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 Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Dakota 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 Dakota (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.

Adjustment Training Center, Inc. (NPI 1124158811)

Field	Value
Entity Type	Organization
Organization	Adjustment Training Center, Inc.
Address	607 N 4th St
City	Aberdeen
State	SD
ZIP	57401
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$40.3M
Medicare	$0

Key Findings

ADJUSTMENT TRAINING CENTER, INC. is effectively a Medicaid-focused provider: it has Total Medicaid revenue of $40.3M and Total Medicare revenue: none (no Medicare billing on file). The NPI was enumerated on 2007-03-06 (~19 years ago), indicating long-standing participation in Medicaid waiver programs in South Dakota rather than a diversified Medicare/Medicaid payer mix.

Revenue is highly concentrated in a small set of waiver and care-coordination codes: the top three Medicaid codes (T2016, T2020, S0281) account for 91.8% of this provider's total Medicaid revenue. Individually these codes are large line items: T2016 reported $27.7M (68.7% of total Medicaid revenue), T2020 $6.8M (17.0%), and S0281 $2.5M (6.1%), showing that most earnings are driven by a few per-diem habilitation and care-planning services.

The provider’s code mix and taxonomy align with residential and day habilitation operations: T2016 (Habilitation, residential, waiver; per diem) and T2020 (Day habilitation, waiver; per diem) together dominate revenue and indicate the organization primarily furnishes waiver-based residential and day habilitation services. S0281 (Medical home program, comprehensive care coordination and planning) as the third-largest line suggests an integrated service model that includes care coordination and maintenance-of-plan activities alongside habilitation.

Competitive standing within the state is modestly strong but not dominant for its top lines: T2016 ranks #6 of 21 providers in-state (75th percentile; typical, unremarkable volume), T2020 ranks #7 of 20 (68th percentile; typical, unremarkable volume), and S0281 ranks #7 of 21 (70th percentile; typical, unremarkable volume). These rankings indicate the provider is an established participant in South Dakota’s waiver market with above-median scale on core codes, but it is not the top provider statewide for these services.

Unit-level economics emphasize why T2016 drives revenue: average paid/claim is $3152 for T2016 versus $810 for T2020 and $323 for S0281. The high per-claim payment on T2016 (residential habilitation per diem) explains why a single code can represent $27.7M in revenue despite similar claim counts to other lines and underscores reliance on higher-cost residential placements.

Operational concentration risk is material because a small set of per-diem waiver codes account for the majority of income. Beyond the top three, T2025 (Waiver services; not otherwise specified) contributes $2.4M (6.0% of Medicaid revenue) and ranks #5 of 19 in-state (78th percentile), so a handful of waiver-related codes together determine much of the provider’s financial performance and expose it to waiver policy or rate changes.

Claim volumes show sustained service delivery scale within Medicaid waiver programs: T2016 recorded 8.8K claims, T2020 8.5K claims, and S0281 7.6K claims, reflecting consistent utilization of residential, day habilitation, and care coordination services. These volumes, paired with the provider’s long tenure since 2007-03-06 (~19 years ago), suggest operational experience in managing high-frequency waiver service delivery in its market.

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	8,790	$3,150	$27.7M
T2020	Day habilitation, waiver; per diem	8,450	$810	$6.8M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	7,630	$320	$2.5M
T2025	Waiver services; not otherwise specified (nos)	8,220	$300	$2.4M
T2017	Habilitation, residential, waiver; 15 minutes	820	$460	$376.5K
T2014	Habilitation, prevocational, waiver; per diem	1,010	$190	$190.1K
T2028	Specialized supply, not otherwise specified, waiver	3,940	$40	$161.5K
T2018	Habilitation, supported employment, waiver; per diem	640	$120	$75K
T2019	Habilitation, supported employment, waiver; per 15 minutes	380	$130	$49.3K
A0130	Non-emergency transportation: wheelchair van	490	$40	$17.7K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Adjustment Training Center, Inc. — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	6	20	6,880	$1,660	$31.6M
T2020	Day habilitation, waiver; per diem	7	20	7,340	$500	$8.9M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	7	20	6,090	$420	$3M
T2025	Waiver services; not otherwise specified (nos)	5	20	5,410	$180	$1.9M
T2017	Habilitation, residential, waiver; 15 minutes	4	10	470	$270	$437.9K
T2018	Habilitation, supported employment, waiver; per diem	15	20	1,510	$80	$433.9K
T2014	Habilitation, prevocational, waiver; per diem	10	20	1,210	$130	$410.3K
T2019	Habilitation, supported employment, waiver; per 15 minutes	10	20	480	$90	$288.6K
A0130	Non-emergency transportation: wheelchair van	22	30	3,370	$40	$209.1K
T2028	Specialized supply, not otherwise specified, waiver	9	30	910	$50	$169.8K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Adjustment Training Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeastern Mental Health Center	SD	Mental Health Counselor	$0	$10.1M
Vision Care Associates, LLP	SD	Optometrist	$0	$6M
Sanford Health Network	SD	General Acute Care Hospital	$0	$4.4M
John Bormes	SD	Ophthalmology Physician	$2.6M	$0
Avera St. Luke's	SD	Family Medicine Physician	$0	$2.3M
Sanford Health Network	SD	General Acute Care Hospital	$0	$1.9M
Avera At Home	SD	Home Health Agency	$0	$1.6M
Avera St Lukes	SD	General Acute Care Hospital	$0	$1.5M
Ty Hanson	SD	Dermatology Physician	$1.2M	$0
Fettig And Drake Dds PC	SD	General Practice Dentistry	$0	$1M

Adjustment Training Center, Inc. — Billing Profile & Reimbursement Data

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Adjustment Training Center, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References