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.

Resouces For Human Development, Inc. (NPI 1386165017)

Field	Value
Entity Type	Organization
Organization	Resouces For Human Development, Inc.
Address	705 E 41st St Ste 230
City	Sioux Falls
State	SD
ZIP	57105
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	July 3, 2017

Payer Source	Total Paid
Medicaid	$31.1M
Medicare	$0

Key Findings

RESOUCES FOR HUMAN DEVELOPMENT, INC. in SIOUX FALLS, SD operates as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, and its Medicaid billing profile is dominated by long-term habilitative residential and day habilitation services. The three highest-revenue Medicaid codes are T2016 (Habilitation, residential, waiver; per diem), T2020 (Day habilitation, waiver; per diem), and S0281 (Medical home program, comprehensive care coordination and planning), which together account for 99.3% of the provider's total Medicaid revenue, indicating a focused service mix around residential habilitation, day programs, and care coordination.

The provider has no Medicare billing on file and $31.1M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operation in the available data. Because Medicare revenue is absent, all observed scale, capacity and financial reliance are concentrated in Medicaid-funded habilitation and coordination services rather than fee-for-service Medicare clinical lines.

T2016 is the single largest revenue driver with $23.3M (75.0% of this provider's Medicaid revenue) coming from 4K claims at an average paid per claim of $5773, which signals a substantial residential habilitation footprint. In-state competitive data place this provider at #15 of 21 for T2016 (30th percentile), meaning its volume for residential habilitation is typical and not an outlier within the state market despite representing the majority of this provider's revenue.

T2020 contributes $5.6M (17.9% of Medicaid revenue) across 4K claims at $1390 average paid/claim, reflecting a meaningful day habilitation business alongside residential services. The provider ranks #17 of 20 in-state (16th percentile) on this code, indicating modest in-state market share for day habilitation relative to peers rather than a dominant position.

S0281 generates $2.0M (6.3% of Medicaid revenue) from 2.9K claims at a $690 average paid/claim, highlighting that comprehensive care coordination and maintenance-of-plan services are an established but smaller component of the overall revenue mix. With a #17 of 21 rank (20th percentile) for S0281, the provider’s use of medical home/care coordination services is typical for the state and not unusually high.

Smaller Medicaid activity includes T2025 with $230.6K (0.7% of Medicaid revenue) across 1.5K claims at $151 average paid/claim, which underscores that nearly all revenue comes from the top habilitation and coordination codes; ancillary waiver NOS billing is present but marginal. This concentration — with the top three codes accounting for 99.3% of Medicaid revenue — points to revenue risk if policy or reimbursement changes affect these specific service categories.

The provider’s NPI was enumerated on 2017-07-03 (~9 years ago), establishing nearly a decade of recorded participation in Medicaid programs. That tenure supports the interpretation that the current code mix reflects an established operational focus rather than a transient or very new service offering.

Across the three highest codes the provider’s in-state percentile ranks (30th, 16th, and 20th) consistently place it in the lower-to-middle range of state peers for each major service line. This pattern characterizes the organization as a focused, midsize state market participant in residential habilitation, day habilitation, and care coordination rather than a leading or dominant provider in South Dakota.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	4,040	$5,770	$23.3M
T2020	Day habilitation, waiver; per diem	4,000	$1,390	$5.6M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	2,860	$690	$2M
T2025	Waiver services; not otherwise specified (nos)	1,530	$150	$230.6K

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.

Claims Volume vs. South Dakota Distribution

Resouces For Human Development, Inc. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	15	20	6,880	$1,660	$31.6M
T2020	Day habilitation, waiver; per diem	17	20	7,340	$500	$8.9M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	17	20	6,090	$420	$3M
T2025	Waiver services; not otherwise specified (nos)	17	20	5,410	$180	$1.9M

Nearby Providers

Other providers in the same ZIP code as Resouces For Human Development, Inc., 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
Volunteers Of America, Dakotas	SD	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$60.9M
Southeastern Behavioral Healthcare	SD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$59.1M
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

Resouces For Human Development, Inc. — Billing Profile & Reimbursement Data

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Resouces For Human Development, 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