Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or South Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. South Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Specialized Alternative For Families And Youth Of South Carolina, Inc. (NPI 1013084359)

Field	Value
Entity Type	Organization
Organization	Specialized Alternative For Families And Youth Of South Carolina, Inc.
Address	800 Dutch Square Blvd
City	Columbia
State	SC
ZIP	29210
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 30, 2006

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5145	Foster care, therapeutic, child; per diem	88,520	$50	$4.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	57,980	$50	$2.6M
T2016	Habilitation, residential, waiver; per diem	5,060	$120	$591.9K
S9482	Family stabilization services, per 15 minutes	10,210	$40	$428.9K
H0032	Mental health service plan development by non-physician	4,130	$20	$74.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	60	$140	$8.5K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. South Carolina Distribution

Specialized Alternative For Families And Youth Of South Carolina, Inc. — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	48	50	42,240	$250	$15.4M
S5145	Foster care, therapeutic, child; per diem	3	10	62,970	$60	$5.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	6	50	9,030	$60	$1.5M
S9482	Family stabilization services, per 15 minutes	6	20	1,180	$60	$538.2K
H0032	Mental health service plan development by non-physician	16	90	1,240	$40	$120.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	157	320	60	$140	$52.7K

Nearby Providers

Other providers in the same ZIP code as Specialized Alternative For Families And Youth Of South Carolina, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Youth Advocate Program	SC	Community/Behavioral Health Agency	$0	$64M
Lifehme, Inc.	SC	Oxygen Equipment & Supplies (DME)	$0	$45.6M
Pal-med, LLC	SC	Durable Medical Equipment & Medical Supplies	$0	$26.2M
Bright Start, LLC	SC	Speech-Language Pathologist	$0	$20.8M
Kids First Dental, LLC	SC	Dentist	$0	$20.6M
Hospice Care Of South Carolina, Lowcountry, LLC	SC	Community Based Hospice Care Agency	$0	$19.9M
Crescent Hospice, Inc.	SC	Community Based Hospice Care Agency	$0	$17.3M
Coram Healthcare/carolina Home Therapeutics	SC	Home Infusion Therapy Pharmacy	$0	$13.9M
Caring Healthcare, Inc.	SC	Nursing Care Agency	$0	$13.3M
Richland/lexington Disabilities And Special Needs Board	SC	Case Management Agency	$0	$11.3M

Specialized Alternative For Families And Youth Of South Carolina, Inc. — Billing Profile & Reimbursement Data

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Specialized Alternative For Families And Youth Of South Carolina, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References