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    OpenPayerNPI Medicare & MedicaidLive Center Inc
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    Live Center Inc — Billing Profile & Reimbursement Data

    NPI 1184779704 · Lemmon, SD · Developmentally Disabled Services Day Training Agency

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    Live Center Inc is a developmentally disabled services day training agency provider located in Lemmon, South Dakota. This profile covers 0 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLive Center Inc
    Address407 2nd Ave W
    CityLemmon
    StateSD
    ZIP57638
    TaxonomyDevelopmentally Disabled Services Day Training Agency
    NPI EnumeratedJanuary 24, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8M
    Medicare$0

    Key Findings

    LIVE CENTER INC is effectively a single-payer Medicaid operator: it has no Medicare billing on file and reports $8M in lifetime Medicaid revenue. The provider’s NPI was enumerated on 2007-01-24 (~19 years ago), indicating a long-tenured presence in the state Medicaid market but with no recorded Medicare activity.

    Revenue is highly concentrated in a narrow set of waiver habilitation services: the precomputed top-3 codes (T2016, T2020, S0281) account for 99.5% of this provider's total Medicaid revenue, highlighting dependence on a few per-diem and care-coordination lines. T2016 alone contributes $5.8M (72.4% of Medicaid revenue), making residential habilitation the dominant income source.

    T2016 (Habilitation, residential, waiver; per diem) drives the majority of revenue with 1.3K claims and a $4477 avg paid/claim, but the provider ranks #19 of 21 in-state (10th percentile), indicating that despite large absolute revenue share, it is a modest participant in this code relative to peers and reflects a typical, unremarkable volume profile.

    T2020 (Day habilitation, waiver; per diem) is the second revenue driver with 1.6K claims, $1056 avg paid/claim and $1.6M revenue (20.6% of Medicaid revenue); the #19 of 20 in-state rank (5th percentile) signals the provider operates a routine-sized day habilitation program rather than a market-leading one.

    S0281 (Medical home program, comprehensive care coordination and planning, maintenance of plan) represents $525.8K (6.6% of Medicaid revenue) across 1.1K claims at a $490 avg paid/claim and ranks #20 of 21 providers (5th percentile); this suggests care coordination is offered at scale within the operation but remains a modest statewide footprint.

    Smaller waiver-related services (T2028 and T2035) produce immaterial revenue shares—T2028 accounts for $26.8K (0.3%) with 488 claims and ranks #22 of 33 in-state (34th percentile), while T2035 yields $12.6K (0.2%) with 43 claims and ranks #5 of 6 in-state (20th percentile). These line items appear ancillary to the provider’s core habilitation and care-coordination business.

    Business/service-line implications: the code mix (large per-diem residential habilitation T2016, substantial day habilitation T2020, and a measurable care-planning component S0281) aligns with the listed taxonomy of Developmentally Disabled Services Day Training Agency and indicates the organization operates both residential and day habilitation programs alongside structured care coordination. The concentration in per-diem waiver codes implies operational reliance on census-based service delivery.

    Competitive standing summary: across its top codes LIVE CENTER INC consistently ranks in the lower deciles among in-state peers (ranks at the 5th–10th percentiles for key codes), which characterizes the provider as a modest, routine participant in South Dakota’s waiver habilitation market rather than a dominant or outlier operator.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem1,300$4,480$5.8M
    T2020Day habilitation, waiver; per diem1,560$1,060$1.6M
    S0281Medical home program, comprehensive care coordination and planning, maintenance of plan1,070$490$525.8K
    T2028Specialized supply, not otherwise specified, waiver490$60$26.8K
    T2035Utility services to support medical equipment and assistive technology/devices, waiver40$290$12.6K

    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.

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

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem19206,880$1,660$31.6M
    T2020Day habilitation, waiver; per diem19207,340$500$8.9M
    S0281Medical home program, comprehensive care coordination and planning, maintenance of plan20206,090$420$3M
    T2028Specialized supply, not otherwise specified, waiver2230910$50$169.8K
    T2035Utility services to support medical equipment and assistive technology/devices, waiver51050$50$8.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Three Rivers Mental Health And Chemical Dependency CenterSDMental Health Counselor$0$2.7M
    West River Health ServicesSDRural Health Clinic/Center$0$353.9K
    Hands On Health, Inc.SDPhysical Therapist$0$100.7K
    Lemmon Emt AssociationSDAmbulance$72.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. South Dakota Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Dakota Distribution
    Live Center Inc — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota