State of Missouri
Consistent Billing
Monthly billing amounts show almost no natural variation (CV < 0.1).
Monthly billing coefficient of variation: 0.0809 (near-zero variation).
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Consistent Billing
Consistent Billing means this provider's monthly billing amounts show almost no natural variation. Real medical practices tend to have some fluctuation in monthly billing, so unnaturally steady billing can indicate automated or fabricated claims.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $147.52 per claim for T2001 (Non-emergency transportation, patient attendant or aide) — 7.5× the national median of $19.61.
Bills $112.91 per claim for A0120 (Non-emergency mini-bus transport) — 7.0× the national median of $16.09.
This is a statistical summary, not an accusation. See our methodology.
Compared to Day Training, Developmentally Disabled Services Peers
Total spending distribution among 56 providers in this specialty
This provider's total spending of $133.3M is at the 50th percentile among 56 Day Training, Developmentally Disabled Services providers.
Total Paid
$133.3M
$133,341,984
Total Claims
358K
Beneficiaries
34K
10.6 claims/patient
Avg Cost/Claim
$373
#853 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
State of Missouri is a Day Training, Developmentally Disabled Services provider based in Marshall, MO. From the 2018–2024 period, this provider received $133.3M in Medicaid payments across 358K claims.
Important Context
- ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.
Why This Matters
This provider received $133.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,667 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 7 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 98% of total spending.
$131.1M
308K claims
$425.22
$331.94
Habilitation, residential, waiver; per diem
$131.1M
308K claims · 98.3%
$1.1M
8K claims
$147.52
$19.61
Non-emergency transportation, patient attendant or aide
$1.1M
8K claims · 0.8%
RN services, per 15 minutes
$711K
18K claims · 0.5%
LPN/LVN services, per 15 minutes
$268K
22K claims · 0.2%
Supported employment, per 15 min
$68K
777 claims · 0.1%
Non-emergency mini-bus transport
$29K
259 claims · 0.0%
$4K
73 claims
$48.87
$88.91
Habilitation, prevocational, waiver; per 15 min
$4K
73 claims · 0.0%
Other Top Providers in Missouri
View all →Similar Providers
Other top providers in Day Training, Developmentally Disabled Services