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.

Choices Of St Joseph, Inc (NPI 1801910203)

Field	Value
Entity Type	Organization
Organization	Choices Of St Joseph, Inc
Address	3024 Frederick Ave
City	Saint Joseph
State	MO
ZIP	64506
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	March 19, 2007

Payer Source	Total Paid
Medicaid	$64.3M
Medicare	$0

Key Findings

CHOICES OF ST JOSEPH, INC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility based in SAINT JOSEPH, MO; its billing profile shows no Medicare revenue on file and $64.3M in lifetime Medicaid revenue, indicating Medicaid as the provider's primary payer and financing source. The NPI was enumerated on 2007-03-19 (~19 years ago), reflecting an established operating tenure.

Medicaid revenue is highly concentrated: the provider's top three Medicaid codes account for 100.0% of total Medicaid revenue, with a single code, T2016, representing $63.5M or 98.8% of Medicaid receipts. This level of concentration signals that the business is effectively built around one dominant per-diem habilitation service.

The prominence of T2016 (T2016 – Habilitation, residential, waiver; per diem: 138.1K claims, $460 avg paid/claim, $63.5M revenue) indicates core operations are long-term residential habilitation services delivered under waiver/per-diem arrangements rather than episodic medical procedures. Analytically, this points to utilization drivers such as bed counts, occupancy rates, and per-person per-diem authorizations as the primary revenue levers.

Smaller Medicaid lines include T2001 (T2001 – Non-emergency transportation; patient attendant/escort: 4.4K claims, $111 avg paid/claim, $489.3K revenue) and T1002 (T1002 – Rn services, up to 15 minutes: 7.2K claims, $36 avg paid/claim, $259.6K revenue), which together represent 1.2% of Medicaid revenue (0.8% and 0.4% respectively). These volumes are consistent with supportive services — transportation and intermittent nursing — that complement a primary residential habilitation business.

Competitive standing within the state is modest-to-strong for its core code but not dominant: T2016 ranks #17 of 193 providers in-state (92th percentile; typical, unremarkable volume for this code), indicating higher-than-average activity but a commonly observed scale among peers. T2001 ranks #16 of 150 (90th percentile; typical, unremarkable volume) and T1002 ranks #26 of 195 (87th percentile; typical, unremarkable volume), both describing volumes that are notable but fall within ordinary statewide variation.

Because there is no Medicare billing on file, CHOICES OF ST JOSEPH, INC is effectively a single-payer (Medicaid) operator at scale: analysts should treat Medicaid policy, waiver rates, and state-level reimbursement changes as primary financial risk factors for this entity. The $64.3M Medicaid dependency means payer-contracting shifts or waiver rescissions could materially affect revenue.

For payer or provider analysts focused on oversight or contracting, the operational implications are clear: prioritize review of residential habilitation authorizations, per-diem rate-setting, occupancy and length-of-stay metrics tied to T2016, and verify that ancillary claims for T2001 and T1002 align with expected care plans. Given the service-line concentration and the provider's ~19-year tenure, monitoring utilization patterns and authorization consistency will be more informative than broad claims-mix analysis.

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
T2016	Habilitation, residential, waiver; per diem	138,110	$460	$63.5M
T2001	Non-emergency transportation; patient attendant/escort	4,410	$110	$489.3K
T1002	Rn services, up to 15 minutes	7,210	$40	$259.6K

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

Choices Of St Joseph, Inc — 0 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
T2016	Habilitation, residential, waiver; per diem	17	190	38,330	$450	$27M
T2001	Non-emergency transportation; patient attendant/escort	16	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	26	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as Choices Of St Joseph, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Res-care Kansas, Inc.	MO	Home Health Agency	$0	$64.8M
Family Guidance Center For Behavioral Healthcare	MO	Community/Behavioral Health Agency	$0	$63.4M
Heartland Regional Medical Center	MO	General Acute Care Hospital	$0	$57.1M
Heartland Residential Care, Inc.	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$49.1M
Peace Of Mind Home Care, LLC	MO	Home Health Agency	$0	$39.8M
Heartland Regional Medical Center	MO	General Practice Physician	$0	$20.4M
Progressive Community Services	MO	Case Management Agency	$0	$14M
United Cerebral Palsy Of Northwest Missouri	MO	Voluntary or Charitable Agency	$0	$12.2M
Regional Emergency Medical Services Authority	MO	Land Ambulance	$1.3M	$7.4M
St Joseph Center For Outpatient Surgery, LLC	MO	Ambulatory Surgical Clinic/Center	$2M	$92.9K

Choices Of St Joseph, Inc — Billing Profile & Reimbursement Data

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Choices Of St Joseph, Inc — 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