Rem Missouri LLC
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $5.3M (2021) to $48.3M (2022) — a 804% swing with $43.0M absolute change.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 804% from 2021 to 2022.
Instant Volume
New provider billing over $1M in their first year of Medicaid participation.
Billed $5.3M in first year (2021).
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
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
Instant Volume
Instant Volume means this provider billed over $1 million in their very first year of Medicaid participation. New providers typically ramp up gradually, so immediate high-volume billing can be a red flag.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $168.41 per claim for T2001 (Non-emergency transportation, patient attendant or aide) — 8.6× the national median of $19.61.
Bills $118.99 per claim for A9999 — 3.0× the national median of $39.73.
Bills $69.53 per claim for T2003 (Non-emergency transport; encounter/trip) — 3.2× the national median of $21.70.
This is a statistical summary, not an accusation. See our methodology.
Compared to Clinic/Center Developmental Disabilities Peers
Total spending distribution among 10 providers in this specialty
This provider's total spending of $240.9M is at the 75th percentile among 10 Clinic/Center Developmental Disabilities providers.
Total Paid
$240.9M
$240,850,155
Total Claims
583K
Beneficiaries
45K
12.9 claims/patient
Avg Cost/Claim
$413
#347 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Rem Missouri LLC is a Clinic/Center Developmental Disabilities provider based in Saint Louis, MO. From the 2018–2024 period, this provider received $240.9M in Medicaid payments across 583K claims.
Why This Matters
This provider received $240.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 30,106 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 15 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 72% of total spending.
$173.0M
290K claims
$595.46
$331.94
Habilitation, residential, waiver; per diem
$173.0M
290K claims · 71.8%
$45.3M
164K claims
$276.53
$302.34
Companion care, adult, per 15 minutes
$45.3M
164K claims · 18.8%
$15.9M
65K claims
$244.38
$150.51
Day habilitation, waiver; per 15 min
$15.9M
65K claims · 6.6%
RN services, per 15 minutes
$1.4M
15K claims · 0.6%
$1.4M
8K claims
$168.41
$19.61
Non-emergency transportation, patient attendant or aide
$1.4M
8K claims · 0.6%
$1.1M
9K claims · 0.5%
Supported employment, per 15 min
$706K
3K claims · 0.3%
$554K
4K claims
$127.67
$167.38
Adaptive behavior treatment by protocol, per 15 min
$554K
4K claims · 0.2%
Non-emergency transport; per trip
$314K
7K claims · 0.1%
$301K
4K claims
$69.53
$21.70
Non-emergency transport; encounter/trip
$301K
4K claims · 0.1%
Non-emergency taxi transport
$288K
10K claims · 0.1%
Personal care services, per 15 min
$237K
1K claims · 0.1%
$199K
2K claims
$122.81
$146.45
Adaptive behavior treatment with protocol modification, per 15 minutes
$199K
2K claims · 0.1%
Case management, each 15 min
$101K
682 claims · 0.0%
$29K
313 claims · 0.0%
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