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.

The Arc Of The Ozarks (NPI 1841400454)

Field	Value
Entity Type	Organization
Organization	The Arc Of The Ozarks
Address	1501 E Pythian St
City	Springfield
State	MO
ZIP	65802
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 23, 2007

Payer Source	Total Paid
Medicaid	$20.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	78,250	$160	$12.4M
S5108	Home care training to home care client, per 15 minutes	28,430	$70	$2M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	14,280	$140	$2M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	810	$1,570	$1.3M
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…	12,730	$80	$954.5K
H2023	Supported employment, per 15 minutes	5,100	$150	$769.6K
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…	1,920	$120	$233.9K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	3,300	$60	$207.8K
0369T	Duodenal mucosal resurfacing, endoscopic	920	$60	$58.8K
0368T	Behavior treatment modified additional	950	$50	$42.8K

Showing 1–10 of 14

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

The Arc Of The Ozarks — 2 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	12	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…	519	1,330	6,550	$80	$4.6M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	7	10	1,650	$460	$1.4M
H2023	Supported employment, per 15 minutes	14	30	3,120	$180	$1.4M
S5108	Home care training to home care client, per 15 minutes	5	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…	27	60	1,810	$160	$587.2K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	1	70	2,030	$140	$460.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	91	260	390	$60	$188.2K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	3	30	370	$80	$64.3K
0369T	Duodenal mucosal resurfacing, endoscopic	3	10	590	$100	$63.9K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Arc Of The Ozarks, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amber Perkins	MO	Psychologist	$3.8K	$2.9K

Nearby Providers

Other providers in the same ZIP code as The Arc Of The Ozarks, 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
Nova Center Of The Ozarks Inc.	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$50.5M
Mercy Hospital Springfield	MO	Land Ambulance	$0	$46.7M
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

The Arc Of The Ozarks — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References