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.

Advantage Consumer Directed Services, LLC (NPI 1902028772)

Field	Value
Entity Type	Organization
Organization	Advantage Consumer Directed Services, LLC
Address	11796 Westline Industrial Dr
City	Saint Louis
State	MO
ZIP	63146
Taxonomy	Home Health Agency
NPI Enumerated	May 2, 2007

Payer Source	Total Paid
Medicaid	$133.9M
Medicare	$0

Key Findings

ADVANTAGE CONSUMER DIRECTED SERVICES, LLC has no Medicare billing on file, making it effectively a single-payer Medicaid operator; the profile records Total Medicaid revenue of $133.9M and explicitly notes none for Medicare, so analyses of payer mix should treat Medicaid as the sole reported revenue source.

Revenue is extremely concentrated in a single service line: the top three Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with one code dominating nearly the entire book of business. This concentration indicates the provider's financial performance is driven almost entirely by a narrow set of waiver-related services.

T1019 is the primary revenue driver by a wide margin: 2.3M claims, $57 avg paid/claim, $133.8M revenue (99.9% of this provider's total Medicaid revenue). T1019 is personal care services billed per 15 minutes under an individualized plan of treatment, and the provider ranks #1 of 1332 in-state (100th percentile; extreme outlier, far above typical state volume for this code), signaling a dominant position in state personal care waiver billing.

The code mix (dominance of T1019 with small volumes of T2040 and T2028) suggests ADVANTAGE CONSUMER DIRECTED SERVICES operates primarily as a large personal care/home- and community-based services provider within waiver programs rather than as a traditional Medicare home health agency. The presence of T2040 (financial management, self-directed waiver) and T2028 (specialized supply, waiver) indicates ancillary waiver support functions consistent with self-directed program models.

Smaller revenue lines are immaterial relative to T1019: T2040 shows 970 claims, $112 avg paid/claim, $108.6K revenue (0.1% of this provider's total Medicaid revenue) and ranks #8 of 19 in-state (61th percentile; typical, unremarkable volume), while T2028 has 145 claims, $198 avg paid/claim, $28.7K revenue (0.0% of this provider's total Medicaid revenue) and ranks #8 of 14 in-state (46th percentile; typical, unremarkable volume). These secondary codes represent operational complements rather than alternative revenue centers.

Given the extreme concentration in T1019, the provider's competitive and regulatory exposure is tightly linked to state Medicaid waiver rules and payment rates for personal care services; any policy, program, or rate changes affecting T1019 would likely have outsized impact on this organization's revenue. Analysts should prioritize monitoring waiver policy, authorization practices, and payment rate trends for T1019 when assessing financial risk.

The entity has an established tenure in federal enrollment: its NPI was enumerated on 2007-05-02 (~19 years ago), indicating long-standing participation in Medicaid billing programs and likely operational scale necessary to support the reported 2.3M T1019 claims volume. This multi-year presence, combined with its top-state ranking on T1019, supports the conclusion that it is a durable, high-volume provider in Missouri's personal care waiver market.

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…	2,346,730	$60	$133.8M
T2040	Financial management, self-directed, waiver; per 15 minutes	970	$110	$108.6K
T2028	Specialized supply, not otherwise specified, waiver	150	$200	$28.7K

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

Advantage Consumer Directed Services, LLC — 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…	1	1,330	6,550	$80	$4.6M
T2040	Financial management, self-directed, waiver; per 15 minutes	8	20	850	$70	$250.4K
T2028	Specialized supply, not otherwise specified, waiver	8	10	220	$120	$198.9K

Nearby Providers

Other providers in the same ZIP code as Advantage Consumer Directed Services, LLC, 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 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
Easter Seals Midwest	MO	Behavior Analyst	$0	$35.2M
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

Advantage Consumer Directed Services, LLC — Billing Profile & Reimbursement Data

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Advantage Consumer Directed Services, LLC — 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