State of Missouri
State of Missouri was paid $271.59M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 22% of everything it billed.
JEFFERSON CITY, MO 65101
Next to other Addiction (Substance Use Disorder) Counselor providers in Missouri
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 525,370 | $30.91M | |
| 2019 | 471,373 | $27.29M | |
| 2020 | 382,408 | $21.94M | |
| 2021 | 421,011 | $24.04M | |
| 2022 | 580,868 | $38.10M | |
| 2023 | 573,681 | $64.49M | |
| 2024incomplete | 592,988 | $64.84M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2036 | Alcohol and/or other drug treatment program, per diem | 22% | 173,797 | 13,837 | $59.87M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 17% | 474,707 | 177,597 | $45.02M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 11% | 446,401 | 198,449 | $30.78M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 8.9% | 615,697 | 96,261 | $24.27M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 6.9% | 513,526 | 102,551 | $18.81M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 6.6% | 90,079 | 16,557 | $18.06M |
| H2012 | Behavioral health day treatment, per hour | 5.2% | 299,171 | 26,579 | $14.16M |
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | 4.1% | 24,317 | 6,473 | $11.18M |
| H0001 | Alcohol and/or drug assessment | 3.7% | 33,238 | 31,262 | $9.94M |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 2.8% | 377,002 | 101,400 | $7.71M |
| T1002 | Rn services, up to 15 minutes | 2.8% | 167,643 | 82,926 | $7.62M |
| T2048 | Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem | 2.0% | 75,331 | 4,387 | $5.32M |
20 more codes
| H0038 | Self-help/peer services, per 15 minutes | 1.8% | 71,210 | $4.77M |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.3% | 42,937 | $3.56M |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 54,395 | $1.93M |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 14,310 | $1.72M |
| 90837 | Psychotherapy session, about an hour | <1% | 10,444 | $1.53M |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 22,622 | $1.40M |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 4,764 | $700K |
| 99205 | Prolong outpt/office vis | <1% | 3,100 | $643K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 3,444 | $562K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 3,571 | $354K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 2,197 | $332K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,711 | $308K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,306 | $242K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,561 | $177K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,448 | $163K |
| T1006 | Alcohol and/or substance abuse services, family/couple counseling | <1% | 2,196 | $143K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 8,765 | $143K |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | <1% | 382 | $112K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 267 | $40K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 160 | $17K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| State of Missouri | Marshall, MO | $133.34M |
| State of Missouri | Saint Louis, MO | $130.36M |
| State of Missouri | Kansas City, MO | $106.13M |
| State of Missouri | Saint Louis, MO | $78.44M |
| State of Missouri | Springfield, MO | $72.40M |
| State of Missouri | Joplin, MO | $65.04M |
| State of Missouri | Nevada, MO | $64.97M |
| State of Missouri | Rolla, MO | $46.79M |
| State of Missouri | Sikeston, MO | $45.89M |
| State of Missouri | Poplar Bluff, MO | $37.16M |
| State of Missouri | Columbia, MO | $27.51M |
| State of Missouri | Poplar Bluff, MO | $16.17M |
| State of Missouri | Kansas City, MO | $14.58M |
| State of Missouri | Albany, MO | $14.44M |
| State of Missouri | Hannibal, MO | $14.36M |
| State of Missouri | Kirksville, MO | $11.11M |
| State of Missouri | Poplar Bluff, MO | $6.86M |
| State of Missouri | Columbia, MO | $2.39M |
| State of Missouri | Springfield, MO | $1.35M |
| State of Missouri | Hannibal, MO | $1.15M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.