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.

Easter Seals Midwest (NPI 1871625582)

Field	Value
Entity Type	Organization
Organization	Easter Seals Midwest
Address	11933 Westline Industrial Dr
City	Saint Louis
State	MO
ZIP	63146
Taxonomy	Behavior Analyst
NPI Enumerated	March 9, 2007

Payer Source	Total Paid
Medicaid	$35.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	141,810	$170	$24.4M
S5108	Home care training to home care client, per 15 minutes	46,950	$90	$4.4M
H2023	Supported employment, per 15 minutes	11,950	$180	$2.1M
T2001	Non-emergency transportation; patient attendant/escort	4,340	$230	$984.7K
S5136	Companion care, adult (e.g., iadl/adl); per diem	5,480	$170	$932.3K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	2,170	$380	$821.3K
T1002	Rn services, up to 15 minutes	7,730	$60	$486.9K
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…	2,220	$160	$358.8K
A0110	Non-emergency transportation and bus, intra or inter state carrier	7,780	$30	$194.4K
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…	1,050	$160	$172.2K

Showing 1–10 of 21

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

Easter Seals Midwest — 2 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	13	10	18,080	$240	$15.9M
T2021	Day habilitation, waiver; per 15 minutes	2	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…	1,055	1,330	6,550	$80	$4.6M
H2023	Supported employment, per 15 minutes	6	30	3,120	$180	$1.4M
S5108	Home care training to home care client, per 15 minutes	1	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…	33	60	1,810	$160	$587.2K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	19	120	730	$60	$585.2K
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…	33	70	2,030	$140	$460.6K
A0110	Non-emergency transportation and bus, intra or inter state carrier	31	80	4,520	$10	$331.1K
T1016	Case management, each 15 minutes	11	10	1,710	$110	$304.2K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Easter Seals Midwest, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Missouri, LLC	MO	Developmental Disabilities Clinic/Center	$0	$240.8M
Advantage Consumer Directed Services, LLC	MO	Home Health Agency	$0	$133.9M
Advantage In-home Services, LLC	MO	Home Health Agency	$0	$99.8M
Judevine, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$58.4M
St. Louis Arc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$39.2M
Maxim Healthcare Services	MO	Nursing Care Agency	$0	$34.9M
St. Louis Arc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$33.7M
St. Louis Arc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$19.9M
Biotab LLC	MO	Durable Medical Equipment & Medical Supplies	$0	$14.1M
The Center For Head Injury Services	MO	Developmentally Disabled Services Day Training Agency	$0	$7.7M

Easter Seals Midwest — Billing Profile & Reimbursement Data

Sign up for Easter Seals Midwest — Billing Profile & Reimbursement Data policy alerts

Easter Seals Midwest — Billing Profile & Reimbursement Data

Sign up for Easter Seals Midwest — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References