Especial Needs, LLC
Especial Needs, LLC was paid $3.56M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is T2029, Specialized medical equipment, not otherwise specified, waiver — 93% of everything it billed.
33Billing provider infoESPECIAL NEEDS, LLC
SAINT LOUIS, MO 63146
SAINT LOUIS, MO 63146
33aNPI1720214760assigned 06/04/2009
33bProvider typeContractor
28Total paid$3.56M
24GClaims4,289
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Contractor providers in Missouri
Rank by total paid#2 of 5
Median peer was paid$2.29M
This provider vs. median1.6×
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 Concentration93% of spending on code T2029 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 364 | $285K | |
| 2019 | 504 | $465K | |
| 2020 | 490 | $398K | |
| 2021 | 620 | $530K | |
| 2022 | 688 | $602K | |
| 2023 | 872 | $691K | |
| 2024incomplete | 751 | $588K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2029 | Specialized medical equipment, not otherwise specified, waiver | 93% | 4,082 | 3,730 | $3.33M |
| S5165 | Home modifications; per service | 6.1% | 193 | 191 | $218K |
| T2028 | Specialized supply, not otherwise specified, waiver | <1% | 14 | 13 | $15K |
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 officialKOURI, SCOTT (SALES MANAGER)