Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Saint Louis › NPI 1194846220
Residential

ST. Louis ARC

ST. Louis ARC was paid $39.24M by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is T2021, day program for adults with developmental disabilities, per 15 minutes — 99% of everything it billed.

33Billing provider infoST. LOUIS ARC
SAINT LOUIS, MO 63146
33aNPI1194846220assigned 04/03/2007
28Total paid$39.24M
24GClaims216,774
24DCodes billed3
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#24 of 175
Median peer was paid$6.82M
This provider vs. median5.8×

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.

Single-Code Concentration99% of spending on code T2021 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
201830,125$4.25M
201932,086$4.50M
202025,737$3.06M
202126,310$3.34M
202228,382$5.67M
202337,253$9.40M
2024incomplete36,881$9.02M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2021 Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes 99% 204,818 14,130 $38.74M
T1002 Rn services, up to 15 minutes 1.2% 11,894 4,394 $485K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes <1% 62 13 $9K

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 officialTISONE, KATHLEEN (VICE PRESIDENT OPERATIONS CFO)
Same official

Other billing entities under TISONE, KATHLEEN

Full network →
ProviderLocationPaid
ST. Louis ARCSaint Louis, MO$33.69M
ST. Louis ARCSaint Louis, MO$19.88M
ST. Louis ARCSaint Louis, MO$3.35M
ST. Louis ARC INCSt. Louis, MO$13K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.