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    OpenPayerNPI Medicare & MedicaidOrem Healthcare
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    Orem Healthcare — Billing Profile & Reimbursement Data

    NPI 1669914297 · Saint Louis, MO · Adult Care Home Facility

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    Orem Healthcare is a adult care home facility provider located in Saint Louis, Missouri. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationOrem Healthcare
    Address1000 Saint Cyr Rd
    CitySaint Louis
    StateMO
    ZIP63137
    TaxonomyAdult Care Home Facility
    NPI EnumeratedNovember 14, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8.7M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    S5100Day care services, adult; per 15 minutes79,570$80$6.6M
    T2021Day habilitation, waiver; per 15 minutes8,670$240$2.1M
    A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems100$320$31.8K
    S5150Unskilled respite care, not hospice; per 15 minutes750$20$12K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Missouri median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2021Day habilitation, waiver; per 15 minutes11917018,890$180$5.4M
    S5150Unskilled respite care, not hospice; per 15 minutes1612203,750$60$1.3M
    S5100Day care services, adult; per 15 minutes21308,670$60$1.1M
    A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems101120730$60$585.2K

    Nearby Providers

    Other providers in the same ZIP code as Orem Healthcare, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Accurate In-home Family Care, Inc.MOIn Home Supportive Care Agency$0$13.4M
    Aging In Your PlaceMOHome Health Agency$0$8.3M
    Marilyn's Daughters In Home Healthcare, LLCMOHome Health Agency$0$4.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Missouri Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Orem Healthcare — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri