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.

Especial Needs, LLC (NPI 1720214760)

Field	Value
Entity Type	Organization
Organization	Especial Needs, LLC
Address	1850 Borman Court
City	Saint Louis
State	MO
ZIP	63146
Taxonomy	Contractor
NPI Enumerated	June 4, 2009

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

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
T2029	Specialized medical equipment, not otherwise specified, waiver	4,080	$820	$3.3M
S5165	Home modifications; per service	190	$1,130	$217.7K
T2028	Specialized supply, not otherwise specified, waiver	10	$1,040	$14.6K

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

Especial Needs, LLC — 1 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
T2029	Specialized medical equipment, not otherwise specified, waiver	13	40	1,720	$200	$1.4M
T2028	Specialized supply, not otherwise specified, waiver	13	10	220	$120	$198.9K
S5165	Home modifications; per service	1	10	40	$1,420	$114K

Nearby Providers

Other providers in the same ZIP code as Especial Needs, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Missouri, LLC	MO	Developmental Disabilities Clinic/Center	$0	$240.8M
Advantage Consumer Directed Services, LLC	MO	Home Health Agency	$0	$133.9M
Advantage In-home Services, LLC	MO	Home Health Agency	$0	$99.8M
Judevine, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$58.4M
St. Louis Arc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$39.2M
Easter Seals Midwest	MO	Behavior Analyst	$0	$35.2M
Maxim Healthcare Services	MO	Nursing Care Agency	$0	$34.9M
St. Louis Arc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$33.7M
St. Louis Arc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$19.9M
Biotab LLC	MO	Durable Medical Equipment & Medical Supplies	$0	$14.1M

Especial Needs, LLC — Billing Profile & Reimbursement Data

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Especial Needs, 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