Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

Services By Design, INC.

Services By Design, INC. was paid $72.99M by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 73% of everything it billed.

33Billing provider infoSERVICES BY DESIGN, INC.
BALLWIN, MO 63011
33aNPI1124143946assigned 03/20/2007
28Total paid$72.99M
24GClaims189,156
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Missouri

Rank by total paid#6 of 175
Median peer was paid$6.82M
This provider vs. median11×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201827,117$7.74M
201927,935$8.61M
202026,309$8.76M
202125,452$9.08M
202227,463$11.44M
202328,298$13.68M
2024incomplete26,582$13.67M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2016 A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem 73% 104,516 3,523 $53.41M
S5136 Companion care, adult (e.g., iadl/adl); per diem 25% 73,840 2,442 $18.01M
T2001 Non-emergency transportation; patient attendant/escort 1.2% 3,329 2,940 $850K
T1002 Rn services, up to 15 minutes <1% 5,942 5,838 $429K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes <1% 823 320 $143K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems <1% 236 231 $90K
S9484 Crisis intervention mental health services, per hour <1% 439 67 $53K
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes <1% 31 13 $2K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHAWN, MADELEINE (EXECUTIVE DIRECTOR)