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.

Easter Seals Midwest (NPI 1649301789)

Field	Value
Entity Type	Organization
Organization	Easter Seals Midwest
Address	13545 Barrett Parkway Drive
City	Ballwin
State	MO
ZIP	63021
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	March 8, 2007
NPI Deactivated	January 6, 2011

Payer Source	Total Paid
Medicaid	$348.9M
Medicare	$0

Key Findings

EASTER SEALS MIDWEST is effectively a single-payer provider in the dataset: there is no Medicare billing on file and the organization reports $348.9M in lifetime Medicaid revenue. This concentration indicates its operations and revenue are overwhelmingly dependent on Medicaid-funded programs rather than Medicare-reimbursed services.

Revenue for this provider is highly concentrated in a very small number of Medicaid codes: the top 3 Medicaid codes account for 99.9% of total Medicaid revenue, with a single code, T2016, representing the lion’s share at 98.7% of the provider’s Medicaid receipts. That level of concentration signals that the organization’s financial performance and utilization profile are driven almost entirely by residential habilitation per-diem billing.

The code mix points to a core business of residential habilitation under waiver programs: T2016 (Habilitation, residential, waiver; per diem) accounts for 767K claims at a $449 avg paid/claim and $344.4M in revenue. Such volume and per-diem billing are consistent with large-scale, long-term residential IDD habilitation operations rather than episodic outpatient or acute-care services.

Ancillary service lines support the residential model: T2001 (Non-emergency transportation; patient attendant/escort) records 14.8K claims, $161 avg paid/claim and $2.4M in revenue, and ranks #2 of 150 providers in-state (99th percentile; extreme outlier). This suggests substantial on-site or programmatic needs for attendant/escort transport tied to the residential population rather than routine clinical visits.

Clinical support is also a material component of the care mix: T1002 (Rn services, up to 15 minutes) shows 29.5K claims, $62 avg paid/claim and $1.8M in revenue, ranking #2 of 195 providers in-state (99th percentile; notably above typical state volume). The elevated RN visit volume implies an operational model that includes frequent nursing interventions or monitoring within residential settings.

Other transport codes are present but not large revenue drivers: A0120 (Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems) totals 800 claims, $328 avg paid/claim and $262.4K in revenue, ranking #51 of 120 providers in-state (58th percentile; typical, unremarkable volume). This indicates some organized group transport capability, but it is a relatively minor revenue stream compared with per-diem habilitation.

State-level competitive standing is dominant for the principal service line: the provider ranks #1 of 193 for T2016 in the state (100th percentile; extreme outlier), identifying it as a major, high-volume provider of residential habilitation services relative to peers. For supporting services like T2001 and T1002 the provider also ranks at the top of state peers (99th percentile placements), reinforcing its role as a leading operator in the in-state IDD residential ecosystem.

The provider has a long tenure in national enrollment records, with its NPI enumerated on 2007-03-08 (~19 years ago). Combined with the concentrated Medicaid footprint and top-state rankings, the long-standing enrollment suggests established relationships with state waiver programs and a sustained operational focus on Medicaid-funded residential habilitation services.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	767,020	$450	$344.4M
T2001	Non-emergency transportation; patient attendant/escort	14,770	$160	$2.4M
T1002	Rn services, up to 15 minutes	29,480	$60	$1.8M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	800	$330	$262.4K

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

Easter Seals Midwest — 3 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	1	190	38,330	$450	$27M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	51	120	730	$60	$585.2K
T2001	Non-emergency transportation; patient attendant/escort	2	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	2	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as Easter Seals Midwest, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Help At Home, LLC	MO	Nursing Care Agency	$0	$21.1M
Anns Dream Health Care LLC	MO	In Home Supportive Care Agency	$0	$7.8M
Walgreen Co	MO	Pharmacy	$132.9K	$0
Ahmed Abo-mahmood	MO	Podiatrist	$31.8K	$0

Easter Seals Midwest — Billing Profile & Reimbursement Data

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Easter Seals Midwest — 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