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Easter Seals Midwest

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Ballwin, MO·NPI: 1649301789Share

Compared to Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers

Total spending distribution among 50 providers in this specialty

P25MedianP75P90

This provider's total spending of $349.0M is at the 90th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

Above 90th percentile for this specialty — higher spending than 45 of 50 peers

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

Total Paid

$349.0M

$348,960,029

Total Claims

812K

Beneficiaries

61K

13.4 claims/patient

Avg Cost/Claim

$430

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

🔍 Analysis

Provider Overview

Easter Seals Midwest is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider based in Ballwin, MO. From the 2018–2024 period, this provider received $349.0M in Medicaid payments across 812K claims.

Why This Matters

This provider received $349.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 43,620 Medicaid beneficiaries for a full year at average per-enrollee costs.

65% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$36.6M
+15%
2019
$42.0M
+11%
2020
$46.6M
+3%
2021
$47.8M
+12%
2022
$53.4M
+16%
2023
$62.2M
-3%
2024
$60.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 99% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$344.5M

767K claims · 98.7%

Your Cost: $449.12/claim|Median: $331.94
1.4× median
T2001Top 25%

Non-emergency transportation, patient attendant or aide

$2.4M

15K claims · 0.7%

Your Cost: $160.69/claim|Median: $19.61
8.2× median
T1002Normal range

RN services, per 15 minutes

$1.8M

29K claims · 0.5%

Your Cost: $62.47/claim|Median: $37.42
1.7× median
A0120Top 5%

Non-emergency mini-bus transport

$263K

800 claims · 0.1%

Your Cost: $328.19/claim|Median: $16.09
20.4× median

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