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.

Horry County Disabilities & Special Needs Board (NPI 1063845881)

Field	Value
Entity Type	Organization
Organization	Horry County Disabilities & Special Needs Board
Address	250 Victory Ln
City	Conway
State	SC
ZIP	29526
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	August 15, 2013

Payer Source	Total Paid
Medicaid	$25.7M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while total Medicaid revenue is $25.7M, indicating that Medicaid drives the entirety of the documented fee‑for‑service activity and financial footprint for this entity. Analysts should treat this as a Medicaid‑centric operation when assessing market exposure, reimbursement risk, or care pathways.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 83.9% of the provider's total Medicaid revenue. The single largest line is T2016 (72.9K claims, $226 avg paid/claim, $16.5M revenue), which alone represents 64.1% of Medicaid revenue; H2026 ($2.6M, 10.1%) and H2016 ($2.5M, 9.8%) complete the top three.

The code mix reflects a service model focused on habilitation and community supports rather than acute clinical care: T2016 (habilitation, residential, waiver; per diem), T2020 (day habilitation, waiver; per diem), H2026 (ongoing support to maintain employment, per diem) and H2016 (comprehensive community support services, per diem) together point to residential and day habilitation programs plus supported employment and community‑based supports as core offerings. Case management and family training codes (T1017, T1016, T1027) appear as ancillary or supportive services.

Competitive standing varies by service line within the state: for the dominant residential habilitation code T2016 the provider ranks #18 of 52 in‑state (67th percentile) — characterized in the data as a typical, unremarkable volume for this code — whereas for H2026 (ongoing employment support) the provider ranks #1 of 31 (100th percentile) and is explicitly described as notably above typical state volume, signaling market leadership in employment supports. H2016 ranks #5 of 15 (71st percentile) and is described as typical, indicating a solid but not dominant position in comprehensive community supports.

Several case‑management and ancillary codes contribute modest but nontrivial income and suggest service breadth: T1017 (targeted case management) shows 21.2K claims and $1.3M revenue (5.1% of Medicaid revenue) and is ranked #13 of 57 in‑state (79th percentile; typical), while T1016 (case management) and T1027 (family training and counseling) contribute smaller shares ($575.7K and $665.4K respectively) but demonstrate capacity to bill for both direct supports and family/IEP‑related services. These codes indicate a mixed operating model that combines direct habilitation with management and caregiver training.

The provider's revenue concentration exposes it to reimbursement or policy changes affecting waiver and per‑diem habilitation rates: with T2016 alone at $16.5M and the top three codes making up 83.9% of Medicaid revenue, any changes to waiver eligibility, per‑diem rates, or programmatic authorizations for these specific codes would materially affect overall cash flow. Analysts should flag T2016 and H2026 reimbursement policy as primary risk levers.

Statistical‑standing language in the data reinforces areas of outsized presence and routine activity: H2026 is explicitly labeled "notably above typical" for state volume and aligns with the provider's #1 rank in‑state for that code, while T2016 and H2016 are described as "typical, unremarkable volume" despite contributing the bulk of dollars. These labels indicate a clear state leadership position in employment supports but otherwise a conventional footprint for standard habilitation services.

The NPI tenure shows the organization has been enumerated since 2013‑08‑15 (~13 years ago), suggesting an established operating history in the state marketplace; combined with the code mix and ranking data, this tenure supports the view of a mature Medicaid provider whose core competency is long‑term habilitation and employment support services for individuals with developmental disabilities.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	72,890	$230	$16.5M
H2026	Ongoing support to maintain employment, per diem	33,590	$80	$2.6M
H2016	Comprehensive community support services, per diem	32,650	$80	$2.5M
T2020	Day habilitation, waiver; per diem	18,210	$80	$1.4M
T1017	Targeted case management, each 15 minutes	21,170	$60	$1.3M
T1027	Family training and counseling for child development, per 15 minutes	7,080	$90	$665.4K
T1016	Case management, each 15 minutes	12,790	$50	$575.7K
H2025	Ongoing support to maintain employment, per 15 minutes	2,790	$60	$162K
T1018	School-based individualized education program (iep) services, bundled	270	$60	$17K

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

Horry County Disabilities & Special Needs Board — 1 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	18	50	42,240	$250	$15.4M
T2020	Day habilitation, waiver; per diem	20	40	18,120	$70	$1.8M
T1017	Targeted case management, each 15 minutes	13	60	7,610	$50	$1.2M
H2016	Comprehensive community support services, per diem	5	20	8,760	$60	$1.1M
H2026	Ongoing support to maintain employment, per diem	1	30	10,980	$70	$939.8K
T1027	Family training and counseling for child development, per 15 minutes	27	80	3,560	$100	$857.8K
T1016	Case management, each 15 minutes	19	100	4,210	$50	$614.8K
H2025	Ongoing support to maintain employment, per 15 minutes	9	20	2,240	$90	$241.7K
T1018	School-based individualized education program (iep) services, bundled	22	30	650	$90	$111.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40.5M
Conway Hospital, Inc.	SC	General Acute Care Hospital	$0	$20.2M
Health Care Partners Of South Carolina, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$10.7M
Carolina Radiology Associates LLC	SC	Diagnostic Radiology Physician	$0	$9.2M
Horry County Government	SC	Land Ambulance	$4M	$4.4M
Conway Hospital Emergency Professional Services	SC	Emergency Medicine Physician	$0	$6.1M
Coastal Pediatrics	SC	Primary Care Clinic/Center	$0	$5.1M
Carolina Care Medical Supply LLC	SC	Durable Medical Equipment & Medical Supplies	$0	$4.9M
Nicholas Marchase	SC	Ophthalmology Physician	$4.1M	$306.4K
Horry County Comm On Alcohol & Drug Abuse	SC	Community/Behavioral Health Agency	$0	$4.2M

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

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

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

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

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References