Missouri's 15,656 Medicaid providers billed $28.01B between 2018 and 2024. The most-billed code is T1019, accounting for $6.15B in payments. Saint Louis is the largest Medicaid billing hub in the state. 21 providers in MO appear on the OIG exclusion list.
| Code | Description | Total Paid |
|---|---|---|
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | $6.15B |
| T2016 | Habilitation, residential, waiver; per diem | $5.21B |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | $3.90B |
SAINT LOUIS ($4.40B) SPRINGFIELD ($3.04B) KANSAS CITY ($2.48B) LAKE ST LOUIS ($2.04B) CLINTON ($1.36B) JEFFERSON CITY ($1.24B) COLUMBIA ($789.30M) JOPLIN ($647.88M) KENNETT ($530.32M) SAINT JOSEPH ($519.21M) BALLWIN ($465.87M) CAPE GIRARDEAU ($420.19M) SAINT CHARLES ($398.75M) FLORISSANT ($372.14M) ROLLA ($327.35M) HANNIBAL ($323.61M) LEES SUMMIT ($317.67M) POPLAR BLUFF ($317.11M) INDEPENDENCE ($296.67M) OLIVETTE ($295.46M) WEST PLAINS ($286.22M) SIKESTON ($268.37M) KIRKSVILLE ($245.82M) NEVADA ($195.41M) SEDALIA ($186.93M) MARSHALL ($177.22M) FREDERICKTOWN ($159.76M) NEW MADRID ($151.51M) WARRENSBURG ($144.69M) ST LOUIS ($138.86M) CARUTHERSVILLE ($135.32M) HAZELWOOD ($132.27M) SAINT PETERS ($130.18M) RAYTOWN ($124.92M) FARMINGTON ($119.17M) BRIDGETON ($111.70M) FESTUS ($106.00M) VIBURNUM ($104.58M) ST. LOUIS ($97.10M) DONIPHAN ($93.78M) MEXICO ($93.03M) CREVE COEUR ($92.29M) DEXTER ($92.11M) LIBERTY ($89.98M) BOLIVAR ($87.11M) FENTON ($86.64M) BLUE SPRINGS ($82.04M) ALTON ($81.57M) CHESTERFIELD ($81.39M) FAYETTE ($79.04M)
Automated signals based on claims-per-beneficiary ratios, single-code concentration, and OIG exclusion status. These are statistical outliers — not evidence of fraud. Learn more
| # | Provider | Total Paid | Flags |
|---|---|---|---|
| 1 | PHOENIX HOME CARE, LLC | $199.64M | single-code billing |
| 2 | STATE OF MISSOURI | $78.44M | single-code billing |
| 3 | FREEDOM CARE MO LLC | $72.36M | single-code billing |
| 4 | JASPER COUNTY SHELTERED FACILITIES ASSOC | $62.12M | single-code billing |
| 5 | DEER VALLEY HOME HEALTH SERVICES LLC | $55.98M | single-code billing |
| 6 | STATE OF MISSOURI | $46.79M | single-code billing |
| 7 | ABILITIES FIRST | $46.01M | single-code billing |
| 8 | STATE OF MISSOURI | $45.89M | single-code billing |
| 9 | BAYADA HOME HEALTH CARE, INC. | $41.28M | single-code billing |
| 10 | DEVELOPMENTAL DISABILITY SERVICES OF JACKSON COUNTY - EITAS | $41.22M | single-code billing |
| 11 | STATE OF MISSOURI | $37.16M | single-code billing |
| 12 | MAXIM HEALTHCARE SERVICES | $34.89M | single-code billing |
| 13 | CHILDREN'S THERAPY CENTER OF PETTIS COUNTY, INC | $33.46M | single-code billing |
| 14 | MISSOURI DIRECT CARE LLC | $31.20M | single-code billing |
| 15 | HANDICAP FACILITIES OF ST CHARLES COUNTY | $29.56M | single-code billing |
| 16 | STATE OF MISSOURI | $27.51M | single-code billing |
| 17 | BOOTHEEL SENIOR SERVICES, INC. | $25.88M | single-code billing |
| 18 | SOUTHEAST MISSOURI AREA AGENCY ON AGING, INC. | $25.19M | single-code billing |
| 19 | THE INDEPENDENT LIVING CENTER, INC. | $24.79M | single-code billing |
| 20 | DEVELOPMENTAL DISABILITIES RESOURCE BOARD OF CLAY COUNTY | $24.47M | single-code billing |
| 21 | LIFE UNLIMITED, INC. | $24.42M | single-code billing |
| 22 | CDE CONSUMER DIRECTED SERVICES INC | $24.17M | single-code billing |
| 23 | BOONE COUNTY FAMILY RESOURCES | $23.01M | single-code billing |
| 24 | PREFERRED FAMILY HEALTHCARE, INC. | $22.98M | single-code billing |
| 25 | ABOVE & BEYOND HEALTH LLC | $21.95M | single-code billing |
| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | COMPASS HEALTH, INC. | CLINTON | 10,541,518 | $1.28B |
| 2 | MEDICAL TRANSPORTATION MANAGEMENT, INC. | LAKE ST LOUIS | 34,388,480 | $894.41M |
| 3 | BURRELL, INC. | SPRINGFIELD | 6,527,516 | $759.75M |
| 4 | ACCESS2CARE LLC | LAKE ST LOUIS | 17,581,374 | $600.91M |
| 5 | STATE OF MISSOURI | JEFFERSON CITY | 3,328,210 | $493.55M |
| 6 | VEYO, LLC | LAKE ST LOUIS | 20,303,015 | $416.78M |
| 7 | EASTER SEALS MIDWEST | BALLWIN | 812,078 | $348.96M |
| 8 | FAMILY COUNSELING CENTER, INC | KENNETT | 2,555,591 | $284.46M |
| 9 | SUPPORTED LIVING AND EMPLOYMENT SERVICES, INC. | SPRINGFIELD | 770,929 | $276.42M |
| 10 | STATE OF MISSOURI | JEFFERSON CITY | 3,547,699 | $271.59M |
| 11 | REM MISSOURI, LLC | SAINT LOUIS | 583,225 | $240.85M |
| 12 | TRUMAN MEDICAL CENTER, INCORPORATED | KANSAS CITY | 1,866,781 | $233.93M |
| 13 | THE CHILDREN'S MERCY HOSPITAL | KANSAS CITY | 1,044,499 | $221.16M |
| 14 | REDISCOVER | LEES SUMMIT | 1,971,534 | $213.71M |
| 15 | THE WHOLE PERSON, INC. | KANSAS CITY | 2,752,385 | $202.30M |
| 16 | PHOENIX HOME CARE, LLC | SPRINGFIELD | 733,284 | $199.64M |
| 17 | EASY LIVING INC. | SPRINGFIELD | 361,667 | $183.02M |
| 18 | OZARK CENTER | JOPLIN | 1,759,173 | $165.61M |
| 19 | EMMAUS HOMES INC. | SAINT CHARLES | 448,673 | $163.99M |
| 20 | STATE OF MISSOURI | JEFFERSON CITY | 257,466 | $160.21M |
| 21 | BJC BEHAVIORAL HEALTH | SAINT LOUIS | 1,318,300 | $155.55M |
| 22 | MARK TWAIN ASSOCIATION FOR MENTAL HEALTH, INC | HANNIBAL | 1,339,864 | $153.44M |
| 23 | PHOENIX HOME CARE, LLC | SPRINGFIELD | 2,331,920 | $148.06M |
| 24 | CURATORS OF THE UNIVERSITY OF MISSOURI | COLUMBIA | 1,446,664 | $135.88M |
| 25 | SWOPE HEALTH SERVICES | KANSAS CITY | 957,803 | $135.38M |
| 26 | NATIONAL MENTOR SERVICES, LLC | SAINT LOUIS | 582,965 | $134.90M |
| 27 | PREFERRED FAMILY HEALTHCARE | KIRKSVILLE | 1,499,284 | $134.43M |
| 28 | STATE OF MISSOURI | MARSHALL | 357,551 | $133.34M |
| 29 | ADVANTAGE CONSUMER DIRECTED SERVICES, LLC | SAINT LOUIS | 2,347,848 | $133.28M |
| 30 | STATE OF MISSOURI | SAINT LOUIS | 745,048 | $130.36M |
| 31 | PLACES FOR PEOPLE, INC | SAINT LOUIS | 794,988 | $123.92M |
| 32 | EMEREST HEALTH CDS OF MISSOURI | OLIVETTE | 1,484,866 | $119.69M |
| 33 | INTEGRITY HOME CARE, LLC | SPRINGFIELD | 1,922,501 | $116.35M |
| 34 | TRI-COUNTY GROUP XV, INC. | KENNETT | 1,919,658 | $113.16M |
| 35 | LESTER E COX MEDICAL CENTERS | SPRINGFIELD | 1,024,464 | $112.33M |
| 36 | STATE OF MISSOURI | KANSAS CITY | 601,134 | $106.13M |
| 37 | COVENANT CARE SERVICES, LLC | FREDERICKTOWN | 245,574 | $103.76M |
| 38 | UNIVERSITY HEALTH PHYSICIANS | KANSAS CITY | 1,066,065 | $102.89M |
| 39 | ADVANTAGE IN-HOME SERVICES, LLC | SAINT LOUIS | 1,636,332 | $99.95M |
| 40 | COUNCIL FOR EXTENDED CARE | SAINT LOUIS | 266,599 | $98.04M |
| 41 | THE ARC OF THE OZARKS | SPRINGFIELD | 181,680 | $98.02M |
| 42 | HELP AT HOME, LLC | OLIVETTE | 299,075 | $96.88M |
| 43 | DISABLED CITIZENS ALLIANCE FOR INDEPENDENCE | VIBURNUM | 1,897,237 | $96.73M |
| 44 | THE ARC OF THE OZARKS | SPRINGFIELD | 208,016 | $95.90M |
| 45 | COMMUNITY COUNSELING CENTER | CAPE GIRARDEAU | 720,375 | $91.47M |
| 46 | STATE OF MISSOURI | JEFFERSON CITY | 522,997 | $91.42M |
| 47 | WOODHAVEN | COLUMBIA | 225,995 | $88.19M |
| 48 | CROSSROADS ISL, LLC | SIKESTON | 201,637 | $85.82M |
| 49 | PALMER'S HOME CARE, LLC | COLUMBIA | 263,588 | $82.23M |
| 50 | STATE OF MISSOURI | SAINT LOUIS | 922,871 | $78.44M |
| 51 | HOME DELIVERY INCONTINENT SUPPLIES CO INC | OLIVETTE | 1,127,029 | $76.80M |
| 52 | T. J. SWIFT HOUSE, INC. | ALTON | 182,999 | $76.50M |
| 53 | TRI-COUNTY MENTAL HEALTH SERVICES, INC. | KANSAS CITY | 809,945 | $76.20M |
| 54 | TMS MANAGEMENT GROUP, INC. | LAKE ST LOUIS | 2,710,632 | $74.56M |
| 55 | WILLOWS WAY, INC. | SAINT CHARLES | 224,024 | $74.01M |
| 56 | RESTORING HOPE, LLC | WEST PLAINS | 300,297 | $73.03M |
| 57 | SERVICES BY DESIGN, INC. | BALLWIN | 189,156 | $72.99M |
| 58 | TRUMAN MEDICAL CENTER, INCORPORATED | KANSAS CITY | 698,954 | $72.65M |
| 59 | STATE OF MISSOURI | SPRINGFIELD | 422,883 | $72.40M |
| 60 | FREEDOM CARE MO LLC | KANSAS CITY | 1,248,193 | $72.36M |
| 61 | BI-LINGUAL IN-HOME ASSISTANT | ST LOUIS | 1,242,845 | $72.30M |
| 62 | MIDWEST HOME HEALTH CARE, INC. | KANSAS CITY | 1,134,323 | $72.05M |
| 63 | ALTERNATIVE COMMUNITY TRAINING, INC. | COLUMBIA | 276,912 | $71.61M |
| 64 | POPLAR BLUFF REGIONAL MEDICAL CENTER LLC | POPLAR BLUFF | 850,270 | $71.58M |
| 65 | FAMILY MATTERS HOME SERVICES | NEW MADRID | 167,125 | $70.89M |
| 66 | CLARK COMMUNITY MENTAL HEALTH CENTER | PIERCE CITY | 522,194 | $68.75M |
| 67 | COMPLETE HEALTH CARE SOLUTIONS, INC | FAYETTE | 217,612 | $66.96M |
| 68 | ST. LOUIS CHILDREN'S HOSPITAL | SAINT LOUIS | 220,568 | $66.87M |
| 69 | CHRISTIAN HOSPITAL NORTHEAST- NORTHWEST | SAINT LOUIS | 647,341 | $65.26M |
| 70 | STATE OF MISSOURI | JOPLIN | 363,032 | $65.04M |
| 71 | STATE OF MISSOURI | NEVADA | 126,439 | $64.97M |
| 72 | RES-CARE KANSAS, INC. | SAINT JOSEPH | 1,119,371 | $64.89M |
| 73 | THE ARC OF THE OZARKS | SPRINGFIELD | 111,960 | $64.67M |
| 74 | MERCY HOSPITAL SPRINGFIELD | SPRINGFIELD | 416,929 | $64.60M |
| 75 | CHOICES OF ST JOSEPH, INC | SAINT JOSEPH | 149,733 | $64.22M |
| 76 | FAMILY GUIDANCE CENTER FOR BEHAVIORAL HEALTHCARE | SAINT JOSEPH | 851,898 | $63.33M |
| 77 | JASPER COUNTY SHELTERED FACILITIES ASSOC | JOPLIN | 116,093 | $62.12M |
| 78 | BARNES JEWISH HOSPITAL | SAINT LOUIS | 794,879 | $61.34M |
| 79 | HEALTHCARE SERVICES OF THE OZARKS, INC | SPRINGFIELD | 1,204,621 | $60.24M |
| 80 | BOOTHEEL AREA INDEPENDENT LIVING SERVICES, INC. | KENNETT | 1,279,491 | $59.32M |
| 81 | JUDEVINE, INC. | SAINT LOUIS | 132,530 | $58.36M |
| 82 | LIFE UNLIMITED, INC. | N KANSAS CITY | 191,826 | $58.12M |
| 83 | HEARTLAND REGIONAL MEDICAL CENTER | SAINT JOSEPH | 705,707 | $57.19M |
| 84 | MIDWEST DIVISION - RMC, LLC | KANSAS CITY | 491,666 | $56.99M |
| 85 | PARAQUAD INC | SAINT LOUIS | 802,439 | $56.63M |
| 86 | MERCY HOSPITALS EAST COMMUNITIES | SAINT LOUIS | 476,120 | $56.55M |
| 87 | SAINT FRANCIS MEDICAL CENTER | CAPE GIRARDEAU | 484,310 | $56.42M |
| 88 | DEER VALLEY HOME HEALTH SERVICES LLC | SAINT LOUIS | 887,280 | $55.98M |
| 89 | K AND C STEPPING STONES, LLC | SPRINGFIELD | 105,248 | $53.98M |
| 90 | THE CHILDREN'S MERCY HOSPITAL | KANSAS CITY | 1,280,501 | $53.57M |
| 91 | SSM CARDINAL GLENNON CHILDREN'S HOSPITAL | SAINT LOUIS | 440,218 | $52.60M |
| 92 | CENTER FOR DEVELOPMENTALLY DISABLED | KANSAS CITY | 161,966 | $52.12M |
| 93 | SKILLS UNLIMITED INC | NEVADA | 121,194 | $52.12M |
| 94 | MERCY CLINIC SPRINGFIELD COMMUNITIES | SPRINGFIELD | 1,134,852 | $51.48M |
| 95 | CHILDREN'S THERAPY CENTER OF PETTIS COUNTY, INC | SEDALIA | 203,008 | $51.27M |
| 96 | WEST-CENTRAL INDEPENDENT LIVING SOLUTIONS | WARRENSBURG | 782,707 | $51.26M |
| 97 | NOVA CENTER OF THE OZARKS INC. | SPRINGFIELD | 162,982 | $50.49M |
| 98 | SSM HEALTH CARE ST. LOUIS | SAINT LOUIS | 528,641 | $50.07M |
| 99 | CITY OF KANSAS CITY MISSOURI | KANSAS CITY | 370,221 | $49.64M |
| 100 | AUSTEN-DOOLEY COMPANY LLC | LEES SUMMIT | 99,296 | $49.62M |