Medicaid Provider Spending

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

ST. LOUIS ARC

NPI: 1194846220 · SAINT LOUIS, MO 63146 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 04/03/2007

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

99% of spending on code T2021 with only 3 total codes billed. Highly concentrated billing profile.

$39.24M
Total Medicaid Paid
216,774
Total Claims
18,537
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTISONE, KATHLEEN (VICE PRESIDENT OPERATIONS CFO)
NPI Enumeration Date04/03/2007

Related Entities

Other providers sharing the same authorized official: TISONE, KATHLEEN

ProviderCityStateTotal Paid
ST. LOUIS ARC SAINT LOUIS MO $33.69M
ST. LOUIS ARC SAINT LOUIS MO $19.88M
ST. LOUIS ARC SAINT LOUIS MO $3.35M
ST. LOUIS ARC INC ST. LOUIS MO $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30,125 $4.25M
2019 32,086 $4.50M
2020 25,737 $3.06M
2021 26,310 $3.34M
2022 28,382 $5.67M
2023 37,253 $9.40M
2024 36,881 $9.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2021 Day habilitation, waiver; per 15 minutes 204,818 14,130 $38.74M
T1002 Rn services, up to 15 minutes 11,894 4,394 $485K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 62 13 $9K