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.

Oconee County Disabilities & Special Needs Board (NPI 1033251228)

Field	Value
Entity Type	Organization
Organization	Oconee County Disabilities & Special Needs Board
Address	116 S Cove Rd
City	Seneca
State	SC
ZIP	29672
Taxonomy	Case Manager/Care Coordinator
NPI Enumerated	February 13, 2007

Payer Source	Total Paid
Medicaid	$13.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	46,480	$210	$9.7M
T2014	Habilitation, prevocational, waiver; per diem	14,570	$70	$1.1M
T2020	Day habilitation, waiver; per diem	11,450	$70	$824.7K
T1016	Case management, each 15 minutes	7,140	$60	$400.1K
H2026	Ongoing support to maintain employment, per diem	4,220	$80	$320.5K
T1005	Respite care services, up to 15 minutes	3,150	$100	$315K
T1027	Family training and counseling for child development, per 15 minutes	3,950	$80	$304.3K
T2017	Habilitation, residential, waiver; 15 minutes	2,430	$90	$213.9K
T1017	Targeted case management, each 15 minutes	2,190	$50	$107.5K
H2025	Ongoing support to maintain employment, per 15 minutes	680	$50	$36.6K

Showing 1–10 of 11

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

Oconee County Disabilities & Special Needs Board — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	24	50	42,240	$250	$15.4M
T2014	Habilitation, prevocational, waiver; per diem	22	30	17,930	$70	$1.9M
T2020	Day habilitation, waiver; per diem	28	40	18,120	$70	$1.8M
T1017	Targeted case management, each 15 minutes	45	60	7,610	$50	$1.2M
H2026	Ongoing support to maintain employment, per diem	27	30	10,980	$70	$939.8K
T1005	Respite care services, up to 15 minutes	16	20	4,860	$90	$892.9K
T1027	Family training and counseling for child development, per 15 minutes	39	80	3,560	$100	$857.8K
T1016	Case management, each 15 minutes	35	100	4,210	$50	$614.8K
T2017	Habilitation, residential, waiver; 15 minutes	3	10	1,440	$110	$294.3K
H2025	Ongoing support to maintain employment, per 15 minutes	17	20	2,240	$90	$241.7K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Oconee County Disabilities & Special Needs Board, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prisma Health-upstate	SC	General Acute Care Hospital	$0	$15.6M
Prisma Health-upstate	SC	Rural Health Clinic/Center	$0	$4.5M
Marlena Reif	SC	Physical Therapist	$60.4K	$0
Joel Kidd	SC	Family Medicine Physician	$52.2K	$0
Bill Chiles	SC	Emergency Medicine Physician	$38.1K	$0
Miles Mcguff	SC	Emergency Medical Services (Emergency Medicine) Physician	$37.1K	$0
Daniel Wright	SC	Anesthesiology Physician	$36.8K	$0
Jennifer Yinpraphan-hearn	SC	Certified Registered Nurse Anesthetist	$16.3K	$0

Oconee County Disabilities & Special Needs Board — Billing Profile & Reimbursement Data

Sign up for Oconee County Disabilities & Special Needs Board — Billing Profile & Reimbursement Data policy alerts

Oconee County Disabilities & Special Needs Board — Billing Profile & Reimbursement Data

Sign up for Oconee County Disabilities & Special Needs Board — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References