Residential
Building on Dreams
Building on Dreams was paid $23.11M by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 99% of everything it billed.
33Billing provider infoBUILDING ON DREAMS
INDEPENDENCE, MO 64056
INDEPENDENCE, MO 64056
33aNPI1750738084assigned 05/17/2016
33bProvider typeIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
28Total paid$23.11M
24GClaims63,063
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#46 of 175
Median peer was paid$6.82M
This provider vs. median3.4×
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 T2016 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 | 8,806 | $2.23M | |
| 2019 | 8,851 | $2.40M | |
| 2020 | 9,524 | $2.64M | |
| 2021 | 9,552 | $3.08M | |
| 2022 | 9,175 | $3.77M | |
| 2023 | 9,293 | $4.72M | |
| 2024incomplete | 7,862 | $4.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 99% | 56,436 | 1,873 | $22.77M |
| T2001 | Non-emergency transportation; patient attendant/escort | <1% | 1,625 | 1,624 | $218K |
| T1002 | Rn services, up to 15 minutes | <1% | 5,002 | 1,823 | $124K |
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 officialDAUGHERTY, CHELLE (DIRECTOR)