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.

The Arc Of The Ozarks (NPI 1609212562)

Field	Value
Entity Type	Organization
Organization	The Arc Of The Ozarks
Address	1501 E Pythian St
City	Springfield
State	MO
ZIP	65802
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	May 20, 2013

Payer Source	Total Paid
Medicaid	$64.6M
Medicare	$0

Key Findings

This provider is effectively single‑payer: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $64.6M, indicating all reported government billing is concentrated in Medicaid programs. Analysts should treat Medicaid as the primary and sole available payor data source when evaluating this entity's financial footprint and utilization patterns.

Revenue concentration is extreme at the service-code level: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with a single code, T2016, contributing $63.9M (98.9% of total Medicaid revenue). This degree of reliance on one per‑diem habilitation code makes the provider’s Medicaid revenue highly sensitive to changes in that code’s reimbursement, covered populations, or authorization practices.

The code mix points to a residential habilitation operation: T2016 (Habilitation, residential, waiver; per diem) as the dominant revenue driver signals that this organization operates long‑term or residential habilitation services for individuals with intellectual and/or developmental disabilities. Smaller contributions from T2001 (Non‑emergency transportation; patient attendant/escort) and T1002 (Rn services, up to 15 minutes) are consistent with ancillary transportation and nursing supports commonly associated with community‑based residential treatment.

Competitive standing on the top revenue code is above median but not market‑dominant: for T2016 the provider ranks #27 of 193 providers in‑state (86th percentile; typical, unremarkable volume for this code). That rank indicates the provider is larger than many in Missouri for residential habilitation revenue but still one of many regional providers serving this market.

Ancillary service participation is modest and described as typical: T2001 generated $503.4K (0.8% of Medicaid revenue) and ranks #26 of 150 in‑state (83th percentile; typical, unremarkable volume for this code), while T1002 generated $213.5K (0.3% of Medicaid revenue) and ranks #55 of 195 (72th percentile; typical, unremarkable volume for this code). These placements suggest routine provision of transportation and nursing services rather than unusual specialization or scale in those lines.

The provider’s operational profile carries concentrated operational and reimbursement risk: with T2016 representing 98.9% of Medicaid revenue and the top three codes totaling 100.0% of revenue, policy, rate or eligibility changes affecting habilitation per‑diem payments would have outsized impact on total revenue and cash flow. Payers and analysts should flag reliance on a single dominant service when assessing contract negotiations, rate setting, or care‑management opportunities.

The entity has an established footprint based on tenure: NPI enumerated on 2013-05-20 (~13 years ago), indicating a sustained presence in the market. While longevity supports operational experience in Medicaid waiver residential services, the concentrated revenue mix is a key caveat when projecting growth, diversification, or resilience to payer policy shifts.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	104,790	$610	$63.9M
T2001	Non-emergency transportation; patient attendant/escort	3,360	$150	$503.4K
T1002	Rn services, up to 15 minutes	3,810	$60	$213.5K

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

The Arc Of The Ozarks — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	27	190	38,330	$450	$27M
T2001	Non-emergency transportation; patient attendant/escort	26	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	55	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as The Arc Of The Ozarks, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of The Ozarks	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$98M
The Arc Of The Ozarks	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$95.9M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$72.6M
Nova Center Of The Ozarks Inc.	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$50.5M
Mercy Hospital Springfield	MO	Land Ambulance	$0	$46.7M
The Arc Of The Ozarks	MO	Community/Behavioral Health Agency	$0	$20.1M
Developmental Center Of The Ozarks	MO	Developmentally Disabled Services Day Training Agency	$0	$14.5M
Forensic Testing Services, LLC	MO	Durable Medical Equipment & Medical Supplies	$0	$13.4M
Holloman Care Cds LLC	MO	Home Health Agency	$0	$11.3M
Advocates For A Healthy Community, Inc.	MO	Federally Qualified Health Center (FQHC)	$0	$3.8M

The Arc Of The Ozarks — Billing Profile & Reimbursement Data

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The Arc Of The Ozarks — 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