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

Alternative Community Training, INC.

Alternative Community Training, INC. was paid $71.61M by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 70% of everything it billed.

33Billing provider infoALTERNATIVE COMMUNITY TRAINING, INC.
COLUMBIA, MO 65202
33aNPI1437204492assigned 01/23/2007
28Total paid$71.61M
24GClaims276,912
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Missouri

Rank by total paid#13 of 82
Median peer was paid$3.75M
This provider vs. median19×

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
201843,298$7.68M
201944,580$8.31M
202031,320$7.60M
202135,070$8.61M
202238,207$11.44M
202342,329$14.10M
2024incomplete42,108$13.86M
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 70% 126,789 4,264 $49.99M
T2021 Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes 26% 113,644 7,369 $18.67M
T2001 Non-emergency transportation; patient attendant/escort 1.5% 3,439 3,402 $1.05M
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 1.2% 2,787 2,758 $855K
A0110 Non-emergency transportation and bus, intra or inter state carrier <1% 15,454 984 $382K
T1002 Rn services, up to 15 minutes <1% 8,267 4,280 $320K
H2023 Supported employment, per 15 minutes <1% 5,966 1,273 $291K
S5150 Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes <1% 108 12 $25K
T2002 Non-emergency transportation; per diem <1% 370 24 $16K
H2025 Ongoing support to maintain employment, per 15 minutes <1% 88 12 $8K

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 officialTROESSER, MELODY (CFO)
Same official

Other billing entities under TROESSER, MELODY

Full network →
ProviderLocationPaid
Cole County Residential Services, INCJefferson City, MO$13.21M

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