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.

Disabilities Board Of Charleston County (NPI 1467883645)

Field	Value
Entity Type	Organization
Organization	Disabilities Board Of Charleston County
Address	995 Morrison Drive
City	Charleston
State	SC
ZIP	29403
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	December 12, 2013

Payer Source	Total Paid
Medicaid	$49.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation: there is no Medicare billing on file and the provider reports $49.9M in lifetime Medicaid revenue, indicating a near-exclusive reliance on Medicaid as its payer base. The absence of Medicare activity suggests its services and billing footprint are concentrated in state waiver and developmental-disability programs rather than Medicare-covered medical services.

Revenue concentration is extremely high in a few waiver habilitation services: the precomputed top-3 Medicaid codes account for 95.0% of this provider's total Medicaid revenue, with T2016 alone representing $37.9M (76.0% of Medicaid revenue). That level of concentration suggests the organization’s financial performance is tightly linked to a small set of residential and habilitation per-diem services.

The code mix shows a clear operational emphasis on residential and day habilitation: T2016 (Habilitation, residential, waiver; per diem) accounts for 160K claims at an average $237 paid/claim, while T2014 (Habilitation, prevocational, waiver; per diem) accounts for 92.6K claims at $74 avg paid/claim and T2020 (Day habilitation, waiver; per diem) contributes 35K claims at $75 avg paid/claim. Together these codes indicate the provider delivers large-volume residential habilitation and prevocational/day habilitation services under Medicaid waiver arrangements.

Competitive standing in-state is strong for specific habilitation lines: the provider ranks #1 of 34 for T2014 (100th percentile), described as notably above typical state volume for that code, and ranks #5 of 52 for T2016 (92th percentile), also notably above typical state volume. By contrast, its T2020 volume is more typical (rank #11 of 40, 74th percentile), indicating leadership in prevocational and residential habilitation but only mid-to-upper participation in day habilitation.

Secondary service lines are present but represent a small share of revenue: T1017 (Targeted case management) generated $991.3K (2.0% of total Medicaid revenue) across 19.4K claims and ranks #14 of 57 (77th percentile), while H2025 (ongoing support to maintain employment) produced $497.2K (1.0% of revenue) and ranks #4 of 22 (86th percentile). These data show ancillary case management and employment-support services exist within the provider’s portfolio but do not drive its revenue base.

The provider’s rank and percentile details reveal it is a major in select niches rather than a broad-based statewide dominator: top-percentile standing on T2014 and very high standing on T2016 point to market leadership in specific waiver habilitation services, whereas multiple other codes (for example T2020 and T1017) are described as typical or unremarkable in volume. This suggests a specialized competitive position focused on residential and prevocational habilitation.

Tenure data show the provider has an established presence: the NPI was enumerated on 2013-12-12 (~13 years ago), indicating over a decade of enrollment and likely sustained participation in state Medicaid waiver programs. That duration supports the interpretation that the observed high-volume billing patterns are the result of an established program model rather than a short-term fluctuation.

Given the extreme revenue concentration (95.0% in the top three codes) and the dominance in prevocational habilitation (T2014 rank #1 of 34 at the 100th percentile), the provider is operationally exposed to any policy or rate changes affecting these specific Medicaid waiver per-diem codes. Analysts evaluating risk or growth opportunities should prioritize monitoring state waiver reimbursement policy and utilization trends for T2014 and T2016.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	160,030	$240	$37.9M
T2014	Habilitation, prevocational, waiver; per diem	92,610	$70	$6.9M
T2020	Day habilitation, waiver; per diem	35,030	$80	$2.6M
T1017	Targeted case management, each 15 minutes	19,440	$50	$991.3K
H2025	Ongoing support to maintain employment, per 15 minutes	5,230	$100	$497.2K
H2026	Ongoing support to maintain employment, per diem	4,390	$80	$350.8K
H2016	Comprehensive community support services, per diem	2,550	$80	$198.8K
T2017	Habilitation, residential, waiver; 15 minutes	1,420	$130	$189.7K
T1016	Case management, each 15 minutes	4,230	$40	$181.8K
T1027	Family training and counseling for child development, per 15 minutes	1,190	$90	$108.7K

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

Disabilities Board Of Charleston County — 1 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	5	50	42,240	$250	$15.4M
T2014	Habilitation, prevocational, waiver; per diem	1	30	17,930	$70	$1.9M
T2020	Day habilitation, waiver; per diem	11	40	18,120	$70	$1.8M
T1017	Targeted case management, each 15 minutes	14	60	7,610	$50	$1.2M
H2016	Comprehensive community support services, per diem	12	20	8,760	$60	$1.1M
H2026	Ongoing support to maintain employment, per diem	26	30	10,980	$70	$939.8K
T1027	Family training and counseling for child development, per 15 minutes	63	80	3,560	$100	$857.8K
T1016	Case management, each 15 minutes	51	100	4,210	$50	$614.8K
T2017	Habilitation, residential, waiver; 15 minutes	5	10	1,440	$110	$294.3K
H2025	Ongoing support to maintain employment, per 15 minutes	4	20	2,240	$90	$241.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vikor Scientific, LLC	SC	Clinical Medical Laboratory	$516.8K	$27M
Fetter Health Care Network, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$5.8M
Nathan Seng	SC	Dentist	$0	$1.6M
Charleston Pathology, P.A.	SC	Clinical Medical Laboratory	$248.5K	$385.5K
Phi Life Sciences LLC	SC	Clinical Medical Laboratory	$91.6K	$374.7K
Alexander Kent	SC	Ophthalmology Physician	$287.4K	$0
Tracy Tipton	SC	Urology Physician	$249.8K	$0
John Mitchell	SC	Critical Care Medicine (Internal Medicine) Physician	$216.5K	$0
Joseph Lally	SC	Ophthalmology Physician	$202.5K	$0
Todd Joye	SC	Interventional Pain Medicine Physician	$192.7K	$0

Disabilities Board Of Charleston County — Billing Profile & Reimbursement Data

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Disabilities Board Of Charleston County — 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