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.

Places For People, Inc (NPI 1891237012)

Field	Value
Entity Type	Organization
Organization	Places For People, Inc
Address	1001 Lynch St
City	Saint Louis
State	MO
ZIP	63118
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 7, 2016

Payer Source	Total Paid
Medicaid	$123.7M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operator: there is no Medicare billing on file and total reported Medicaid revenue is $123.7M. The absence of Medicare receipts combined with the single large Medicaid revenue stream indicates the organization’s payer footprint is concentrated almost entirely in state Medicaid programs rather than fee-for-service Medicare.

Medicaid revenue is highly concentrated in a single per-diem clinic code: the top three Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, and T1040 alone is reported with $123.7M revenue, 483.1K claims, and a $256 avg paid/claim. This concentration shows the provider’s cash flow is driven by Medicaid certified community behavioral health clinic per-diem payments rather than by discrete office or psychotherapy visits.

Service-line profile aligns with a community behavioral health clinic model: T1040 (Medicaid certified community behavioral health clinic services, per diem) is the dominant revenue driver and the provider’s taxonomy is Community/Behavioral Health Agency. Ancillary E/M (99214, 99212, 99213, etc.) and psychotherapy codes (90837, 90834, 90832) appear in the billing mix but generate negligible Medicaid revenue in this file, suggesting bundled per-diem reimbursement is the primary mechanism for funding core services.

Competitive standing on the signature code is modest within Missouri: T1040 ranks #9 of 31 providers in-state (73th percentile; typical, unremarkable volume), so PLACES FOR PEOPLE, INC is not a state-wide market leader on that code but is an established participant. Several ancillary codes show higher percentile ranks (for example 99214 ranks #277 of 3166 providers in-state, 91th percentile; 90837 ranks #55 of 439, 88th percentile) but those codes contribute only $21.4K and $12K respectively to revenue, so those percentile standings do not translate into material revenue dominance.

There are large claim volumes recorded for multiple H-codes and other community-service codes that show $0 avg paid/claim and $0 revenue in the dataset (for example H0036: 110.4K claims; H0037: 64K claims; H2017: 24.8K claims). These entries indicate substantial reported service activity in non-E/M community psychiatric codes, but the file contains no paid-dollar attribution for those claims, so billed counts do not correspond to recorded Medicaid fee-for-service revenue in this extract.

Provider tenure: the NPI was enumerated on 2016-11-07 (~10 years ago), indicating the organization has been registered with federal billing systems for about a decade. Combined with the large T1040 volume, that tenure is consistent with an established community behavioral health operation in the state Medicaid network.

Business implication of the revenue mix: reliance on T1040 per-diem Medicaid payments means the provider’s financial performance is heavily tied to state behavioral health payment policy and per-diem reimbursement dynamics. Because the top three codes supply 100.0% of reported Medicaid revenue and other commonly billed psychotherapy/E&M codes contribute only immaterial dollars, operational and contracting strategies are likely centered on certified-community-clinic capacity and per-diem arrangements rather than high-volume fee-for-service office visits.

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	483,120	$260	$123.7M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,570	$10	$21.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,710	$10	$12K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	3,900	$1	$7.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	1,890	$1	$7.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,370	$1	$2.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	420	$10	$2.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	220	$10	$1.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	390	$1	$780
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	430	$1	$430

Showing 1–10 of 24

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

Places For People, Inc — 1 of 10 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	9	30	198,100	$260	$125.7M
H0037	Community psychiatric supportive treatment program, per diem	8	20	56,420	$120	$11.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	17	20	214,040	$20	$10.8M
H2015	Comprehensive community support services, per 15 minutes	12	20	4,550	$50	$2.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	15	20	40,460	$20	$2M
H0004	Behavioral health counseling and therapy, per 15 minutes	28	40	3,680	$30	$978K
H0005	Alcohol and/or drug services; group counseling by a clinician	22	20	16,420	$20	$858.5K
H0040	Assertive community treatment program, per diem	3	10	20,740	$10	$572.6K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	18	30	6,100	$10	$339.7K
H2010	Comprehensive medication services, per 15 minutes	12	20	8,760	$10	$336.6K

Showing 1–10 of 24

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Premium In-home Care LLC	MO	Home Health Agency	$0	$26.9M
Advanced Comfort Health Solutions LLC	MO	In Home Supportive Care Agency	$0	$12.1M
Sa Hospital Acquisition Group	MO	General Acute Care Hospital	$0	$8.8M
Agape Community Healthcare, P.C.	MO	In Home Supportive Care Agency	$0	$6.4M
Arena Manor, Inc.	MO	Assisted Living Facility	$0	$5.2M
Cherokee Residential Care Acquisition, LLC	MO	Assisted Living Facility	$0	$4.3M
Raymond Brickhouse	MO	Foot & Ankle Surgery Podiatrist	$1.3M	$197.7K
Valinda Allen	MO	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$111.8K	$48.9K
Shawn Gao	MO	Internal Medicine Physician	$141.3K	$0
Sanjeev Kamat	MO	Psychiatry Physician	$114.7K	$0

Places For People, Inc — Billing Profile & Reimbursement Data

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Places For People, 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