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.

The Arc Of The Ozarks (NPI 1972949980)

Field	Value
Entity Type	Organization
Organization	The Arc Of The Ozarks
Address	1501 E Pythian St
City	Springfield
State	MO
ZIP	65802
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	May 16, 2013

Payer Source	Total Paid
Medicaid	$98M
Medicare	$0

Key Findings

THE ARC OF THE OZARKS is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $98M in lifetime Medicaid revenue, indicating that Medicaid is the dominant — effectively exclusive — public payer supporting its operations. The absence of Medicare activity suggests its services and patient mix are concentrated in Medicaid-eligible populations rather than Medicare-covered beneficiaries.

Revenue is extremely concentrated in a single service line: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T2016 alone representing 99.0% of Medicaid revenue ($97.1M). This concentration means most of the organization’s financial scale is tied to how T2016 is billed and reimbursed.

The code mix and values point to a core business of residential habilitation for individuals with intellectual and/or developmental disabilities: T2016 (Habilitation, residential, waiver; per diem) accounts for 170K claims at $571 avg paid/claim for $97.1M in revenue, which is consistent with per-diem, bed- or day-based funding for residential waiver habilitation services. Such volumes and per-diem billing behavior are characteristic of community-based residential treatment operations rather than episodic clinical care.

Ancillary supports are present but minor in revenue contribution: T2001 (Non-emergency transportation; patient attendant/escort) generated 5.1K claims at $116 avg paid/claim for $588.5K (0.6% of Medicaid revenue), and T1002 (Rn services, up to 15 minutes) produced 6.6K claims at $55 avg paid/claim for $362.2K (0.4% of Medicaid revenue). These line items indicate the provider also delivers transportation and short-interval nursing services to support its residential population, but they are not material revenue drivers.

State-level competitive standing for the dominant code is high in rank but characterized as typical in volume: T2016 ranks #12 of 193 providers in-state (94th percentile) yet is labeled a "typical, unremarkable volume for this code" in the dataset. In practical terms, the provider is among the larger state participants for residential habilitation by rank, but its activity falls within the normal range observed for established providers offering this service.

The ancillary codes show solid but not dominant positions within Missouri: T2001 ranks #11 of 150 providers in-state (93th percentile; labeled "typical, unremarkable volume") and T1002 ranks #31 of 195 providers (85th percentile; labeled "typical, unremarkable volume"). These placements suggest THE ARC OF THE OZARKS is a meaningful, though not outlier, provider of transport and brief nursing services relative to peers.

The provider has an established operational tenure: the NPI was enumerated on 2013-05-16 (~13 years ago), supporting the interpretation of sustained Medicaid relationships and long-term engagement in residential habilitation services. That tenure combined with $98M in Medicaid revenue indicates institutional scale and a stable footprint in its service niche.

The heavy reliance on T2016 creates operational exposure to reimbursement or policy changes affecting per-diem habilitation/waiver services: since T2016 comprises 99.0% of Medicaid revenue, changes in program rates, waiver rules, or utilization patterns for that code would materially affect the provider’s financial profile. Analysts should monitor T2016 policy, state waiver updates, and per-diem rate-setting as key risk factors for this provider.

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
T2016	Habilitation, residential, waiver; per diem	170,020	$570	$97.1M
T2001	Non-emergency transportation; patient attendant/escort	5,070	$120	$588.5K
T1002	Rn services, up to 15 minutes	6,590	$60	$362.2K

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

The Arc Of The Ozarks — 0 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
T2016	Habilitation, residential, waiver; per diem	12	190	38,330	$450	$27M
T2001	Non-emergency transportation; patient attendant/escort	11	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	31	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as The Arc Of The Ozarks, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of The Ozarks	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$95.9M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$72.6M
The Arc Of The Ozarks	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$64.6M
Nova Center Of The Ozarks Inc.	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$50.5M
Mercy Hospital Springfield	MO	Land Ambulance	$0	$46.7M
The Arc Of The Ozarks	MO	Community/Behavioral Health Agency	$0	$20.1M
Developmental Center Of The Ozarks	MO	Developmentally Disabled Services Day Training Agency	$0	$14.5M
Forensic Testing Services, LLC	MO	Durable Medical Equipment & Medical Supplies	$0	$13.4M
Holloman Care Cds LLC	MO	Home Health Agency	$0	$11.3M
Advocates For A Healthy Community, Inc.	MO	Federally Qualified Health Center (FQHC)	$0	$3.8M

The Arc Of The Ozarks — Billing Profile & Reimbursement Data

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The Arc Of The Ozarks — 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