Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cole County Residential Services, INC

Cole County Residential Services, INC was paid $13.21M by Medicaid between Aug 2020 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 infoCOLE COUNTY RESIDENTIAL SERVICES, INC
JEFFERSON CITY, MO 65101
33aNPI1801937719assigned 02/12/2007
28Total paid$13.21M
24GClaims42,271
24DCodes billed3
24AFirst – last monthAug 2020 – 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#64 of 175
Median peer was paid$6.82M
This provider vs. median1.9×

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

$0$200K$400K$600K2018201920202021202220232024
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
20202,274$646K
20216,527$1.82M
20229,497$2.69M
202312,694$3.98M
2024incomplete11,279$4.08M
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 99% 39,268 1,403 $13.06M
T1002 Rn services, up to 15 minutes <1% 1,824 1,157 $99K
T2001 Non-emergency transportation; patient attendant/escort <1% 1,179 1,170 $48K

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 (ACCOUNTANT)
Same official

Other billing entities under TROESSER, MELODY

Full network →
ProviderLocationPaid
Alternative Community Training, INC.Columbia, MO$71.61M

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