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.

Quality Care Services (NPI 1902191471)

Field	Value
Entity Type	Organization
Organization	Quality Care Services
Address	211 E Main St
City	East Prairie
State	MO
ZIP	63845
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 13, 2011

Payer Source	Total Paid
Medicaid	$15.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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…	206,640	$60	$13M
S5150	Unskilled respite care, not hospice; per 15 minutes	22,360	$70	$1.5M
T1001	Nursing assessment / evaluation	28,100	$40	$1.2M
S5130	Homemaker service, nos; per 15 minutes	2,940	$30	$85.2K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	20	$40	$820
T1009	Child sitting services for children of the individual receiving alcohol and/or substance abuse services	160	$0	$0
T109	N/A	460	$0	$0

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

Quality Care Services — 0 of 5 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

7 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…	78	1,330	6,550	$80	$4.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	44	220	3,750	$60	$1.3M
T1001	Nursing assessment / evaluation	27	420	1,610	$50	$378.4K
S5130	Homemaker service, nos; per 15 minutes	46	90	3,300	$30	$317.1K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	74	90	150	$90	$164.6K
T1009	Child sitting services for children of the individual receiving alcohol and/or substance abuse services	1	10	160	$0	$0
T109	N/A	1	10	240	$0	$0

Nearby Providers

Other providers in the same ZIP code as Quality Care Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Douglas	MO	Family Medicine Physician	$13K	$45.7K

Quality Care Services — Billing Profile & Reimbursement Data

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Quality Care Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References