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.

Pickens County Board Of Disabilities And Special Needs (NPI 1073273348)

Field	Value
Entity Type	Organization
Organization	Pickens County Board Of Disabilities And Special Needs
Address	1308 Griffin Mill Rd
City	Easley
State	SC
ZIP	29640
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	December 28, 2021

Payer Source	Total Paid
Medicaid	$20.3M
Medicare	$0

Key Findings

PICKENS COUNTY BOARD OF DISABILITIES AND SPECIAL NEEDS is effectively a Medicaid-only billing entity: there is no Medicare billing on file and the provider reports $20.3M in total Medicaid revenue, indicating reliance on state Medicaid payments as its primary payer source. This single-payer profile means analyses of financial performance should focus on Medicaid policies and rates rather than Medicare trends.

Revenue is highly concentrated in a small set of habilitation per-diem codes: the top three Medicaid codes account for 97.3% of the provider's total Medicaid revenue, led by T2016 at $17.1M (84.6% of Medicaid revenue), followed by T2014 at $1.4M (7.0%) and T2020 at $1.2M (5.7%). This concentration shows the provider’s financial picture is dominated by a few residential and day habilitation services.

The code mix (T2016 – Habilitation, residential, waiver; per diem; T2014 – Habilitation, prevocational, waiver; per diem; T2020 – Day habilitation, waiver; per diem) indicates the organization operates primarily as a community-based residential and day habilitation provider for individuals with intellectual and developmental disabilities. The per-diem orientation of the top codes suggests ongoing facility- or program-based supports rather than episodic outpatient or procedure-driven services.

For its largest revenue driver, T2016, the provider ranks #16 of 52 in-state (71th percentile; typical, unremarkable volume for this code), which places it as a mid-to-upper-tier but not dominant participant in residential habilitation within the state. In practical terms, the provider is a meaningful regional player for residential habilitation but not among the very largest statewide providers for this code.

T2014 (prevocational habilitation) and T2020 (day habilitation) also show typical, unremarkable volumes: T2014 ranks #17 of 34 (52th percentile) and T2020 ranks #25 of 40 (38th percentile). These standings indicate modest participation in prevocational and day habilitation markets rather than leadership in those service lines.

Employment-support services (H2026 — per diem; H2025 — per 15 minutes) represent small portions of revenue ($474.3K, 2.3% and $74.1K, 0.4% of Medicaid revenue, respectively) and rank in lower state percentiles (#21 of 31, 33th percentile for H2026; #11 of 22, 52th percentile for H2025). This suggests the provider offers some vocational/employment supports but does not appear to be a major statewide provider of ongoing employment services.

The provider’s NPI was enumerated on 2021-12-28 (~5 years ago), indicating a relatively recent enrollment window compared with many longer-tenured entities. Given this tenure, its current scale—$20.3M in Medicaid revenue driven heavily by residential habilitation—reflects relatively rapid concentration in core waiver-based service lines since enrollment.

Operational and payer-risk implications flow from the concentration: with 97.3% of Medicaid revenue tied to three habilitation per-diem codes, and no Medicare revenue to diversify payer mix, the provider is exposed to changes in Medicaid waiver rates, per-diem reimbursement, or placement trends in residential and day habilitation. Analysts should consider state Medicaid policy changes and program utilization trends for T2016, T2014, and T2020 when assessing financial stability and growth prospects.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	77,480	$220	$17.1M
T2014	Habilitation, prevocational, waiver; per diem	18,500	$80	$1.4M
T2020	Day habilitation, waiver; per diem	14,800	$80	$1.2M
H2026	Ongoing support to maintain employment, per diem	6,590	$70	$474.3K
H2025	Ongoing support to maintain employment, per 15 minutes	2,320	$30	$74.1K

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

Pickens County Board Of Disabilities And Special Needs — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	16	50	42,240	$250	$15.4M
T2014	Habilitation, prevocational, waiver; per diem	17	30	17,930	$70	$1.9M
T2020	Day habilitation, waiver; per diem	25	40	18,120	$70	$1.8M
H2026	Ongoing support to maintain employment, per diem	21	30	10,980	$70	$939.8K
H2025	Ongoing support to maintain employment, per 15 minutes	11	20	2,240	$90	$241.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prisma Health-upstate	SC	General Acute Care Hospital	$0	$9.3M
Woodruff Road Urgent Care Center, P.C.	SC	Urgent Care Clinic/Center	$0	$7.3M
School District Of Pickens County	SC	Local Education Agency (LEA)	$0	$6.4M
National Seating & Mobility Inc	SC	Durable Medical Equipment & Medical Supplies	$0	$4.7M
Prisma Health University Medical Group	SC	Family Medicine Physician	$0	$4.7M
Pickens County Commission On Alcohol & Drug Abuse	SC	Substance Use Disorder Rehabilitation Clinic/Center	$0	$2.4M
Recovery Concepts Of Carolina Upst LLC	SC	Methadone Clinic	$0	$2.3M
Prisma Health-upstate	SC	General Acute Care Hospital	$0	$1.8M
Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A.	SC	Oral and Maxillofacial Surgery (Dentist)	$0	$1.6M
Freedom 1st Medical Transport	SC	Land Ambulance	$534.1K	$0

Pickens County Board Of Disabilities And Special Needs — Billing Profile & Reimbursement Data

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Pickens County Board Of Disabilities And Special Needs — Billing Profile & Reimbursement Data

Sign up for Pickens County Board Of Disabilities And Special Needs — 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