Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

State of Missouri

Day Training, Developmentally Disabled Services·Marshall, MO·NPI: 1427124494SharePrint Report

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

P25MedianP75P90

This provider's total spending of $133.3M is at the 50th percentile among 56 Day Training, Developmentally Disabled Services providers.

Active Billing Period:2018-012024-11(83 months)

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.

1% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$18.9M
+5%
2019
$19.8M
-3%
2020
$19.2M
-8%
2021
$17.7M
+4%
2022
$18.4M
+12%
2023
$20.6M
-9%
2024
$18.7M

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.

T2016Normal range

Habilitation, residential, waiver; per diem

$131.1M

308K claims · 98.3%

Your Cost: $425.22/claim|Median: $331.94
1.3× median
T2001Top 25%

Non-emergency transportation, patient attendant or aide

$1.1M

8K claims · 0.8%

Your Cost: $147.52/claim|Median: $19.61
7.5× median
T1002Normal range

RN services, per 15 minutes

$711K

18K claims · 0.5%

Your Cost: $39.00/claim|Median: $37.42
1.0× median
T1003Normal range

LPN/LVN services, per 15 minutes

$268K

22K claims · 0.2%

Your Cost: $12.11/claim|Median: $24.24
0.5× median
H2023Normal range

Supported employment, per 15 min

$68K

777 claims · 0.1%

Your Cost: $86.98/claim|Median: $103.94
0.8× median
A0120Top 10%

Non-emergency mini-bus transport

$29K

259 claims · 0.0%

Your Cost: $112.91/claim|Median: $16.09
7.0× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$4K

73 claims · 0.0%

Your Cost: $48.87/claim|Median: $88.91
0.6× median