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    OpenPayerNPI Medicare & MedicaidParaquad Inc
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    Paraquad Inc — Billing Profile & Reimbursement Data

    NPI 1801927298 · Saint Louis, MO · Customized Equipment (DME)

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    Paraquad Inc is a customized equipment (dme) provider located in Saint Louis, Missouri. This profile covers 0 Medicare and 2 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
    OrganizationParaquad Inc
    Address5240 Oakland
    CitySaint Louis
    StateMO
    ZIP63110
    TaxonomyCustomized Equipment (DME)
    NPI EnumeratedMarch 8, 2007

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

    Payer SourceTotal Paid
    Medicaid$56.3M
    Medicare$0

    Key Findings

    PARAQUAD INC has no Medicare billing on file and $56.3M in lifetime Medicaid revenue, so its public payer footprint is effectively single-payer (Medicaid)-centric rather than split between Medicare and Medicaid. Analysts should treat Medicaid as the primary source of fee-for-service payments when assessing this entity's scale and payer risk exposure.

    Revenue is extremely concentrated in a tiny set of procedure codes: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with T1019 alone representing 99.4% of that total and T2040 contributing 0.6%. This concentration indicates that a single service line dominates cash flow and operational focus.

    The dominant billing code, T1019 (Personal care services, per 15 minutes), points to a business model centered on hands-on personal care delivered under individualized plans of treatment rather than durable medical equipment sales, despite the provider taxonomy listing Customized Equipment (DME). The presence of T2040 (Financial management, self-directed, waiver; per 15 minutes) alongside T1019 suggests PARAQUAD also provides waiver fiscal/administrative support for self-directed consumers, pairing direct care delivery with program administration.

    Claim- and payment-level details underscore the scale differences between the two codes: T1019 shows 799.6K claims at $70 avg paid/claim for $56M revenue, while T2040 shows 2.8K claims at $120 avg paid/claim for $335.8K revenue. The volume and average-paid contrast indicate that most revenue is generated through high-frequency, low-unit-value personal care sessions, whereas financial-management services are a small, higher-unit-value adjunct.

    Competitive standing for the core service is notable: T1019 ranks #18 of 1332 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code), marking PARAQUAD as a statewide heavyweight for that service. By contrast, T2040 ranks #2 of 19 providers in-state (94th percentile; typical, unremarkable volume for this code), meaning the provider ranks highly for fiscal-management services but that market is much smaller in absolute dollars and claims.

    Operational implications flow directly from the mix: a billing profile dominated by per-15-minute personal care (T1019) implies large-scale workforce management needs, minute-level timekeeping, scheduling complexity, and significant ongoing oversight of direct-care staff. The addition of T2040 activity suggests parallel capabilities in waiver administration and fiscal intermediary functions, which require separate compliance and billing workflows.

    The provider’s NPI was enumerated on 2007-03-08 (~19 years ago), indicating long-tenured participation in Medicaid programs; combined with $56.3M in Medicaid revenue and the extreme outlier status on T1019, this longevity supports the interpretation of an established, high-volume personal care services operation in Missouri.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…799,640$70$56M
    T2040Financial management, self-directed, waiver; per 15 minutes2,800$120$335.8K

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal 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…181,3306,550$80$4.6M
    T2040Financial management, self-directed, waiver; per 15 minutes220850$70$250.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Council For Extended CareMOIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$98.1M
    St. Louis Children's HospitalMOChildren's Hospital$0$66.9M
    Barnes Jewish HospitalMOGeneral Acute Care Hospital$0$61.4M
    Washington UniversityMOMulti-Specialty Clinic/Center$0$22M
    Cooperative Home Care, Inc.MOHome Health Agency$0$20.6M
    Washington UniversityMOMulti-Specialty Clinic/Center$0$14.8M
    New Beginnings In Home Services, LLCMOIn Home Supportive Care Agency$0$11.6M
    Washington UniversityMOMulti-Specialty Clinic/Center$0$10.4M
    Washington UniversityMOEmergency Care Clinic/Center$0$9.1M
    Bjc Home Care ServicesMODurable Medical Equipment & Medical Supplies$0$8.2M

    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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Paraquad Inc — 1 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri