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.

Nova Center Of The Ozarks Inc. (NPI 1811029440)

Field	Value
Entity Type	Organization
Organization	Nova Center Of The Ozarks Inc.
Address	524 S Union Ave
City	Springfield
State	MO
ZIP	65802
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	March 9, 2007

Payer Source	Total Paid
Medicaid	$50.5M
Medicare	$0

Key Findings

NOVA CENTER OF THE OZARKS INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file while lifetime Medicaid revenue is $50.5M, indicating the organization’s operations and reimbursement dependency are concentrated entirely in the Medicaid program. This payer mix implies its financial performance and growth prospects are tightly linked to state Medicaid policy and waiver program rates rather than Medicare reimbursement dynamics.

Revenue is highly concentrated in a small set of Medicaid service lines: the top 3 Medicaid codes account for 98.7% of the provider’s total Medicaid revenue. In particular, T2016 alone represents $43.4M or 85.8% of Medicaid revenue, showing the organization’s business model is overwhelmingly driven by residential habilitation per-diem services.

The code mix points to a residential IDD habilitation operation rather than outpatient or medical-specialty services. High reliance on T2016 (habilitative residential waiver per diem) and meaningful volume in T2021 (day habilitation, $5.4M) and S5108 (home care training, $1.1M) indicates the provider primarily operates residential and day habilitation programs with supplemental caregiver training services rather than clinic-based therapy or medical procedures.

Competitive standing within Missouri is modest-to-typical for the provider’s largest codes. For T2016 the provider ranks #34 of 193 in-state (83rd percentile), and for T2021 it ranks #37 of 167 (78th percentile); both positions are described as typical, unremarkable volume relative to peers, suggesting NOVA CENTER is a mid-tier in-state provider for core residential and day habilitation services rather than a dominant statewide leader.

For smaller ancillary codes the provider’s standing is variable but not exceptional: S5108 ranks #10 of 38 providers in-state (76th percentile) which places it above many peers for home care training, while codes like T1019 and 97153 show lower relative rankings (27th and 33rd percentiles respectively), reflecting limited participation in personal care or technician-delivered adaptive behavior services compared with larger in-state networks.

The operational footprint implied by claim counts reinforces the residential focus: 94.5K claims for T2016 and 41K claims for T2021 indicate large volumes of per-diem residential and per-15-minute day services rather than high-severity episodic medical care. These claim volumes, paired with average paid/claim levels ($459 for T2016 and $132 for T2021), suggest a business built around sustained daily and routine programmatic service delivery.

Tenure in the market is long-standing: the provider’s NPI was enumerated on 2007-03-09 (~19 years ago), indicating nearly two decades of operation under the registered taxonomy for Intellectual and/or Developmental Disabilities Residential Treatment Facility. That longevity supports institutional experience in Medicaid waiver and habilitation program administration.

From a risk/revenue perspective, the concentration in a single high-dollar per-diem code (T2016 at $43.4M) creates exposure to any state-level changes in waiver per-diem policy or utilization management for residential habilitation. Conversely, the presence of complementary revenue from T2021 and S5108 shows some diversification across residential, day, and training services within the IDD habilitation spectrum, which may mitigate but does not eliminate concentration risk.

Analysts seeking to benchmark or negotiate with NOVA CENTER should treat it as a large Medicaid-focused residential habilitation provider with mid-tier statewide volumes for its primary codes. Its lack of Medicare activity means federal fee-for-service benchmarks are not directly applicable, and comparisons should emphasize Medicaid waiver rates, per-diem utilization, and in-state peer rank data when assessing competitiveness or contracting value.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	94,460	$460	$43.4M
T2021	Day habilitation, waiver; per 15 minutes	40,990	$130	$5.4M
S5108	Home care training to home care client, per 15 minutes	15,510	$70	$1.1M
T2001	Non-emergency transportation; patient attendant/escort	3,330	$90	$312.6K
T1002	Rn services, up to 15 minutes	6,200	$40	$223.2K
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…	1,920	$50	$101.8K
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…	580	$40	$20.7K

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

Nova Center Of The Ozarks Inc. — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	34	190	38,330	$450	$27M
T2021	Day habilitation, waiver; per 15 minutes	37	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…	977	1,330	6,550	$80	$4.6M
S5108	Home care training to home care client, per 15 minutes	10	40	6,430	$70	$794.4K
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…	38	60	1,810	$160	$587.2K
T2001	Non-emergency transportation; patient attendant/escort	29	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	32	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as Nova Center Of The Ozarks Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of The Ozarks	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$98M
The Arc Of The Ozarks	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$95.9M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$72.6M
The Arc Of The Ozarks	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$64.6M
Mercy Hospital Springfield	MO	Land Ambulance	$0	$46.7M
The Arc Of The Ozarks	MO	Community/Behavioral Health Agency	$0	$20.1M
Developmental Center Of The Ozarks	MO	Developmentally Disabled Services Day Training Agency	$0	$14.5M
Forensic Testing Services, LLC	MO	Durable Medical Equipment & Medical Supplies	$0	$13.4M
Holloman Care Cds LLC	MO	Home Health Agency	$0	$11.3M
Advocates For A Healthy Community, Inc.	MO	Federally Qualified Health Center (FQHC)	$0	$3.8M

Nova Center Of The Ozarks Inc. — Billing Profile & Reimbursement Data

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Nova Center Of The Ozarks 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