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.

Equilibrium Homes Of St. Louis LLC (NPI 1699213603)

Field	Value
Entity Type	Organization
Organization	Equilibrium Homes Of St. Louis LLC
Address	3054 Sir Christopher Ln
City	Florissant
State	MO
ZIP	63033
Taxonomy	Intellectual Disabilities Intermediate Care Facility
NPI Enumerated	February 9, 2017

Payer Source	Total Paid
Medicaid	$17.1M
Medicare	$0

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	17,780	$950	$16.9M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	490	$270	$131.7K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	200	$210	$42.8K
T1002	Rn services, up to 15 minutes	500	$70	$36.7K

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

Equilibrium Homes Of St. Louis LLC — 0 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	132	190	38,330	$450	$27M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	48	60	1,810	$160	$587.2K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	51	70	2,030	$140	$460.6K
T1002	Rn services, up to 15 minutes	149	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as Equilibrium Homes Of St. Louis LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Missouri Direct Care LLC	MO	In Home Supportive Care Agency	$0	$31.3M
1st Choice Home Health Services LLC	MO	Home Health Agency	$0	$21.7M
A Better Option LLC	MO	Home Health Agency	$0	$6.6M
Precious Palms Home Services LLC	MO	In Home Supportive Care Agency	$0	$6.4M
Adminicare	MO	In Home Supportive Care Agency	$0	$5.9M
Tandra Mccain	MO	Social Worker	$0	$5.7M
Easy Care Consumer Directed Services LLC	MO	In Home Supportive Care Agency	$0	$5.5M
Care Companion Health Services, LLC	MO	Home Health Agency	$0	$5.3M
Tender Hands Home Healthcare, LLC	MO	In Home Supportive Care Agency	$0	$4.3M
Personalized Care, Consumer Direct Services, Lc	MO	Home Health Agency	$0	$4.2M

Equilibrium Homes Of St. Louis LLC — Billing Profile & Reimbursement Data

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Equilibrium Homes Of St. Louis LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References