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.

Disabled Citizens Alliance For Independence (NPI 1871647560)

Field	Value
Entity Type	Organization
Organization	Disabled Citizens Alliance For Independence
Address	#8 Missouri Avenue
City	Viburnum
State	MO
ZIP	65566
Taxonomy	Personal Care Attendant
NPI Enumerated	January 22, 2007

Payer Source	Total Paid
Medicaid	$96.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused personal care attendant operation: it reports no Medicare billing on file and $96.9M in lifetime Medicaid revenue, and its dominant code is T1019 (personal care services, per 15 minutes). The prevalence of T1019 payments suggests the organization primarily delivers minute-based personal care and home- and community-based waiver services rather than institutional or Medicare-covered care.

Revenue is extremely concentrated in a single code: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and T1019 alone accounts for $96.7M (99.8% of this provider's total Medicaid revenue). That concentration indicates most of the provider’s financial performance hinges on continued reimbursement and demand for T1019 services.

Competitive standing for the core service is materially strong in-state: T1019 activity for this provider ranks #4 of 1332 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). This ranking marks the organization as a dominant local provider of personal care services under T1019, operating at a scale well above typical peers.

Secondary Medicaid activities are small and specialized: T2040 (financial management, self-directed, waiver; per 15 minutes) generated $154.2K (0.2% of Medicaid revenue) and ranks #6 of 19 providers in-state (72th percentile; typical, unremarkable volume). T2028 (specialized supply, not otherwise specified, waiver) contributed $3.9K (0.0% of Medicaid revenue) and ranks #11 of 14 providers in-state (23th percentile; typical, unremarkable volume). These lines are present but not material to overall revenue.

Payer mix is essentially single-payer Medicaid: with zero Medicare billing on file and $96.9M in Medicaid receipts, the provider’s exposure is concentrated on Medicaid policy, eligibility, and state waiver program rules rather than Medicare coverage shifts. Analysts should treat Medicare-market dynamics as non‑material for this entity unless future Medicare billing appears.

The provider has sustained tenure in the market: its NPI was enumerated on 2007-01-22 (~19 years ago), indicating long operational history and likely established referral or enrollment relationships within state waiver networks. Longevity combined with high T1019 volume suggests embedded presence in local long-term services and supports delivery systems.

The extreme outlier status on T1019 creates operational risk and strategic leverage simultaneously: being #4 of 1332 and at the 100th percentile positions the provider to influence local capacity for personal care services, but it also means changes to reimbursement for T1019 or program eligibility could disproportionately impact overall revenue given that T1019 comprises $96.7M of the $96.9M total. Monitoring state waiver policy and any audits or program integrity activities affecting T1019 is therefore material to financial stability.

Given the narrow service mix and state-level concentration, competitive analysis should focus on personal care delivery capacity and self-directed waiver support. The provider’s modest T2040 and T2028 volumes show participation in administrative and supply niches, but those lines are currently peripheral compared with the dominant minute-based personal care services billed under T1019.

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
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…	1,895,980	$50	$96.7M
T2040	Financial management, self-directed, waiver; per 15 minutes	1,220	$130	$154.2K
T2028	Specialized supply, not otherwise specified, waiver	40	$110	$3.9K

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

Disabled Citizens Alliance For Independence — 1 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
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…	4	1,330	6,550	$80	$4.6M
T2040	Financial management, self-directed, waiver; per 15 minutes	6	20	850	$70	$250.4K
T2028	Specialized supply, not otherwise specified, waiver	11	10	220	$120	$198.9K

Nearby Providers

Other providers in the same ZIP code as Disabled Citizens Alliance For Independence, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Disabled Citizens Alliance For Independence Foundation, Inc	MO	Clinical Social Worker	$0	$7.7M

Disabled Citizens Alliance For Independence — Billing Profile & Reimbursement Data

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Disabled Citizens Alliance For Independence — 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