 minutes), and H2023 (Supported employment, per 15 minutes) — points to an operational model centered on residential habilitation, high-volume day habilitation, and time‑based supported employment services for people with developmental disabilities. The presence of both per‑diem and per‑15‑minute billing suggests the organization operates both continuous residential programs and intensive, high-frequency day or community habilitation shifts.

Competitive standing varies by service line: for T2021 the provider ranks #11 of 167 in-state (94th percentile) and is characterized as notably above typical state volume, marking it as a leading provider of day habilitation in Missouri. By contrast, T2016 ranks #86 of 193 (56th percentile) and is described as typical/unremarkable on residential habilitation, while H2023 is ranked #5 of 34 (88th percentile) but labeled typical/unremarkable, indicating strong but not dominant statewide positioning across its three highest‑revenue lines.

Ancillary and support services contribute meaningful secondary revenue and show a mixed competitive footprint: S5136 (Companion care, adult; per diem) brings in $3.7M (7.2%) but ranks #12 of 14 in-state (15th percentile), S5108 (Home care training to home care client, per 15 minutes) contributes $1.6M (3.1%) and ranks #12 of 38 (70th percentile), and transportation codes such as A0120 ($603.7K, 1.2%) rank #23 of 120 in-state (82th percentile). These lines indicate the provider offers integrated community supports and transportation but competes unevenly against peers by subservice.

There are niche strengths despite small absolute dollars: T2019 (Habilitation, supported employment, waiver; per 15 minutes) accounts for only $54.2K (0.1% of Medicaid revenue) yet ranks #2 of 14 in-state (92th percentile) and is noted as notably above typical state volume. This implies the provider has a comparatively strong, specialized position in that specific supported‑employment waiver activity even though it is not a major revenue driver.

The high concentration in a few Medicaid codes creates both operational leverage and vulnerability: because 86.5% of Medicaid revenue is driven by the top three codes, the provider is exposed to reimbursement or policy changes affecting T2016, T2021, and H2023. At the same time, the strong state ranking in T2021 and pockets of above‑typical performance (e.g., T2019) suggest opportunities to defend or expand share within day habilitation and select supported‑employment niches.

This organization has an established operational history, with its NPI enumerated on 2007-03-19 (~19 years ago), which aligns with its ability to generate $51.3M in Medicaid revenue and sustain high‑volume, time‑based service lines. The tenure supports a conclusion of long‑standing participation in Missouri’s developmental‑disability waiver ecosystem rather than a recent entrant acting at scale.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	46,080	$550	$25.1M
T2021	Day habilitation, waiver; per 15 minutes	86,440	$170	$14.4M
H2023	Supported employment, per 15 minutes	20,880	$230	$4.9M
S5136	Companion care, adult (e.g., iadl/adl); per diem	12,460	$300	$3.7M
S5108	Home care training to home care client, per 15 minutes	15,240	$110	$1.6M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	1,760	$340	$603.7K
T1002	Rn services, up to 15 minutes	3,780	$60	$234.4K
A0110	Non-emergency transportation and bus, intra or inter state carrier	8,320	$30	$224.6K
T2001	Non-emergency transportation; patient attendant/escort	920	$170	$155.1K
H2025	Ongoing support to maintain employment, per 15 minutes	1,160	$120	$139.2K

Showing 1–10 of 13

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

Children's Therapy Center Of Pettis County, Inc — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	86	190	38,330	$450	$27M
S5136	Companion care, adult (e.g., iadl/adl); per diem	12	10	18,080	$240	$15.9M
T2021	Day habilitation, waiver; per 15 minutes	11	170	18,890	$180	$5.4M
H2023	Supported employment, per 15 minutes	5	30	3,120	$180	$1.4M
S5108	Home care training to home care client, per 15 minutes	12	40	6,430	$70	$794.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	23	120	730	$60	$585.2K
A0110	Non-emergency transportation and bus, intra or inter state carrier	26	80	4,520	$10	$331.1K
T2001	Non-emergency transportation; patient attendant/escort	87	150	1,300	$150	$296.4K
H0038	Self‑help/peer services, per 15 minutes	20	40	2,510	$10	$272.7K
H2025	Ongoing support to maintain employment, per 15 minutes	4	10	510	$120	$235.7K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Children's Therapy Center Of Pettis County, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Therapy Center Of Pettis County, Inc	MO	Case Management Agency	$0	$33.7M
Bothwell Regional Health Center	MO	General Acute Care Hospital	$0	$19.8M
Pettis County Board Of Services For The Developmentally Disabled	MO	Case Management Agency	$0	$13.7M
Helping All People Pursue Independence (happi), Inc.	MO	Case Manager/Care Coordinator	$0	$10.6M
Shawn Cairer	MO	Developmentally Disabled Services Day Training Agency	$0	$8.4M
Pettis County Ambulance District	MO	Land Ambulance	$845.9K	$5.7M
Regional Health Care Clinic Inc	MO	Federally Qualified Health Center (FQHC)	$0	$5.9M
Children's Therapy Center Of Pettis County, Inc	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$4.9M
Bothwell Regional Health Center	MO	General Practice Physician	$0	$4.9M
Springhealth Behavioral Health And Integrated Care Missouri, LLC	MO	Community/Behavioral Health Agency	$0	$4M

Children's Therapy Center Of Pettis County, Inc — Billing Profile & Reimbursement Data

Sign up for Children's Therapy Center Of Pettis County, Inc — Billing Profile & Reimbursement Data policy alerts

Children's Therapy Center Of Pettis County, Inc — Billing Profile & Reimbursement Data

Sign up for Children's Therapy Center Of Pettis County, Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References