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.

Volunteers Of America, Dakotas (NPI 1174664601)

Field	Value
Entity Type	Organization
Organization	Volunteers Of America, Dakotas
Address	1309 W. 51st Street
City	Sioux Falls
State	SD
ZIP	57105
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	February 9, 2007

Payer Source	Total Paid
Medicaid	$60.9M
Medicare	$0

Key Findings

VOLUNTEERS OF AMERICA, DAKOTAS is effectively a single-payer operation in the claims data: there is no Medicare billing on file while lifetime Medicaid revenue totals $60.9M, indicating the organization’s patient and revenue base is overwhelmingly Medicaid-funded. This concentration means the provider’s scale and payer exposure are tied to state Medicaid policy and waiver programs rather than Medicare fee schedules or populations.

Revenue is highly concentrated in a small set of Medicaid per‑diem and coordination services: the precomputed top 3 codes (T2016, T2020, S0281) account for 87.6% of the provider’s total Medicaid revenue. T2016 alone generates $38.6M (63.3% of the provider’s Medicaid revenue), T2020 generates $11.1M (18.2%), and S0281 generates $3.7M (6.1%), showing a dominant dependence on a few high‑value service lines.

The code mix signals a core business of intellectual/developmental disability habilitation and supportive care: T2016 (habilitation, residential, waiver; per diem) and T2020 (day habilitation, waiver; per diem) are the top revenue drivers, and S0281 (medical home program, comprehensive care coordination and planning) is the third. Together these codes imply the provider operates substantial residential and day habilitation programs plus formal care coordination for waiver populations, consistent with its Intellectual and/or Developmental Disabilities Residential Treatment Facility taxonomy.

Competitive standing across those core codes is mixed within the state. For the largest code, T2016, the provider ranks #10 of 21 (55th percentile), a mid‑tier position indicating typical statewide volume; for T2020 it ranks #6 of 20 (74th percentile), reflecting stronger-than-median activity in day habilitation; and for S0281 it ranks #12 of 21 (45th percentile), a below‑median position for care‑coordination billing.

Several ancillary codes show unusually high relative volume compared with peers despite contributing smaller portions of revenue, identifying areas of operational emphasis. H0015 (intensive outpatient) is ranked #1 of 8 in‑state (100th percentile) and is described as "notably above typical state volume," while 90853 (group psychotherapy) is ranked #2 of 31 (97th percentile) and labeled an "extreme outlier," indicating exceptionally high group therapy and intensive outpatient activity relative to peers even though each represents a modest share of total Medicaid revenue.

Claim-level and price signals show a per‑diem, high‑value residential model alongside high-frequency, lower‑unit services. T2016 averages $5148 paid/claim across 7.5K claims, T2020 averages $1040 paid/claim across 10.6K claims, and S0281 averages $636 paid/claim across 5.8K claims, a mix that reflects heavy use of per‑diem funding for residential/day habilitation combined with substantial claims volume for care coordination.

The provider has demonstrated sustained presence in the market, with its NPI enumerated on 2007-02-09 (~19 years ago), suggesting long tenure and established relationships with state Medicaid waiver programs and referral sources. That longevity supports the likelihood that current service lines and billing patterns are institutionally embedded rather than transient.

From a business risk/reward perspective, the concentration in a few Medicaid waiver/per‑diem codes (top 3 = 87.6% of Medicaid revenue) creates sensitivity to state rate changes, waiver eligibility rules, and utilization management for residential and day habilitation services. At the same time, strong relative positions in T2020 and standout volumes in H0015 and 90853 point to differentiated capabilities in day habilitation, intensive outpatient, and group therapy that could be leveraged if payer or program opportunities arise.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	7,490	$5,150	$38.6M
T2020	Day habilitation, waiver; per diem	10,640	$1,040	$11.1M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	5,810	$640	$3.7M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	1,490	$1,450	$2.2M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	12,450	$110	$1.4M
T2014	Habilitation, prevocational, waiver; per diem	1,790	$600	$1.1M
T2018	Habilitation, supported employment, waiver; per diem	2,370	$380	$889.5K
T2025	Waiver services; not otherwise specified (nos)	5,530	$130	$735.4K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	21,650	$20	$519.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,050	$70	$141.2K

Showing 1–10 of 21

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

Volunteers Of America, Dakotas — 2 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	10	20	6,880	$1,660	$31.6M
T2020	Day habilitation, waiver; per diem	6	20	7,340	$500	$8.9M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	6	10	1,970	$1,550	$3.8M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	12	20	6,090	$420	$3M
T2025	Waiver services; not otherwise specified (nos)	9	20	5,410	$180	$1.9M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	1	10	3,370	$130	$538.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	169	340	1,010	$100	$511K
T2018	Habilitation, supported employment, waiver; per diem	6	20	1,510	$80	$433.9K
T2014	Habilitation, prevocational, waiver; per diem	5	20	1,210	$130	$410.3K
T2019	Habilitation, supported employment, waiver; per 15 minutes	5	20	480	$90	$288.6K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Volunteers Of America, Dakotas, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tracy Williams	SD	Cognitive & Behavioral Psychologist	$11.7K	$0

Nearby Providers

Other providers in the same ZIP code as Volunteers Of America, Dakotas, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Dakota Achieve	SD	Developmental Disabilities Clinic/Center	$0	$166.9M
Dakotabilities	SD	Voluntary or Charitable Agency	$0	$77.8M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Southeastern Behavioral Healthcare	SD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$59.1M
Resouces For Human Development, Inc.	SD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$31.1M
Sanford Medical Center	SD	General Acute Care Hospital	$0	$24.4M
Childrens Dental Center	SD	Pediatric Dentistry	$0	$24M
Sanford Medical Center	SD	Air Ambulance	$0	$11.9M
Avera Mckennan	SD	Family Medicine Physician	$0	$10.6M
Sanford Clinic	SD	Pediatrics Physician	$0	$5.5M

Volunteers Of America, Dakotas — Billing Profile & Reimbursement Data

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Volunteers Of America, Dakotas — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References