Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST. LOUIS ARC

NPI: 1902082266 · SAINT LOUIS, MO 63146 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 01/17/2008

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code T2016 with only 2 total codes billed. Highly concentrated billing profile.

$33.69M
Total Medicaid Paid
94,834
Total Claims
5,878
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTISONE, KATHLEEN (VP OF OPERATIONS/CFO)
NPI Enumeration Date01/17/2008

Related Entities

Other providers sharing the same authorized official: TISONE, KATHLEEN

ProviderCityStateTotal Paid
ST. LOUIS ARC SAINT LOUIS MO $39.24M
ST. LOUIS ARC SAINT LOUIS MO $19.88M
ST. LOUIS ARC SAINT LOUIS MO $3.35M
ST. LOUIS ARC INC ST. LOUIS MO $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,924 $1.18M
2019 9,605 $2.42M
2020 14,092 $3.75M
2021 15,075 $4.58M
2022 17,245 $6.39M
2023 18,092 $7.97M
2024 15,801 $7.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 92,044 3,100 $33.34M
T2001 Non-emergency transportation; patient attendant/escort 2,790 2,778 $357K