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.

State Of Missouri (NPI 1942359781)

Field	Value
Entity Type	Organization
Organization	State Of Missouri
Address	205 Jefferson St
City	Jefferson City
State	MO
ZIP	65101
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	January 10, 2007

Payer Source	Total Paid
Medicaid	$39M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	326,010	$50	$16.6M
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…	268,180	$50	$13.9M
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	12,560	$200	$2.5M
E1399	Durable medical equipment, miscellaneous	3,750	$650	$2.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	15,930	$70	$1.1M
L1907	Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated	1,180	$730	$855.5K
A9900	Miscellaneous dme supply, accessory, and/or service component of another hcpcs code	7,240	$60	$427.3K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	1,920	$180	$341.2K
96111	N/A	1,780	$190	$338K
L2280	Addition to lower extremity, molded inner boot	190	$490	$95.6K

Showing 1–10 of 22

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

State Of Missouri — 7 of 18 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	13	40	3,680	$30	$978K
L1907	Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated	2	10	840	$560	$701.8K
E1399	Durable medical equipment, miscellaneous	2	10	1,050	$180	$575.4K
L2280	Addition to lower extremity, molded inner boot	5	10	680	$420	$511.6K
L1960	Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated	3	10	430	$530	$262.1K
A9900	Miscellaneous dme supply, accessory, and/or service component of another hcpcs code	1	10	3,650	$60	$212.9K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	3	10	1,340	$130	$202.8K
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…	1	260	390	$60	$188.2K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	1	20	50	$150	$172.4K
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.	1	480	680	$30	$98.3K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with State Of Missouri, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Missouri	MO	Clinical Medical Laboratory	$0	$7.8M

Nearby Providers

Other providers in the same ZIP code as State Of Missouri, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Missouri	MO	Rehabilitation Psychologist	$0	$493.6M
State Of Missouri	MO	Addiction (Substance Use Disorder) Counselor	$0	$271.2M
State Of Missouri	MO	Rehabilitation Psychologist	$0	$91.5M
Cole County Residential Services, Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.2M
Curators Of The University Of Missouri	MO	General Acute Care Hospital	$0	$12.1M
Central Connections, Inc	MO	Case Management Agency	$0	$8.6M
Capital Region Medical Center	MO	Family Medicine Physician	$0	$4.4M
Community Health Ctr Of Central Missouri	MO	Federally Qualified Health Center (FQHC)	$0	$4.4M
Paige Hedgpath Od,pc	MO	Optometrist	$0	$3.6M
Cmmp Surgical Center LLC	MO	Ambulatory Surgical Clinic/Center	$1.2M	$14K

State Of Missouri — Billing Profile & Reimbursement Data

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State Of Missouri — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References