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.

Crossroads Isl, LLC (NPI 1730234931)

Field	Value
Entity Type	Organization
Organization	Crossroads Isl, LLC
Address	240 N Kingshighway St
City	Sikeston
State	MO
ZIP	63801
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 25, 2007

Payer Source	Total Paid
Medicaid	$85.8M
Medicare	$0

Key Findings

CROSSROADS ISL, LLC has no Medicare billing on file and reports $85.8M in lifetime Medicaid revenue, making it effectively a Medicaid-focused, single-payer operation in the available data. Analysts should treat Medicaid as the sole material payer when assessing this entity's billing footprint and financial exposure.

Revenue is highly concentrated: the provider's top three Medicaid codes account for 99.4% of total Medicaid revenue, with a single code, T2016, representing $79.3M or 92.4% of Medicaid receipts. This concentration means overall Medicaid performance is driven overwhelmingly by the volume and reimbursement dynamics of the T2016 service.

The code mix indicates an operation centered on habilitation and long-term support services: T2016 (Habilitation, residential, waiver; per diem) dominates revenue, while T1019 (personal care services, per 15 minutes) and T2021 (day habilitation, waiver; per 15 minutes) provide complementary personal-care and day-program services. Per-claim averages ($495 for T2016, $214 for T1019, $275 for T2021) align with per-diem and time-based reimbursement typical of residential and day habilitation service models.

Competitive standing for T2016 is relatively strong in-state: the provider ranks #13 of 193 in Missouri (94th percentile) on this code, though the data labels its volume as "typical, unremarkable volume for this code." In practice this means CROSSROADS ISL is a significant Medicaid revenue generator through residential habilitation services, yet its activity level falls within the common range of in-state providers billing the same code.

T1019 and T2021 are modest secondary revenue streams: T1019 accounts for $3.8M (4.4% of Medicaid revenue) and ranks #467 of 1332 in-state (65th percentile), while T2021 accounts for $2.1M (2.5% of Medicaid revenue) and ranks #124 of 167 (26th percentile); both are described as "typical, unremarkable volume for this code." These ranks suggest the provider’s personal care and day habilitation offerings are present but not dominant relative to peers.

Smaller ancillary codes contribute a negligible share of revenue but offer operational clues: T1002 (RN services, up to 15 minutes) totals $355.9K (0.4% of Medicaid revenue) across 14.2K claims with a $25 avg paid/claim and ranks #9 of 195 (96th percentile), while T2001 (non-emergency transportation; patient attendant/escort) contributes $199.9K (0.2% of revenue) and ranks #59 of 150 (61th percentile); both are also labeled "typical, unremarkable volume for this code." The high claim count and low average payment for T1002 suggest frequent short nursing encounters that are small contributors to overall revenue.

The provider has an established enrollment history (NPI enumerated 2007-01-25, ~19 years ago), indicating longevity in the Medicaid market. Combined with the heavy dependence on T2016 and the waiver/residential service line, analysts should monitor waiver policy and residential habilitation reimbursement trends, as changes to those areas would disproportionately affect this provider's revenue profile.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	160,240	$500	$79.3M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	17,770	$210	$3.8M
T2021	Day habilitation, waiver; per 15 minutes	7,710	$280	$2.1M
T1002	Rn services, up to 15 minutes	14,240	$30	$355.9K
T2001	Non-emergency transportation; patient attendant/escort	1,680	$120	$199.9K

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

Crossroads Isl, LLC — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	13	190	38,330	$450	$27M
T2021	Day habilitation, waiver; per 15 minutes	124	170	18,890	$180	$5.4M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	467	1,330	6,550	$80	$4.6M
T2001	Non-emergency transportation; patient attendant/escort	59	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	9	200	1,720	$50	$194.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$45.9M
Bootheel Counseling Services	MO	Community/Behavioral Health Agency	$0	$27M
Missouri Delta Medical Center	MO	General Acute Care Hospital	$0	$22.7M
Allen Home Care Services, Inc.	MO	Nursing Care Agency	$0	$10.1M
Mosaic Community Services, LLC	MO	In Home Supportive Care Agency	$0	$6.2M
Catholic Charities Of Southern Missouri	MO	Case Management Agency	$0	$6M
Wyatt's Dream Center	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.1M
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$4.7M
Knights Of Columbus 3151 St. Francis Xavier	MO	Adult Day Care Clinic/Center	$0	$4.3M
Mba In-home Services LLC	MO	In Home Supportive Care Agency	$0	$4.2M

Crossroads Isl, LLC — Billing Profile & Reimbursement Data

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Crossroads Isl, LLC — 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