Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST. LOUIS ARC

NPI: 1154507408 · SAINT LOUIS, MO 63146 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 01/17/2008

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T2016 with only 1 total codes billed. Highly concentrated billing profile.

$19.88M
Total Medicaid Paid
78,033
Total Claims
2,609
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTISONE, KATHLEEN (VP OF OPERATIONS/CFO)
NPI Enumeration Date01/17/2008

Related Entities

Other providers sharing the same authorized official: TISONE, KATHLEEN

ProviderCityStateTotal Paid
ST. LOUIS ARC SAINT LOUIS MO $39.24M
ST. LOUIS ARC SAINT LOUIS MO $33.69M
ST. LOUIS ARC SAINT LOUIS MO $3.35M
ST. LOUIS ARC INC ST. LOUIS MO $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,655 $2.42M
2019 13,655 $2.75M
2020 11,605 $2.47M
2021 10,234 $2.32M
2022 10,051 $2.82M
2023 9,856 $3.45M
2024 8,977 $3.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 78,033 2,609 $19.88M