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.

Rem Missouri, LLC (NPI 1962083493)

Field	Value
Entity Type	Organization
Organization	Rem Missouri, LLC
Address	11872 Westline Industrial Dr Ste 100
City	Saint Louis
State	MO
ZIP	63146
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	April 16, 2021

Payer Source	Total Paid
Medicaid	$240.8M
Medicare	$0

Key Findings

This entity is effectively a single-payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue is $240.8M. The provider’s NPI was enumerated on 2021-04-16 (approximately 5 years ago), indicating a relatively recent tenure in the claims record that has already scaled to substantial Medicaid volumes.

Revenue is highly concentrated: the top three Medicaid codes (T2016, S5136, T2021) account for 97.2% of this provider’s total Medicaid revenue. Those three codes break down to $172.8M (71.8%) for T2016, $45.4M (18.8%) for S5136, and $15.9M (6.6%) for T2021, which signals that a very small set of service lines drives almost all revenue.

The code mix points to a core business built around developmental-disability residential and home/community-based supports: T2016 (habilitation, residential, waiver; per diem) dominates revenue, complemented by S5136 (companion care, adult; per diem) and T2021 (day habilitation; per 15 minutes). This combination indicates operations centered on ongoing per-diem residential services plus structured day programs and companion care rather than episodic medical procedures.

T2016 performance positions the provider as a major statewide residential habilitation supplier: it ranks #6 of 193 providers in-state and sits in the 97th percentile. The provided label (“notably above typical state volume for this code”) and the $172.8M revenue share underline the provider’s prominence in residential waiver services within Missouri.

S5136 and T2021 show strong volume but different peer contexts: S5136 is $45.4M and ranks #3 of 14 providers in-state (85th percentile) and is described as typical/unremarkable volume for that code, while T2021 is $15.9M and ranks #17 of 167 providers (90th percentile) with a similar characterization. Together these positions indicate sizable operations in companion care and day habilitation relative to peers, but the market structure and number of peers differ between the two codes.

Several lower-revenue codes are nonetheless outliers versus peers: T1002 (RN services) and T2001 (non-emergency transportation; patient attendant/escort) each rank in the 97th percentile among in-state providers, and A9999 (miscellaneous DME) ranks #2 of 9 (88th percentile) and is labeled notably above typical. Although these codes contribute small shares of total Medicaid revenue, their high percentile ranks suggest specialized service lines that are more active here than at most peers.

Operationally, the dominance of per-diem codes (T2016 and S5136) implies reliance on sustained residential census and daily staffing models, while T2021’s per-15-minute day habilitation billing reflects concurrent time-based habilitation programs. This mix creates distinct utilization and staffing drivers that are different from fee-for-service clinical care and should be considered when benchmarking unit-costs, staffing intensity, or capacity utilization.

The extreme revenue concentration in a few waiver/service codes (97.2% from the top three) creates sensitivity to state policy or reimbursement changes affecting those specific waiver services. Given the provider’s scale in T2016, monitoring state-level rate adjustments, prior authorization rules, or waiver policy shifts that affect residential habilitation will be particularly material to the provider’s financial profile.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	290,500	$600	$172.8M
S5136	Companion care, adult (e.g., iadl/adl); per diem	163,830	$280	$45.4M
T2021	Day habilitation, waiver; per 15 minutes	65,170	$240	$15.9M
T1002	Rn services, up to 15 minutes	14,670	$100	$1.4M
T2001	Non-emergency transportation; patient attendant/escort	8,220	$170	$1.4M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	9,120	$120	$1.1M
H2023	Supported employment, per 15 minutes	2,660	$270	$704.4K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	4,340	$130	$555.4K
T2002	Non-emergency transportation; per diem	6,990	$50	$314.5K
T2003	Non-emergency transportation; encounter/trip	4,340	$70	$303.4K

Showing 1–10 of 15

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

Rem Missouri, LLC — 3 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	6	190	38,330	$450	$27M
S5136	Companion care, adult (e.g., iadl/adl); per diem	3	10	18,080	$240	$15.9M
T2021	Day habilitation, waiver; per 15 minutes	17	170	18,890	$180	$5.4M
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…	1,072	1,330	6,550	$80	$4.6M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	2	10	1,650	$460	$1.4M
H2023	Supported employment, per 15 minutes	18	30	3,120	$180	$1.4M
T2003	Non-emergency transportation; encounter/trip	8	20	2,300	$20	$1.3M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	18	60	1,810	$160	$587.2K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	38	70	2,030	$140	$460.6K
A0110	Non-emergency transportation and bus, intra or inter state carrier	21	80	4,520	$10	$331.1K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advantage Consumer Directed Services, LLC	MO	Home Health Agency	$0	$133.9M
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

Rem Missouri, LLC — Billing Profile & Reimbursement Data

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Rem Missouri, 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