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.

Special School District Of St. Louis County (NPI 1922128354)

Field	Value
Entity Type	Organization
Organization	Special School District Of St. Louis County
Address	12110 Clayton Rd
City	Saint Louis
State	MO
ZIP	63131
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	March 30, 2007

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	9,730	$240	$2.3M
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	170,020	$10	$1.9M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	13,480	$30	$444.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	2,240	$40	$78.4K
A0110	Non-emergency transportation and bus, intra or inter state carrier	19,470	$1	$77.9K
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…	740	$50	$37.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	110	$30	$2.9K
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…	160	$10	$1.6K

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

Special School District Of St. Louis County — 2 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	10	20	15,030	$300	$19.9M
A0110	Non-emergency transportation and bus, intra or inter state carrier	11	80	4,520	$10	$331.1K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	48	260	390	$60	$188.2K
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…	147	200	510	$20	$120.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	13	480	680	$30	$98.3K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	1	200	1,850	$10	$52.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	293	330	760	$20	$41.7K
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…	86	390	170	$20	$39.5K

Nearby Providers

Other providers in the same ZIP code as Special School District Of St. Louis County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Alternatives Missouri, Inc.	MO	Developmentally Disabled Services Day Training Agency	$0	$48.8M
Nextra Health, Inc.	MO	Durable Medical Equipment & Medical Supplies	$0	$25.4M
Support Innovations Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.8M
Sona Kamat	MO	Rheumatology Physician	$4.1M	$0
Des Peres Eye Surgery Center, LLC	MO	Ambulatory Surgical Clinic/Center	$3.5M	$162.2K
Family Hire LLC	MO	In Home Supportive Care Agency	$0	$3.6M
Richard Divalerio	MO	Rheumatology Physician	$1.4M	$0
Ying Du	MO	Rheumatology Physician	$1.4M	$0
Lizette Alvarez	MO	Physical Medicine & Rehabilitation Physician	$1.3M	$0
Manchester Ambulatory Surgery Center LP	MO	Ambulatory Surgical Clinic/Center	$848.9K	$0

Special School District Of St. Louis County — Billing Profile & Reimbursement Data

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Special School District Of St. Louis County — 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