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

National Mentor Services LLC

Case Management·Saint Louis, MO·NPI: 1427246669Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $134.9M is at the 50th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2023-04(59 months)

Total Paid

$134.9M

$134,901,192

Total Claims

583K

Beneficiaries

44K

13.3 claims/patient

Avg Cost/Claim

$231

#841 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

National Mentor Services LLC is a Case Management provider based in Saint Louis, MO. From the 2018–2024 period, this provider received $134.9M in Medicaid payments across 583K claims.

Important Context

  • ℹ️This provider appears to operate as a fiscal intermediary or management organization, processing payments on behalf of many individual caregivers. High aggregate billing is expected for this type of entity.

Why This Matters

This provider received $134.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,862 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 57% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$18.7M
-0%
2019
$18.6M
+46%
2020
$27.3M
+15%
2021
$31.5M
-2%
2022
$30.8M
-74%
2023
$8.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 42% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$57.1M

160K claims · 42.3%

Your Cost: $357.71/claim|Median: $331.94
1.1× median
S5136Normal range

Companion care, adult, per 15 minutes

$55.7M

272K claims · 41.3%

Your Cost: $205.08/claim|Median: $302.34
0.7× median
T2021Normal range

Day habilitation, waiver; per 15 min

$19.1M

118K claims · 14.2%

Your Cost: $161.39/claim|Median: $150.51
1.1× median
T1002Normal range

RN services, per 15 minutes

$882K

15K claims · 0.7%

Your Cost: $60.45/claim|Median: $37.42
1.6× median
A0120Top 5%

Non-emergency mini-bus transport

$657K

2K claims · 0.5%

Your Cost: $270.41/claim|Median: $16.09
16.8× median
T2001Top 25%

Non-emergency transportation, patient attendant or aide

$525K

4K claims · 0.4%

Your Cost: $141.57/claim|Median: $19.61
7.2× median
T1016Normal range

Case management, each 15 min

$391K

6K claims · 0.3%

Your Cost: $71.03/claim|Median: $49.62
1.4× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$224K

2K claims · 0.2%

Your Cost: $134.00/claim|Median: $167.38
0.8× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$139K

996 claims · 0.1%

Your Cost: $139.59/claim|Median: $146.45
0.9× median
A0110Top 25%

Non-emergency taxi transport

$65K

3K claims · 0.0%

Your Cost: $24.20/claim|Median: $9.27
2.6× median
T2002Normal range

Non-emergency transport; per trip

$54K

1K claims · 0.0%

Your Cost: $37.68/claim|Median: $19.35
1.9× median
97156Normal range

$11K

173 claims · 0.0%

Your Cost: $65.78/claim|Median: $88.65
0.7× median

Other Top Providers in Missouri

View all →

Compass Health Inc.

Community/Behavioral Health

$1.28B

Medical Transportation Management Inc.

Transportation Broker

$894.4M

Burrell Inc.

Community/Behavioral Health

$759.7M

Access2care LLC

Transportation Broker

$600.9M

State of Missouri

Psychologist, Rehabilitation

$493.6M

Similar Providers

Other top providers in Case Management

Department of Developmental Services

Southbridge, MA

$1.35B

Commonwealth of Massachusets

Beverly, MA

$1.14B

Commonwealth of Mass-dds

Hyde Park, MA

$1.10B

Community Assistance Resources & Extended Services INC

New York, NY

$1.04B

Stavros Center for Independent Living Inc.

Amherst, MA

$1.04B

← All providersAll providers in Missouri →How we detect fraud →